The evaluation of nursing competency in a simulation-based assessment : tool development and students’ experiences

Background: Prior to this study, skills assessments had often been task-based and technical skills assessed using checklists in isolation from other competencies associated with holistic nursing. Aim: The aims of this study are twofold: to develop and determine the psychometric properties of a simulation-based assessment tool, and to explore students’ experiences with the use of simulated patients in a simulation-based assessment. Method: A simulation-based assessment tool was developed to examine six core competencies expected of registered nurses— namely, critical thinking, communication, technical skills, management of care, safe practice, and professionalism and ethical practice. Scenario-based learning and assessment sessions with simulated patients were introduced within the context of assessment and to build mastery of the core competencies. The cohort, comprising 89 Year One nursing students, participated in the evaluation of the simulation-based assessment approach. The survey questionnaires administered used the Maastricht Assessment of Simulated Patients and the Objective Structured Clinical Examination Evaluation Questionnaire. Conclusion and implications: Despite the stressful nature of the new assessment method, it was well received by the students, who reported that it enhanced their learning and helped them develop the necessary competencies required of the degree nursing programme. The comprehensive simulation-based assessment tool and the innovative assessment methodology addressed the erstwhile unassessed competencies required of a registered nurse. The approach has since been introduced into other nursing skills modules across the nursing curriculum