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The purpose of a pre-experimental design was to examine the effectiveness among nursing students of the comprehensive OSCE clinical skills in the achievement of Adult and Elderly Nursing Practicum 2. A total of 87 third year nursing students were recruited. The research instrument named the Clinical Skills Assessment Evaluation and reflection of experience questionnaires were used. Data were analyzed using descriptive statistics and content analysis.
The results of this study were as follow: The comprehensive practice achievement of Adult and Elderly Nursing Practicum 2 found that the overall mean score was 77.58 (Good). The reflections from students’ experiences on the Clinical Skills Assessment Evaluation was found to be the most explicit of measurement and stressful while examinant ( X = 4.34, SD = .66, .80). The most of the opinions on the self-development were knowledge about disease and nursing care, attitudes about behavior caring and professional practice skills assessment to provide patient nursing care ( X = 4.23, 3.98, 3.93, SD = .76, .90, .79). In addition, this study was found that the students had the most difficulty to prioritize nursing practice and the suggestion to solve the problems which related to the further prepare their nursing knowledge. The result of this study would suggest that the OSCE is able to evaluation the achievement of clinical skills and it is appropriate to use evaluating in the other nursing practice skills
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