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A focus group study of the use of video-recorded simulated objective structured clinical examinations in nurse practitioner education. Mr Julian Barratt Senior Lecturer London South Bank University Nurse Practitioner Concordia Health . Plan.

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A focus group study of the use of video-recorded simulated objective structured clinical examinations in nurse practitioner education

Mr Julian Barratt

Senior Lecturer

London South Bank University

Nurse Practitioner

Concordia Health


Plan objective structured clinical examinations in nurse practitioner education

  • Background to the study

  • Research question

  • Methods

  • Results

  • Limitations of the study

  • Recommendations for practice


Background to the study
Background to the study objective structured clinical examinations in nurse practitioner education

  • This project was concerned with helping nurse practitioner students prepare for their advanced nursing objective structured clinical examinations (OSCEs).

  • The use of simulated video recordings of OSCEs was trialled as an educational preparation method for student OSCE revision.


Research question
Research question objective structured clinical examinations in nurse practitioner education

  • What is the value of using video recorded simulated OSCEs for nurse practitioner students’ clinical skills exam preparation?


The simulated osce videos
The simulated OSCE videos objective structured clinical examinations in nurse practitioner education

  • The simulated OSCE videos were recorded in a clinical skills laboratory using a digital camcorder.

  • A range of simulated OSCE stations were recorded, covering both history taking and physical examination.


Video stills from the simulated osces
Video stills from the simulated OSCEs objective structured clinical examinations in nurse practitioner education


Research methods
Research methods objective structured clinical examinations in nurse practitioner education

  • A qualitative education research study utilizing a focus group evaluation of nurse practitioner students’ post-OSCE opinions of a new type of learning material; the digitally video-recorded simulated OSCEs.


Online videos
Online videos objective structured clinical examinations in nurse practitioner education

The videos were shown to the students in classes and workshops and also made available via the video-sharing site ‘You Tube’.


Focus groups
Focus groups objective structured clinical examinations in nurse practitioner education

  • Once the students had completed their OSCEs and received their results they participated in one of two focus groups; either a traditional face-to-face group, or an online group using an Internet-based discussion board.

  • The focus group data was analysed using thematic content analysis to provide summary grouped themes representing the research findings.


Results
Results objective structured clinical examinations in nurse practitioner education

  • Visual learning: a majority of students identified themselves as visual learners and felt that using the video-recordings enhanced their learning style preference.


Results1
Results objective structured clinical examinations in nurse practitioner education

  • Clarification and reinforcement: the video-recordings provided clarification of OSCE points that students were unclear about.


Results2
Results objective structured clinical examinations in nurse practitioner education

  • Online convenience: all of the students liked the convenience of the online availability of the OSCE videos.


Results3
Results objective structured clinical examinations in nurse practitioner education

  • Class-based discussions of the videos were not useful: not much value was added to the videos by discussing them; students preferred to actually practise the skills observed in the videos.


Results4
Results objective structured clinical examinations in nurse practitioner education

  • Improvements need to be made to the simulated OSCE video-recordings:including the quality of the video-recordings, alongside an increase in the available range of simulated OSCEs.


Wider perspectives
Wider perspectives objective structured clinical examinations in nurse practitioner education

  • All of the participants felt that using the videos added value to their clinical skills exam preparation.

  • Some of the students were able to recall the videos during their actual OSCEs.

  • Video-recorded clinical simulations help to develop the link between critical thinking and experiential reasoning.


Limitations of the study
Limitations of the study objective structured clinical examinations in nurse practitioner education

  • The study is limited to a non-probablity sample of one group of nurse practitioner students in one university.

  • The credibility of the analysis cold have been enhanced through employing either member checks of the transcribed data or independent verification of the data analysis.


Recommendations for practice
Recommendations for practice objective structured clinical examinations in nurse practitioner education

  • Video-recorded simulated OSCEs should be used to support nurse practitioner educational development.

  • Videos should be trialled with a wider range of OSCE simulations using actors as patients to increase their authenticity.

  • The online availability of OSCE video-recordings is convenient and popular and their use should be extended.


Further reading
Further reading objective structured clinical examinations in nurse practitioner education

  • Barratt, J. (in press) A focus group study of the use of video-recorded simulated objective structured clinical examinations in nurse practitioner education. Nurse Education in Practice.

  • Contact: [email protected]


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