Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Development of OSCE by Nurse Managers of One University-Affiliated Hospital for Skill Test of Nurse Recruitment Process

간호사 채용을 위한 간호관리자의 OSCE 개발

  • Received : 2012.05.18
  • Accepted : 2012.06.07
  • Published : 2012.06.30
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Abstract

To recruit nurses with skills, the hospital must evaluate the skills of the applicants. But objective evaluation of the skills is a difficult. Many hospitals are using written examination or oral test only and are not testing the nursing skills directly when they recruit new nurses. OSCE(Objective Structured Clinical Examination) is a method developed for the evaluation of clinical skills objectively. In this study, 16/20 nurse managers of one university-affiliate hospital were assembled for the project of developing 7 OSCE modules by themselves, and then they ran OSCE using those modules for 40 nursing students. They scored nursing skills of the students using checklists they designed. The whole process was proceeded phase by phase using step-wise approach model. The project was successful; inter-personal consistency of the scores were high; nurse managers became confident in objective skill evaluation; subjective responses for this project were favorable. The hospital adopted OSCE in recruitment process thereafter. This experience might be applied to other hospitals who want to recruit nurses with skills.

실무능력을 갖춘 신규간호사를 선발하려면 실기능력을 평가할 수 있어야 한다. 그런데 실기능력을 객관적으로 평가하는 일은 매우 어려워서, 간호사 채용 시 실기능력을 평가하는 병원은 거의 없다. 본 연구는 신규간호사 채용 시의 실기능력 테스트 방법으로 OSCE(Objective Structured Clinical Examination, 구조화된 객관적 임상시험, 이하 OSCE)를 하기로 정하고, 준비과정으로 일개 대학 병원의 간호관리자들로 하여금 직접 OSCE 모듈을 개발하고 OSCE를 운영하도록 한 것이다. 2006년 4월부터 8월까지 전체 간호관리자 20명 중 16명이 참여하여, 7개의 OSCE 모듈을 직접 개발하였고, 이 모듈을 가지고 간호과 3학년 학생 40명을 대상으로 OSCE를 실시하였다. 각 모듈의 평가자간 신뢰도는 한 모듈을 제외하고는 모두 r=0.8이상 이었다. 7점 척도로 측정한 모듈 개발 전후의 자신감은 3.93에서 6.64로 증가하였다. 그리고 간호관리자들은 OSCE 모듈의 개발 및 시험 운영에 긍정적인 반응을 보였다. 이후 신규간호사를 선발하는데 OSCE를 적용하고 있다. 이 개발 경험은 간호사 채용 시 실기능력을 평가하고자 하는 타 병원에도 도움이 될 것이다.

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