Objective To apply the objective structured clinical examination (OSCE) in midwifery skills training courses among midwifery students and to discuss the potential effects of OSCE among midwifery students. Methods In June 2019, a total of 30 midwifery students enrolled in 2017 from Hebei Medical University were selected. Literature review and expert discussion were used to construct test stations. Standardized patients were enrolled and trained for the exam. Students were asked to evaluate the examination by filling a survey questionnaire. Results Five test stations were used and three of them used standardized patients(SP). Students final scores of the exam ranged from 88.60 to 96.80, with an average of 92.21. The satisfaction score of the exam from students was (63.37±6.47). The scores of students given by SP in the three stations were(80.13±2.22), (81.96±1.15) and (83.83±1.02) respectively. Conclusions OSCE gave comprehensive and scientific evaluation of students' midwifery skills. The feedback from SP may optimize the feedback to trainers and thus provide the evidence for the improvement of midwifery students' training aiming at their core competency.
Yao Jiasi
,
Chen Haiying
,
Li Xia
,
Chen Hongyue
,
Chen Chunning
. The application and evaluation of objective structured clinical examination in midwife skill training courses[J]. Chinese Journal of Medical Education, 2021
, 41(7)
: 642
-646
.
DOI: 10.3760/cma.j.cn115259-20201221-01746
[1] Koblinsky M, Matthews Z, Hussein J, et al. Going to scale with professional skilled care[J]. Lancet, 2006,368(9544):1377-1386. DOI: 10.1016/S0140-6736(06)69382-3.
[2] The International Confederation of Midwives. International definition of the midwife[EB/OL].(2019-01-30)[2019-05-25]. http://www.internationalmidwives.org.
[3] 路简羽. 助产专业应届大专毕业生核心胜任力及影响因素调查研究[D]. 北京:北京大学,2017.
[4] Fullerton JT, Thompson JB, Severino R. The International Confederation of Midwives essential competencies for basic midwifery practice. an update study: 2009-2010[J]. Midwifery, 2011,27(4):399-408. DOI: 10.1016/j.midw.2011.03.005.
[5] 刘幼华, 郭红. 客观结构化临床考试在我国护理教育领域研究的文献计量分析[J].护理研究,2019,33(10):1754-1758. DOI: 10.12102/j.issn.1009-6493.2019.10.026.
[6] 金哲, 张道俭, 王颖, 等. 基于标准化病人的住院医师石膏固定术考核方法的改进研究[J].中华医学教育杂志,2018,38(1):124-128. DOI: 10.3760/cma.j.issn.1673-677X.2018.01.028.
[7] 孙孟茹, 郭红, 唐健, 等. 以标准化孕产妇为基础评价本科助产专业学生沟通技能的质性研究[J].医学教育研究与实践,2019,27(3):518-520,533. DOI: 10.13555/j.cnki.c.m.e.2019.03.040.
[8] Lewis KL, Bohnert CA, Gammon WL, et al. The Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP)[J]. Adv Simul (Lond), 2017,2:10. DOI: 10.1186/s41077-017-0043-4.
[9] 李绍朋. 某医科院校国家临床医师资格分阶段考试第一阶段技能部分实证研究[D]. 沈阳:中国医科大学,2018.
[10] 曾惠文, 杨婧, 金晓燕, 等. 客观结构化临床考核在护理学基础技能考核中的应用[J].中华护理教育,2016,13(4):266-269.
[11] 白雪. 基于客观结构化临床考试的医学生临床能力现状及影响因素研究[D]. 沈阳:中国医科大学,2018.
[12] 漆书清. 教育统计与测量[M]. 沈阳:辽宁大学出版社,2007:119-124.
[13] 王洋, 孙爱峰. 测验效标关联效度大小的统计学估计[J].中国医药指南,2011,9(31):234-235. DOI: 10.3969/j.issn.1671-8194.2011.31.190.
[14] Lee WJ, Clark L, Wortmann K, et al. Interprofessional healthcare student training in the care of sexual assault patients utilizing standardized patient methodology[J]. Simul Healthc, 2019,14(1):10-17. DOI: 10.1097/SIH.0000000000000331.
[15] 吴雅晶, 尹永田, 陈莉军, 等. 中医院校护理本科生客观结构化临床考试设计及效果评价[J].护理研究,2017,31(15):1881-1884. DOI: 10.3969/j.issn.1009-6493.2017.15.028.