The value of best-practice guidelines for OSCEs in a postgraduate program in an Australian remote area setting

Journal article


Jeffery, C. A., Mitchell, Marion L., Henderson, Amanda, Lenthall, S., Knight, Sabina, Glover, Pauline, Kelly, Michelle, Nulty, Duncan and Groves, Michele. (2014). The value of best-practice guidelines for OSCEs in a postgraduate program in an Australian remote area setting. Rural and Remote Health. 14(3), pp. 1 - 5.
AuthorsJeffery, C. A., Mitchell, Marion L., Henderson, Amanda, Lenthall, S., Knight, Sabina, Glover, Pauline, Kelly, Michelle, Nulty, Duncan and Groves, Michele
Abstract

Introduction: Nurses in remote areas of Australia are the primary healthcare professionals, who need to be able to deliver comprehensive and culturally sensitive care to clients, many of whom are Indigenous Australians. Adequate and specific preparation for practice is crucial to the quality of care delivered by remote area nurses (RANs). Objective structured clinical examinations (OSCE) provide an excellent opportunity for student practice in a simulated environment that is safe, authentic, fair and valid when well constructed. Seven integrated best practice guidelines (BPGs), previously developed by project team members to inform OSCEs within educational programs, provided guidance in restructuring the OSCE. This paper provides a detailed analysis of the value of BPGs used in the development, teaching and learning, and evaluation of OSCEs in a rural and remote postgraduate course for RANs. Method: A pre-site visit to the Centre for Remote Health, Alice Springs, Northern Territory, was conducted with modification of the course and previous OSCE according to BPGs. Following delivery of the course and OSCE, evaluations occurred via a mixed method approach. Student surveys (n=15) and focus groups (n=13) and staff interviews (n=5) provided an in-depth analysis of their perceptions of the revised OSCE. Descriptive statistics were used to describe the student sample. The narrative data were transcribed verbatim and analysed using content analysis. Triangulation was achieved with the convergence of the separate data sources focusing on themes and patterns within and between students and tutors. Results: All 15 students and five tutors provided feedback. The majority of student participants had limited experience in working in remote area nursing prior to participation and therefore the opportunities that availed themselves were critical in adequately equipping them with the requisite knowledge, skills and abilities. Three themes emerged from the data: (1) value of common and significant events in OSCE; (2) power of deliberate actions; and (3) learning cultural sensitivity. Discussion: OSCEs in this setting proved to be a good way for students to learn the skills required by RANs. Overwhelmingly, the modifications using the BPGs were highly valued by students and staff. Three themes emerged and were clearly linked to specific BPGs, indicating the positive impact the BPGs had on the OSCEs and student learning. The authentic content for the scenarios was seen as relevant and motivational for student learning. The practice element of the OSCEs enhanced the learning experience and feedback supported learning. Conclusions: OSCEs developed, taught and assessed using BPGs were highly valued. The BPGs provided an integrated approach with real-life scenarios with a strong cultural perspective - all important features to the RANs' future success in providing individualised care to clients in remote areas of Australia. Further use of BPGs is recommended.

Keywordsauthentic assessment; best practice guideline; client consultation; cultural awareness; Indigenous nursing; OSCE; remote area nursing
Year2014
JournalRural and Remote Health
Journal citation14 (3), pp. 1 - 5
PublisherARHEN - Australian Rural Health Education Network Ltd
ISSN1445-6354
Scopus EID2-s2.0-84907157303
Web address (URL)http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=2469
Open accessOpen access
Page range1 - 5
Research GroupCentre for Education and Innovation
Publisher's version
Place of publicationAustralia
Permalink -

https://acuresearchbank.acu.edu.au/item/876zy/the-value-of-best-practice-guidelines-for-osces-in-a-postgraduate-program-in-an-australian-remote-area-setting

  • 86
    total views
  • 41
    total downloads
  • 2
    views this month
  • 2
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

