Evaluation of the Effectiveness of the Clinical Learning Assessment System in Nursing Educational Institutions

Hardjito S Darmojo; M. Adila Rossa

doi:10.46749/jiko.v4i2.191

Evaluation of the Effectiveness of the Clinical Learning Assessment System in Nursing Educational Institutions

Hardjito S Darmojo, M. Adila Rossa

Abstract

Clinical learning assessment is an essential component of nursing education because it plays a direct role in ensuring comprehensive and continuous student competency achievement. An effective clinical assessment system not only serves to assess final learning outcomes but also supports the learning process through constructive and objective feedback. This study aims to evaluate the effectiveness of the clinical learning assessment system in nursing educational institutions in terms of validity, reliability, learning feedback, and student satisfaction. The study used a quantitative design with a cross-sectional survey approach. The study sample consisted of 220 nursing students who had participated in clinical practice, selected using a stratified random sampling technique. Data were collected through a structured questionnaire that had been tested for content validity and internal reliability. Data analysis was conducted using descriptive and inferential statistics, including reliability tests, difference tests, and multiple linear regression analysis. The results showed that the effectiveness of the clinical learning assessment system was categorized as good. All assessment dimensions had high reliability values, indicating the consistency of the instrument used. Student satisfaction was the dimension with the highest score and had a significant influence on clinical competency achievement. Furthermore, there were differences in perceptions of the effectiveness of the assessment system based on the students' educational level. The conclusion of this study confirms that a standardized, objective, and meaningful feedback-supported clinical learning assessment system can improve the quality of clinical learning and support nursing students' competency achievement. The results of this study are expected to serve as a basis for developing and refining clinical assessment systems in nursing educational institutions

Keywords

Nursing Education, Clinical Learning, Assessment System, Learning Evaluation, Clinical Competency

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References

Hayden, J., Keegan, M., Kardong-Edgren, S., & Smiley, R. A. (2014). Reliability and validity testing of the Creighton Competency Evaluation Instrument for use in the NCSBN National Simulation Study. Nursing Education Perspectives, 35(4), 244-252. https://doi.org/10.5480/13-1130.1

Immonen, K., Oikarainen, A., Tomietto, M., Kääriäinen, M., Tuomikoski, A. M., Kaučič, B. M., Filej, B., Riklikiene, O., Flores Vizcaya-Moreno, M., & Perez-Cañaveras, R. M. (2019). Assessment of nursing students’ competence in clinical practice: A systematic review of reviews. International Journal of Nursing Studies, 100, 103414. https://doi.org/10.1016/j.ijnurstu.2019.103414

Development and validation of the Clinical Assessment Tool for Nursing Education (CAT-NE). (2016). PubMed. https://pubmed.ncbi.nlm.nih.gov/27428801/

Wu, X. V., Enskär, K., Pua, L. H., Heng, D. G. N., & Wang, W. (2015). A systematic review of clinical assessment for undergraduate nursing students. Nurse Education Today, 35(2), 347-359. https://doi.org/10.1016/j.nedt.2014.11.016

Oktorullah, O., Pratiwi, S. H., Setyorini, D., & Permana, R. H. Persepsi mahasiswa tentang efektivitas pembimbing klinik. NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan.

Saputra, M. A. S., Sansuwito, T. B., & Said, F. M. (2024). A the high-quality of clinical practice evaluation for nursing students: A literature review. Journal of Nursing Science Research, 1(2), 115-126. https://doi.org/10.33862/jnsr.v1i2.512

Helminen, K., Johnson, M., Isoaho, H., Turunen, H., & Tossavainen, K. (2016) — as reviewed in Immonen et al. (2019).

Brown, J. M., Lowe, K., Fillingham, J., Murphy, P. N., Bamforth, M., & Shaw, N. J. (2014) — cited in broader review.

Burke, E., Kelly, M., Byrne, E., UiChiardha, T., McNicholas, M., & Montgomery, A. (2016) — preceptors’ experiences.

Nilsson, T., & Lindstrom, V. (2015) — clinical decision-making exploratory studies.

Abubakar, F. U., & Muhammed, A. (2022). Evaluation techniques in nursing education and their influence on students’ performance. International Journal of Nursing Education, 14(3), 63-70. https://doi.org/10.37506/ijone.v14i3.18352

Tomas, N., Italo, M., Eva, B. et al. (2024). Assessment during clinical education among nursing students using two different assessment instruments. BMC Medical Education, 24, 852. https://doi.org/10.1186/s12909-024-05771-x

East, L., Peters, K., Halcomb, E., Raymond, D., & Salamonson, Y. (2014). Evaluating Objective Structured Clinical Assessment (OSCA) in undergraduate nursing. Nurse Education in Practice, 14(5), 461-467. https://doi.org/10.1016/j.nepr.2014.03.005

Selvia, A., Kusumawati, W., Fitriani, H., & Mufdlillah, M. (2019). Evaluation of objective structure clinical examination implementation within midwifery school. Journal of Health Technology Assessment in Midwifery, 2(1), 40-49. https://doi.org/10.31101/jhtam.914

Lejonqvist, G.-B., Eriksson, K., & Meretoja, R. (2016). Evaluating clinical competence during nursing education: A comprehensive integrative literature review. International Journal of Nursing Practice, 22(2), 142-151

Chen, S.-H., Chen, S.-C., & Lai, Y.-P. et al. (2021). The Objective Structured Clinical Examination as an assessment strategy for clinical competence in novice nursing practitioners. BMC Nursing, 20, 91. https://doi.org/10.1186/s12912-021-00608-0

Sutrisno, R. Y., Primanda, Y., & Haris, F. (2019). Development of Online Nursing OSCE prototype. Advances in Health Sciences Research, 15, 215-220. https://doi.org/10.2991/icosihsn-19.2019.47

Natarajan, J., & Thomas, D. S. (2014). Integrative review of OSCE and its implications in nursing education. IOSR Journal of Nursing and Health Science, 3(4), 23-30. https://doi.org/10.9790/1959-03412330

Objective structured clinical examination (2019). In Wikipedia. Retrieved from https://en.wikipedia.org/wiki/Objective_structured_clinical_examination

Objective structured clinical examination (2019). In Wikipedia (Italian). Retrieved from https://it.wikipedia.org/wiki/Objective_structured_clinical_examination

Saputra, M. A. S., Sansuwito, T. B., & Said, F. M. (2019). Assessment of nursing students’ competence in clinical practice: A systematic review of reviews. International Journal of Nursing Studies, 100, 103414. https://doi.org/10.1016/j.ijnurstu.2019.103414

Smith, P., & Jones, A. (2018). Value of nursing objective structured clinical examinations: A scoping review. PubMed. https://pubmed.ncbi.nlm.nih.gov/30371544/

Chabrera, C., Diago, E., & Curell, L. (2023). Development, validity and reliability of objective structured clinical examination in nursing students. PubMed. https://pubmed.ncbi.nlm.nih.gov/37822363/

DOI: https://doi.org/10.46749/jiko.v4i2.191