新毕业护士五站式客观结构化临床考试的心理测量学测试和成本。
Psychometric testing and cost of a five-station OSCE for newly graduated nurses.
机构信息
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
IHH Healthcare Berhad, Singapore.
出版信息
Nurse Educ Today. 2022 May;112:105326. doi: 10.1016/j.nedt.2022.105326. Epub 2022 Mar 10.
BACKGROUND
The Objective Structured Clinical Examination (OSCE) is widely used in nursing education, but its implementation is costly and resource intensive, potentially limiting its feasibility. A five-station OSCE was designed to replace a previously validated 12-station OSCE but was not evaluated for its psychometric properties.
PURPOSE
This study aimed to evaluate the validity, reliability, acceptability, educational impact, and cost of a five-station OSCE using Van der Vleuten's utility formula.
METHODS
This study was based on a cross-sectional, nonexperimental design involving psychometric testing, a survey, and a cost analysis.
RESULTS
The five-station OSCE showed high content and predictive validity and inter-rater reliability among examiners. The OSCE format was well accepted by participants and achieved a cost saving of 45.2% compared with the 12-station format.
CONCLUSIONS
The five-station OSCE provides an authentic and objective assessment of competence among newly graduated nurses.
背景
客观结构化临床考试（OSCE）广泛应用于护理教育，但实施成本高，资源密集，可能限制其可行性。本研究设计了一个五站 OSCE 来替代先前验证的十二站 OSCE，但未对其心理测量特性进行评估。
目的
本研究旨在使用范德维伦效用公式评估五站 OSCE 的有效性、可靠性、可接受性、教育影响和成本。
方法
这是一项基于横断面、非实验设计的研究，包括心理测量测试、调查和成本分析。
结果
五站 OSCE 具有较高的内容和预测有效性，以及评估者之间的评分者间可靠性。OSCE 格式得到了参与者的认可，并与十二站格式相比节省了 45.2%的成本。
结论
五站 OSCE 为新毕业护士的能力提供了真实和客观的评估。
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