What is the price of excellence in learning and teaching? Exploring the costs and benefits for diverse academic staff studying online for a GCHE supporting the SoTL
Owens, Alison, Daddow, Angela, Clarkson, Georgia and Nulty, Duncan. (2021). What is the price of excellence in learning and teaching? Exploring the costs and benefits for diverse academic staff studying online for a GCHE supporting the SoTL. Teaching and Learning Inquiry: the ISSOTL Journal. 9(1), pp. 161-179. https://doi.org/10.20343/TEACHLEARNINQU.9.1.12
OSCE best practice guidelines - Applicability for nursing simulations
Kelly, Michelle A., Mitchell, Marion, Henderson, Amanda, Jeffrey, Carol, Groves, Michele, Nulty, Duncan David, Glover, Pauline and Knight, Sabina. (2016). OSCE best practice guidelines - Applicability for nursing simulations. Advances in Simulation. https://doi.org/10.1186/s41077-016-0014-1
Telling stories of excellence in university teaching: Developing a framework for exceptional teaching performance/practice
Ashford-Rowe, Kevin, Nulty, Duncan and Everett, Kristina. (2016). Telling stories of excellence in university teaching: Developing a framework for exceptional teaching performance/practice. Exploring freedom and control in global higher education: 2016 SRHE Annual Research Conference. United Kingdom: Society for Research into Higher Education. pp. 1 - 4
Defining and developing a framework for the peer observation of teaching
Drew, Steve, Christopher Klopper and Nulty, Duncan. (2015). Defining and developing a framework for the peer observation of teaching. In In Christopher Klopper and Drew, Steve (Ed.). Teaching for learning and learning for teaching pp. 13-34 Sense Publishers. https://doi.org/10.1007/978-94-6300-289-9_2
Application of best practice guidelines for OSCEs - An Australian evaluation of their feasibility and value
Mitchell, Marion, Henderson, Amanda, Jeffrey, Carol, Nulty, Duncan, Groves, Michele, Kelly, Michelle, Knight, Sabina and Glover, Pauline. (2015). Application of best practice guidelines for OSCEs - An Australian evaluation of their feasibility and value. Nurse Education Today. 35(5), pp. 700 - 705. https://doi.org/10.1016/j.nedt.2015.01.007
Using an objective structured clinical examination for bachelor of midwifery students' preparation for practice
Mitchell, Marion, Jeffrey, Carol, Henderson, Amanda, Glover, Pauline, Nulty, Duncan David, Kelly, Michelle, Groves, Michele and Knight, Sabina. (2014). Using an objective structured clinical examination for bachelor of midwifery students' preparation for practice. Women and Birth. 27(2), pp. 108 - 113. https://doi.org/10.1016/j.wombi.2013.12.002
An implementation framework for using OSCEs in nursing curricula
Henderson, Amanda, Nulty, Duncan, Mitchell, Marion L., Jeffrey, Carol A., Kelly, Michelle, Groves, Michele, Glover, Pauline and Knight, Sabina. (2013). An implementation framework for using OSCEs in nursing curricula. Nurse Education Today. 33(12), pp. 1459 - 1461. https://doi.org/10.1016/j.nedt.2013.04.008
Best practice guidelines for use of OSCEs: Maximising value for student learning
Nulty, Duncan David, Mitchell, Marion L., Jeffrey, Carol and Henderson, Amanda. (2011). Best practice guidelines for use of OSCEs: Maximising value for student learning. Nurse Education Today. 31(2), pp. 145 - 151. https://doi.org/10.1016/j.nedt.2010.05.006
Peer and self-assessment in the first year of university
Nulty, Duncan. (2011). Peer and self-assessment in the first year of university. Assessment and Evaluation in Higher Education. 36(5), pp. 493 - 507. https://doi.org/10.1080/02602930903540983
Survive and thrive: Skills for your first year at university
Muller, Martina and Nulty, Duncan D.. (2011). Survive and thrive: Skills for your first year at university Palgrave Macmillan.
The objective structured clinical examination (OSCE): Optimising its value in the undergraduate nursing curriculum
Mitchell, Marion L., Henderson, Amanda, Dalton, Megan, Groves, Michele and Nulty, Duncan. (2009). The objective structured clinical examination (OSCE): Optimising its value in the undergraduate nursing curriculum. Nurse Education Today. 29(4), pp. 398 - 404. https://doi.org/10.1016/j.nedt.2008.10.007