title: Back to the future: An online OSCE Management Information System for nursing OSCEs.
abstract: BACKGROUND
  The Objective Structured Clinical Examination (OSCE) is an established tool in the repertoire of clinical assessment methods in nurse education. The use of OSCEs facilitates the assessment of psychomotor skills as well as knowledge and attitudes. Identified benefits of OSCE assessment include development of students' confidence in their clinical skills and preparation for clinical practice. However, a number of challenges exist with the traditional paper methodology, including documentation errors and inadequate student feedback.
  
  
  OBJECTIVE
  To explore electronic OSCE delivery and evaluate the benefits of using an electronic OSCE management system. To explore assessors' perceptions of and attitudes to the computer based package.
  
  
  METHODS
  This study was conducted using electronic software in the management of a four station OSCE assessment with a cohort of first year undergraduate nursing students delivered over two consecutive years (n=203) in one higher education institution in Ireland. A quantitative descriptive survey methodology was used to obtain the views of the assessors on the process and outcome of using the software.
  
  
  METHODS
  OSCE documentation was converted to electronic format. Assessors were trained in the use of the OSCE management software package and laptops were procured to facilitate electronic management of the OSCE assessment. Following the OSCE assessment, assessors were invited to evaluate the experience.
  
  
  RESULTS
  Electronic software facilitated the storage and analysis of overall group and individual results thereby offering considerable time savings. Submission of electronic forms was allowed only when fully completed thus removing the potential for missing data. The feedback facility allowed the student to receive timely evaluation on their performance and to benchmark their performance against the class.
  
  
  CONCLUSIONS
  Assessors' satisfaction with the software was high. Analysis of assessment results can highlight issues around internal consistency being moderate and examiners variability. Regression analysis increases fairness of result calculations.
authors.affiliation: School of Nursing and Midwifery, College of Medicine, Nursing and Health Sciences, NUI Galway, Galway, Ireland.
authors.forename: Pauline
authors.initials: P
authors.lastname: Meskell
authors.affiliation: School of Nursing and Midwifery, College of Medicine, Nursing and Health Sciences, NUI Galway, Galway, Ireland.
authors.forename: Eimear
authors.initials: E
authors.lastname: Burke
authors.affiliation: School of Medicine, Medical Informatics & Medical Education, College of Medicine, Nursing and Health Sciences, NUI Galway, Galway, Ireland. Electronic address: thomas.kropmans@nuigalway.ie.
authors.forename: Thomas J B
authors.initials: TJ
authors.lastname: Kropmans
authors.affiliation: School of Nursing and Midwifery, College of Medicine, Nursing and Health Sciences, NUI Galway, Galway, Ireland.
authors.forename: Evelyn
authors.initials: E
authors.lastname: Byrne
authors.affiliation: School of Medicine, Medical Informatics & Medical Education, College of Medicine, Nursing and Health Sciences, NUI Galway, Galway, Ireland.
authors.forename: Winny
authors.initials: W
authors.lastname: Setyonugroho
authors.affiliation: School of Medicine, College of Medicine, Nursing and Health Sciences, NUI Galway, Galway, Ireland.
authors.forename: Kieran M
authors.initials: KM
authors.lastname: Kennedy
mesh_terms: D002983:Clinical Competence; D004521:Educational Measurement / Q000379:methods*; D005246:Feedback; D006801:Humans; D007494:Ireland; D008331:Management Information Systems; D009862:Online Systems; D011597:Psychomotor Performance; D012984:Software; D013338:Students, Nursing; D011795:Surveys and Questionnaires
keywords: Assessment; Generalizability theory; Nursing; OMIS; OSCE; OSCE management information system; e-OSCE