[Taiwan nursing student assessment of the value of a competence-based medical-surgical clinical performance examination model].
BACKGROUND
Assessment of nursing student abilities with regard to competent nursing practice has played an important role in the clinical nursing education revolution.


OBJECTIVE
This study was designed to evaluate the value to Taiwanese BSN graduates of a competence-based clinical performance examination model for medical-surgical nursing.


METHODS
Four semi-structured questions were used to explore the learning experience of 30 nursing students through their performance on a medical-surgical nursing clinical performance examination (CPE). Qualitative content analysis was used to identify categories.


RESULTS
Differences found between the CPE and traditional clinical practicum included learning situation, learning process decision making procedures, and result evaluation procedures. Advantages of the CPE included confidence in self-competence, enhanced stimulation in clinical settings, self-directed learning, revised learning, and flexible learning. Disadvantages included poorer control over the overall learning process and less control of outcomes. Benefits to subjects from participating in the CPE included increased awareness, acceptance, and cultivation of self competence. A number of students expressed they perceived no specific benefits attributable to the CPE.


CONCLUSIONS
Study findings are hoped to contribute to the development of the CPE in medical-surgical nursing in Taiwan.
Department of Nursing, National Taipei College of Nursing, ROC.
Cheng-Hui
CH
Chou
Shu-Fung
SF
Wu
Shu-Yuan
SY
Liang
Mei-Ling
ML
Chung
Miao-Yen
MY
Chen
Mei-Ling
ML
Chen
Chien-Huei
CH
Kao
Shiow-Luan
SL
Tsay
D000328:Adult; D002983:Clinical Competence; D004506:Education, Nursing; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D013527:Perioperative Nursing / Q000193:education*; D013338:Students, Nursing; D013624:Taiwan