Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Relationship Between Nursing Students' Objective Structured Clinical Examination Skills in Care Practices with Theoretical Knowledge and Practical Achievements: A Retrospective, Descriptive Study
Hemşirelik Öğrencilerinin Bakım Uygulamalarındaki Objektif Yapılandırılmış Klinik Sınav Becerilerinin Teorik Bilgi ve Uygulama Başarıları ile İlişkisi: Retrospektif, Tanımlayıcı Bir Çalışma
İlkin YILMAZa , Gülşah GÜROL ARSLANa , Sevda SÖNMEZb , Dilek ÖZDENa
aDokuz Eylül University Faculty of Nursing, Department of Nursing, Department of Nursing Fundamental, İzmir, Türkiye
bDokuz Eylül University Health Sciences Institute, Department of Nursing, İzmir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(3):770-9
doi: 10.5336/nurses.2024-106886
Article Language: EN
Full Text
ABSTRACT
 Objective: Assessing nursing students' competence requires valid, reliable, and objective tools. The Objective Structured Clinical Examination (OSCE) evaluates cognitive and behavioral dimensions of learning. This study aimed to identify common errors made by nursing students during OSCE exams and examine the relationship between their theoretical and clinical practice grades with OSCE performance. Material and Methods: The study was conducted retrospectively. The study sample consisted of 443 students who took the fundamentals of nursing course during the 2018-2019 and 2019-2020 academic years. Data were collected retrospectively from student OSCE records and student information system between 2nd and 30th November 2020. The Students' Descriptive Characteristics Form, Categorised Steps of Care-oriented Skills Form, and Care-oriented Skills Checklists, which were developed by the researchers, were used for data collection. Results: In care-oriented OSCE, students commonly performed well in providing patient information, selecting appropriate materials, removing used materials properly, and recording procedures. However, frequent mistakes included poor skill execution and non-compliance with infection control principles. A significant positive correlation was found between OSCE grades and theoretical (r=0.812), practice (r=0.263), and final grades (r=0.265) (p<0.001 for all). Conclusion: OSCE was a valid and reliable method for skill assessment. Increasing the number of skill stations could enhance its representativeness. Future studies could explore factors behind students' low OSCE grades.

Keywords: Clinical competence; examination questions; psychomotor skill; students; nursing
ÖZET
 Amaç: Hemşirelik öğrencilerinin yeterliklerini değerlendirmek için geçerli, güvenilir ve objektif araçlar gereklidir. Objektif Yapılandırılmış Klinik Sınav (OYKS), öğrenmenin bilişsel ve davranışsal boyutlarını değerlendirir. Bu çalışma, hemşirelik öğrencilerinin OYKS sınavlarında sık yaptığı hataları belirlemeyi ve teorik ile klinik uygulama notları ile OYKS performansları arasındaki ilişkiyi incelemeyi amaçlamıştır. Gereç ve Yöntemler: Çalışma, retrospektif olarak yürütülmüştür. Örneklem, 2018-2019 ve 2019- 2020 akademik yıllarında hemşirelik esasları dersini alan 443 öğrenciden oluşmaktadır. Veriler, 2-30 Kasım 2020 tarihleri arasında öğrenci OYKS kayıtları ve not giriş sisteminden retrospektif olarak toplanmıştır. Verilerin toplanmasında araştırmacılar tarafından oluşturulan Öğrenci Tanıtım Özellikleri Formu, Bakım Odaklı Becerilere Yönelik Kategorize Edilmiş Adımlar Formu ve Bakım Odaklı Beceriler Kontrol Listeleri kullanılmıştır. Bulgular: Bakım odaklı OYKS'de öğrenciler, hasta bilgilendirme, uygun malzeme seçimi, kullanılan malzemeleri uygun şekilde uzaklaştırma ve işlemi doğru kaydetme adımlarında genellikle başarılı olmuştur. Ancak, sık yapılan hatalar arasında beceri uygulamalarında yetersizlik ve enfeksiyon kontrol ilkelerine uyulmaması yer almıştır. OYKS notları ile teorik (r=0.812), uygulama (r=0.263) ve final notları (r=0.265) arasında anlamlı pozitif yönde bir ilişki bulunmuştur (hepsi için, p<0.001). Sonuç: OYKS, beceri değerlendirmede geçerli ve güvenilir bir yöntemdir. Beceri istasyonlarının artırılması, sınavın tüm becerileri temsil etme gücünü artırabilir. Gelecekteki çalışmalarda, öğrencilerin düşük OYKS notlarının nedenleri incelenebilir.

Anahtar Kelimeler: Klinik yeterlilik; sınav soruları; psikomotor beceri; öğrenciler; hemşirelik
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