The Effectiviness of Mini-Cex Towards Clinical Competency Achievement in Neurological Examination of Clinical Practice Nursing Students

Abstract

Introduction: Mini-CEX (Mini Clinical Evaluation Exercise) is a method of evaluation to assess the clinical skills of students through direct observation and provide constructive feedback. The aim of this study was to evaluate the effectiveness of Mini-CEX towards clinical competency achievement in neurological examination of clinical practice nursing students at General Hospital Medan.Methods: The research design was quasi experiment with the post-test only with control group approach. The samples were 60 respondents who divided into two groups: 27 respondents in the control group, and 33 respondents in the intervention group. Samples were chosen using the total sampling method.This study used the Mini-CEX to evaluate competency of nursing students and firstly developed in Indonesian by Nursing Study Program in Muhammadiyah University of Yogyakarta. The data were analyzed by descriptive and Mann Whitney test.Results :The study showed that mean score of neurological examination competence in the intervention group (77±8.33) was higher than the control group (68.19 ±7.53). There were significant differences of the clinical competency between two groups of samples with p value 0.000 (p<0.05). Conclusions : Clinical practice nursing students competency were improved using Mini-CEX method. It is recommended that the nursing study program use Mini-CEX method to evaluate clinical nursing practice so that student’s learning competency is increasing.

The Impact of Evaluations Made by Mini-CEX on the Clinical Competency of Nursing Students

“…In the studies that have been done so far, the researchers have concluded that the mini-CEX approach improves clinical competency. The study by Amila et al, which was conducted on nursing students with the aim of investigating the impact of mini-CEX in achieving clinical competency in clinical examinations, reported an improved clinical competency among nursing students through the use of mini-CESX evaluation approach (Amila et al, 2018). Another study was conducted by Jasemi et al to investigate the impact of evaluations made by the direct observation of procedural skills (DOPS) and the traditional portfolio method on learning clinical skills among nursing students.…”

“…Clinical competency consists of integrated capabilities and abilities in the eld of knowledge, attitude and skills that is a prerequisite for nursing practice and includes problem solving skills and the ability to function effectively, which in some specialties, such as nursing, is a requirement to ful ll the job role and maintain the professional position (Sultana, 2009). The lack of clinical competency causes the student to be incompetent in treating patients, performing nursing procedures and performing other hospital duties (Amila, Hasibuan, & Sinurat, 2018). Studies have shown that students new to nursing traineeship, do not have the adequate skills and pro ciency in clinical settings, despite having a strong theoretical knowledge, and act poorly in the problem-solving process.…”

“…The original purpose of this test is to provide feedback and modify learners' abilities, although there are numerous reports on its use as a nal purpose and for making nal decisions regarding learners' performance (Hill, Kendall, Galbraith, & Crossley, 2009). It is important to note that this evaluation approach has helped improve student-patient interactions and provide better care services, and has also improved student-evaluator interactions while evaluating clinical skills (Amila et al, 2018).…”

Role of Mini-Cex in Urology by Defining the Perceptions and Comparison of Respondents on Attributes, Domains and Mini Cex Scores

“…One of the most much of the time utilized appraisal devices that action the learners' exhibition in working environment is the mini-Clinical Evaluation Exercise (mini-CEX). In its unique structure, the mini-CEX is a 9-point rating scale coordinated in three degrees of inadmissible (1)(2)(3), acceptable (4)(5)(6), and high good (7)(8)(9). A specialist, generally an employee, notices the real presentation of residents, rates their set of experiences taking and actual assessment abilities, and gives input to them.…”

The impact of the evaluations made by Mini-CEX on the clinical competency of nursing students

“…Clinical competency consists of integrated capabilities and abilities in the field of knowledge, attitude and skills that is a prerequisite for nursing practice and includes problem solving skills and the ability to function effectively, which in some specialties, such as nursing, is a requirement to fulfill the job role and maintain the professional position [ 4 ]. The lack of clinical competency causes the student to be incompetent in Patient education, performing nursing procedures and performing other hospital duties [ 5 ]. Studies have shown that students new to nursing traineeship, do not have the adequate skills and proficiency in clinical settings, despite having a strong theoretical knowledge, and act poorly in the problem-solving process.…”