Using a station within an objective structured clinical examination to assess interprofessional competence performance among undergraduate nursing students

• Published in: Nurse education in practice Vol. 56; p. 103190
• Main Authors: González-Pascual, Juan Luis, López-Martín, Inmaculada, Saiz-Navarro, Elena María, Oliva-Fernández, Óscar, Acebedo-Esteban, Francisco Javier, Rodríguez-García, Marta
• Format: Journal Article
• Language: English
• Published: Kidlington Elsevier Ltd 01.10.2021; Elsevier Limited
• Subjects: Academic Achievement; Attitudes; Clinical assessment; Clinical nursing; Collaboration; Communication; Competence; Competency Based Education; Critical incidents; Death; Decision making; Education, Interdisciplinary; Educational Experience; Examiners; Health care; Homogeneous Grouping; Interdisciplinary aspects; Interdisciplinary education; Interprofessional education; Interprofessional relations; Knowledge; Measurement Techniques; Medical errors; Medical personnel; Nursing; Nursing education; Nursing skills; OSCES, Communication skills; Participative Decision Making; Patient safety; Patients; Perceptions; Physical Environment; Questionnaires; Resource Materials; Self image; Simulated Environment; Skills; Specification; Standardized tests; Student Satisfaction; Students; Teams; Teamwork; Undergraduate students; Education, Interdisciplinary; Nursing education; Interprofessional relations; OSCES, Communication skills
• ISSN: 1471-5953; 1873-5223
• DOI: 10.1016/j.nepr.2021.103190

To describe and analyse the use of a station within an OSCE to assess interprofessional competence performance in undergraduate nursing students. The specific objectives were: - To measure the students' level of competence performance in relation to the interprofessional competences Roles and Responsibilities, Communication and Teamwork. - To determine inter-observer concordance in the assessment of the interprofessional competences. Teamwork competencies are key to improving patient safety and avoiding medical errors. Today, healthcare professionals work in interdisciplinary teams. To foster a culture of safety, some of the measures that can be taken at the individual, team and organisational levels include fostering clear communication among team members, knowledge of respective roles and functions, and deepening team functioning through respect and trust in judgement and capabilities. The World Health Organization recommends starting to develop these competencies in university studies, through interprofessional education. There are numerous programmes in universities all over the world, but more research is needed on the assessment of interprofessional education activities, preferably through objective methods. Competency performance can be assessed by an external evaluator, in a simulated environment, with the Objective Structured Clinical Examination, which is widely used in nursing. Cross-sectional study. 63 second-year nursing undergraduate students completed an interprofessional competencies station within an 8-station OSCE. Communication, Roles and Responsibility and Teamwork competences were assessed. The Interprofessional Collaborator Assessment Rubric (ICAR) was used as a model to assess the performance of students. Inter-observer concordance analysis was performed using the kappa coefficient and the concordance rate. 92.1% of students reached a good level in communication competence, 88.9% in roles and responsibility competence, and 55.6% in teamwork competence. The global concordance rate was 83.8%, and the kappa coefficient was 0.67. Most students have demonstrated interprofessional competence performance at a good level. However, the inter-observer concordance obtained for some of the items was not as expected. The assessment of interprofessional competencies, as it deals mainly with relational and communicative aspects, requires greater preparation both in terms of the specification of assessment items and in agreement between examiners. •Students have demonstrated good performance in the interprofessional competencies.•Inter-observer concordance was lower than expected.•A station within an OSCE can be an efficient option for assessing inter-professional competencies.