Preparing for Clinical Placements and Transition to Practice With Objective Structured Clinical Examinations: A Qualitative Study of Family Nurse Practitioner Students

IF 3.4 3区医学 Q1 NURSING Clinical Simulation in Nursing Pub Date : 2024-11-04 DOI:10.1016/j.ecns.2024.101636

Sean Sibley , Kathryn N Robinson , Janet Fairman , Carla Nye , Patricia Poirier , Kelley Strout

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Abstract

Aim

This study aimed to explore recent Family Nurse Practitioners (FNP) graduates’ perceptions of Objective Structured Clinical Examinations (OSCE) simulation on competency development.

Background

OSCEs are a method to educate and assess competency-based behaviors but lack FNP-specific research. Understanding learner perceptions of behavior change can influence OSCE utilization in FNP education.

Methods

This qualitative phenomenological study explored the lived experiences of nine recent FNP graduates from U.S. programs participating in formative OSCEs. A constructed theoretical framework inclusive of Kolb's Experiential Learning Theory and Miller's Pyramid of Professional Competence Framework was used with modified Braun and Clarke's thematic analysis method to analyze the interview data.

Results

Four themes emerged: Becoming competent and “making it stick,” Design impacts reactions and learning, “dress rehearsal” for clinical experiences, and Establishing routines for practice.

Conclusion

Through OSCEs, learners developed competencies and confidence to support clinical experiences that continued into their early FNP practice. Learner insight demonstrated the importance of evidence-informed simulation pedagogy to prepare them for scope-specific practice.

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通过客观结构化临床考试为临床实习和实习过渡做准备：家庭护士学生的定性研究

背景OSCE是一种教育和评估基于能力的行为的方法，但缺乏针对全科护士的研究。了解学习者对行为改变的看法可以影响 OSCE 在 FNP 教育中的应用。方法这项定性现象学研究探讨了九名来自美国项目的应届 FNP 毕业生参与形成性 OSCE 的生活经历。研究采用了一个包含科尔布的体验式学习理论和米勒的专业能力金字塔框架的建构理论框架，并使用了经过修改的布劳恩和克拉克的主题分析方法来分析访谈数据：结论通过 OSCE，学习者发展了能力和信心，以支持他们早期 FNP 实践中的临床经验。学习者的见解表明，循证模拟教学法对于帮助他们为特定范围的实践做好准备非常重要。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.