دورية أكاديمية

OBJECTIVE STRUCTURED CLINICAL EXAMINATION SCORE WAS IMPROVED THROUGH THE ENTRY LEVEL CLINICAL PRACTICE IN SECOND GRADE RESPIRATORY THERAPY STUDENT.

التفاصيل البيبلوغرافية
العنوان: OBJECTIVE STRUCTURED CLINICAL EXAMINATION SCORE WAS IMPROVED THROUGH THE ENTRY LEVEL CLINICAL PRACTICE IN SECOND GRADE RESPIRATORY THERAPY STUDENT.
المؤلفون: Chin-lung Liu, Chia-Chen Chu, Ching-Hsuan Ho, Yeong-Ruey Chu, Chuen-Ming Shih, Wen-Chen Tsai
المصدر: Respiratory Care; Oct2016, Vol. 61 Issue 10, pOF24-OF24, 1/4p
مصطلحات موضوعية: ABILITY, CRITICAL thinking, EDUCATIONAL tests & measurements, RESPIRATORY therapists, TRAINING, CLINICAL competence, EDUCATION
مستخلص: Background: Objective Structured Clinical Examination (OSCE) is an objective way to evaluate the clinical ability, include both skills and attitude, for the medical assessment, interviews and medical examinations. OSCE has become a part of doctor's national licensure examination. The purpose of this study is to explore the skills and attitudes change of respiratory therapy students by the OSCE test, was performed in the pre- and post-clinical practice. Method: There were 10 three years program students (8 female) who are in second grade enrolled pre-clinical practice evaluation, After one week entry level clinical practice in the medical center hospital, only 9 students (7 female) took the post-clinical practice evaluation. We recruit 4 standardized patients and 4 examiner in 4 OSCE stations, included how to use the small volume nebulizer (SVN), patient education of meter dose inhaler (MDI), peri-operative respiratory care (PORC) and nonpharmacological dyspnea management (Oxygen). The process of each station included reviewing the medical history, patient assessment and interviews, education for the standardized patient, clinical situation solving and feedback. The evaluation score divide to complete met (2 point), partial met (1 point), and unmet {0 point) three grade. The final total score for the student in each station was the partial score met plus complete met score as the numerator, and the total complete met items as the denominator. The statistic method was the paired t test to evaluate each station the difference between pre- and post-clinical practice. Results: The tour OSCE station score result was significantly improved after clinical practice except the SVN station (44.89±I7.77 vs 49.33±15.73, P=0.234). There were significant improve in MDI station (54.22±1 5.57 vs 77.78±12.19, P<0.05), PORC station (44.22±19.04 vs 75-33±11.03, P<0.05) and Oxygen station (34.67± 23.69 vs 66.22±12.19, P<0.05). Conclusions: This study demonstrates that the clinical practice can improve respirator)' therapy students' critical chinking and clinical skills. The result could be confirmed by the OSCE test. Disclosures: This study was supported by research grants from the China Medical University Hospital (CMUH-EDU10407). The authors have disclosed no conflicts of interest. [ABSTRACT FROM AUTHOR]
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