Quality Management of Objective Structured Clinical Examinations at a Multicampus Nursing College: A Pilot Study

Abstract

Background: Although objective structured clinical examinations (OSCEs) are deemed objective and bias-free, human error, inconsistency, nonuniformity in grading, and inter-rater variability have been reported. Quality management of OSCEs therefore is crucial. Method: Semistructured individual interviews with 14 nurse educators and a qualitative document analysis of 15 external moderators' reports were conducted. Results: Participants identified measures in place that facilitated quality in management of OSCEs, including a peer review system, control measures ensuring confidentiality, pre-OSCE briefing, orientation, and validation of assessment tools. However, gaps were identified relating to inadequate OSCE assessment tools and documents, as well as a lack and maldistribution of resources, such as physical space, appropriate fidelity manikins, and sufficiently trained examiners. Conclusion: To address gaps, developing robust policies, pilot testing OSCEs and assessment tools, efficiently budgeting for and using required resources, conducting in-depth examiner briefing and training, and setting a gold standard for assessment practices are recommended. [ J Nurs Educ . 2023;62(3):155–161.]