Examining the Impact of MOCK OSCE on Test Anxiety and clinical Performance of First-Term Nursing Students in the OSCE Exam

Document Type : Original Article

Authors

1 Social Determinants of Health Research Center, Aligoudarz School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran

2 Education Development Center (EDC), Lorestan University of Medical Sciences, Khorramabad, Iran

3 Hepatitis Research Center, Nursing and Midwifery Faculty, Lorestan University of Medical Sciences, khorramabad, Iran

Abstract

Background: The Objective Structured Clinical Examination (OSCE) is a commonly used method for assessing clinical skills among nursing students. However, it often induces anxiety, which can impact student performance. This study aims to examine the effect of a simulated OSCE (MOCK OSCE) on reducing test anxiety and improving performance in nursing students during the OSCE.
Method: This quasi-experimental study was conducted on 65 first-year nursing students at Aligudarz Nursing School during the 2023-2024 academic years. Using a census sampling method, students were randomly assigned to two groups: an intervention group, which participated in a MOCK OSCE program (including test scenarios, feedback, and practical exercises), and a control group, which continued with the regular curriculum. Test anxiety was measured before and after the intervention using the Sarason Test Anxiety Scale, and OSCE performance scores were evaluated with standardized checklists. Data were analyzed with paired t-tests, independent t-tests, and ANOVA using SPSS version 23.
Results: The results showed a significant decrease in test anxiety scores within the intervention group before and after the simulated OSCE (p<0.001, R=-0.91). Additionally, performance scores in the final OSCE were higher for the intervention group than the control group (R=0.59, p<0.05). However, test anxiety did not have a substantial impact on performance within this study (p<0.05, R=-0.23).
Conclusion: Implementing simulated OSCEs may help reduce test anxiety and enhance nursing students' performance in the final OSCE. Incorporating this approach is recommended as part of the assessment program for nursing students.

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References

  1. Salehi K, Salehi Z, Shakour M, Haghani F. A review on OSCE for clinical evaluation of nursing and midwifery students in Iran. Educ Strategy Med Sci 2018; 11(2): 73-82. Persian.
  2. Tomasevic N, Gvozdenovic N, Vranes S. An overview and comparison of supervised data mining techniques for student exam performance prediction. Comput Educ, 2020; 143: 103676.
  3. Blamoun J, Hakemi A, Armstead T. A guide for medical students and residents preparing for formative, summative, and virtual objective structured clinical examination (OSCE): twenty tips and pointers. Adv Med Educ Pract, 2021; 973-78.
  4. Kohansal M, Hosseini Z, Shamshiri M, Ajri-Khameslou M. Explaining the Factors Affecting the Success of the Nursing Students in OSCE Exam: A Qualitative Content Analysis Study. Journal of Health and Care, 2020; 22(3):185-98. Persian.
  5. Sola-Pola M, Morin-Fraile N, Fabrellas-Padrés N, Raurell-Torreda M, Guanter-Peris L, Guix-Comellas E, et al. The usefulness and acceptance of the OSCE in nursing schools. Nurse Educ Pract, 2020; 43:102736.
  6. Sola M, Pulpon A. M, Morin V, Sancho R, Cleries X, Fabrellas N . Towards the implementation of OSCE in undergraduate nursing curriculum: A qualitative study. Nurse educ today, 2017; 49:163-67.
  7. Beiranvand SH, Hosseinabadi R, Ghacemi F, Anbari K. An Assessment of Nursing and Midwifery Student Veiwwpoin, Performance, and Feedback with an Objective Structured Clinical Examination. J Nurs Educ, 2017; 6(1): 63- 67. Persian.
  8. Beltran-Velasco AI, Bellido-Esteban A, PRuisoto-Palomera P, Mendoza K H, Clemente-Suarez VJ. The effect of cultural differences in psychophysiological stress response in high education context: a pilot study. Appl Psychophysiol Biofeedback, 2020; 45: 23-29.
  9. Ghiasi F, Nemati F, Nor Mohammadi A, Kheiry M, Hosseinzadeh Z, Fashi F. M, et al. Evaluation of the causes of anxiety before OSCE in anesthesiology and operating room students of Ilam University of medical sciences. Med Sci, 2020; 24(106): 4139-43. Persian.
  10. Ghiasi F. Investigation into the effectiveness of an Introduction to OSCE workshop in reducing the students of Ilam University of Medical Scinces ‘stress level during the test. Research, research and technology information management system, Ilam University of Medical Sciences, 2021; 4(3):1-9. Persian.
  11. Robinson P, Morton L, Haran H, Manton R. Mock OSCEs improve medical students’ confidence and reduce anxiety related to summative examinations. Education in Medicine Journal, 2017; 9(2): 41-45.
  12. Conde PS, Clemente-Suárez VJ. Differences between students and professors in difficulty, stress and performance in a nursing Objective Structured Clinical Examination (OSCE). Physiol Behav, 2021; 239: 113502.
  13. Martin RD, Naziruddin Z. Systematic review of student anxiety and performance during objective structured clinical examinations. Curr Pharm Teach Learn, 2020; 12(12): 1491-97.
  14. Al-Haddad U, Durrani M. Response to: Twelve tips to organise a mock OSCE. Med Teach, 2021; 43(12): 1458-59.
  15. Gilani S, Pankhania K, Aruketty M, Naeem F, Alkhayyat A, Akhtar U, et al. Twelve tips to organise a mock OSCE. Med Teach, 2022; 44(1): 26-31. Persian.
  16. Alsaif F, Alkuwaiz L, Alhumud M, Idris R.B, Neel L, Aljabry M, et al. Evaluation of the Experience of Peer-led Mock Objective Structured Practical Examination for First-and Second-year Medical Students. Adv Med Educ Pract, 2022; 13: 987.
  17. Braier-Lorimer DA, Warren-Miell H. A peer-led mock OSCE improves student confidence for summative OSCE assessments in a traditional medical course. Med Teach, 2022; 44(5): 535-40.
  18. Lee CB, Madrazo L, Khan U, Thangarasa T, McConnell M, Khamisa K, et al. A student-initiated objective structured clinical examination as a sustainable cost-effective learning experience. Med Educ Online, 2018; 23(1): 1440111.
  19. Khosravi M, Mehrabi H, Rahimzadeh M, Tajvidi M, Khoshkhoo H, et al. Effect of aromatherapy on test anxiety before objective structured clinical examinations, among final year undergraduate nursing students. Horizons of Medical Education Development, 2022; 12(4): 21-7. Persian.
  20. Coe C. Bryant P. The online mock OSCE-a mixed-methods analysis of its benefits and overall student experience. The British Student Doctor Journal, 2022; 6(1): 2-13.
  21. AbdAlla A, Mohammed K. The Objective Structured Clinical Exam (OSCE): A Qualitative Study evaluating Nursing Student” s Experience. International Journal of Science and Research (IJSR) ISSN (Online), 2016; 5(3): 399-402.
  22. Ghadampour E, Viskarami HA, Kharaem RA. The Relationship between Motivational Beliefs (Self-efficacy, Academic Motivation, Test Anxiety) with Academic Performance. Educational psychology studies, 2015; 12(21): 105-26. Persian.
Future of Medical Education Journal
Volume 14, Issue 4
December 2024
Pages 34-39

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