OSCE vs. TEM: Different Approaches to Assess Clinical Skills of Nursing Students

Prasuna Jelly, Rakesh Sharma


Introduction: Nurses are trained with specific clinical skills, and objective structured clinical examination (OSCE) could be a better approach to assess clinical skills of nursing students.
Materials and Methods: A comparative study was conducted by observational checklist regarding antenatal care and opinionnaire on the usefulness of OSCE and tradition evaluation method (TEM) was used to assess the clinical skills and to get opinion.

Results: The mean score of OSCE was more than TEM and the difference was statistically significant (P < 0.001). The opinion of students regarding the usefulness of OSCE was higher than TEM.

Conclusions: The study concluded that implementing OSCE will overweigh the advantages of the TEM.


Clinical skills; India; nursing students; OSCE; traditional examination method

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Harden RM, Stevenson M, Downie WW, Wilson GM. Assessment of Clinical Competence using Objective Structured Examination. Br Med J 1975;1:447‑51.

Matsell DG, Wolfish NM, Hsu E. Reliability and validity of the objective structured clinical examination in paediatrics. Med Educ 1991;25:293‑9.

Maxim BR, Dielman TE. Dimensionality, internal consistency and interrater reliability of clinical performance ratings. Med Educ 1987;21:130‑7.

Schwartz RW, Donnelly MB, Sloan DA, Johnson SB, Strodel WE. The relationship between faculty ward evaluations, OSCE, and ABSITE as measures of surgical intern performance. Am J Surg 1995;169:414‑7.

Sloan DA, Donnelly MB, Schwartz RW, Strodel WE. The objective structured clinical examination. The new gold standard for evaluating postgraduate clinical performance. Ann Surg 1995;222:735‑42.

Carraccio C, Englander R. The objective structured clinical examination: A step in the direction of competency‑based valuation. Arch Pediatr Adolesc Med 2000;154:736‑41.

Ananthakrishnan N. Objective structure clinical/practical examination (OSCE/OSPE). J Postgrad Med 1993;39:82‑4.

Alinier G. Determining the value of simulation in nurse education: Study design and initial results. Available at: http:// uhra.herts.ac.uk/bitstream/handle/2299/392/103692;jsessionid= C9D7473A23647037794B55B61E863013?sequence=1. [Last accessed on 2016 May].

Schoonheim‑Klein ME. Implementing an Objective Structured Clinical Examination (OSCE) in dental education: Effects on students’ learning strategies. J Adv Nurs 2009;65:1584‑95.

Paul F. An exploration of student nurses’ thoughts and experiences of using a video‑recording to assess their performance of cardiopulmonary resuscitation (CPR) during a mock objective structured clinical examination (OSCE). J Adv Nurs 2009;65:1584‑95.

Eftekhar H, Labaf A, Anvari P, Jamali A and Moghaddam FS. Association of the pre‑internship objective structured clinical examination in final year medical students with comprehensive written examinations. Med Educ Online 2012;17:159‑8.


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