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Original Article
Validity and Reliability of a Clinical Performance Examination using Standardized Patients
Ja Yun Choi, Keum Seong Jang, Soon Hee Choi, Mi Soon Hong
Journal of Korean Academy of Nursing 2008;38(1):83-91.
DOI: https://doi.org/10.4040/jkan.2008.38.1.83
Published online: February 28, 2008

1Assistant Professor, College of Nursing, Chonnam National University, Gwangju, Korea.

2Professor, College of Nursing, Chonnam National University, Gwangju, Korea.

Address reprint requests to: Choi, Ja Yun. College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science, 5 Hak-dong, Dong-gu, Gwangju 501-746, Korea. Tel: 82-62-220-4343, Fax: 82-62-225-3307, choijy@jnu.ac.kr
• Received: October 19, 2007   • Accepted: November 27, 2007

Copyright © 2008 Korean Society of Nursing Science

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  • Purpose
    The purpose of this study was to test the validity of a modified clinical performance examination (CPX) for preclinical students in nursing.
  • Methods
    70 nursing students in their second semester of the junior year at C University participated in CPX. Scenarios and checklists were developed by our research team from September to October 2005. Six stations were organized. Evaluation included physical examination of a patient with lung cancer, education on usage of a metered dosage inhaler, and lobectomy postoperative care. Students were randomly assigned to a station
  • Results
    There was a difference in the CPX scores according to stations. The agreement of scoring between trained faculty members and SPs was more than moderate (r=.647). The correlation between the CPX score and the average grade in the previous semester and between the CPX score and the average grade of a paper and pen test of the pulmonary system of adults was low (r=.276; r=.048).
  • Conclusion
    Traditional CPX is generally recommended, however, modified CPX is appropriate for preclinical students in the current Korean Nursing school setting if there are additional scoring systems to balance the testing level at each station.
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Table 1
Validity of Checklists for the Clinical Performance Examination (N=70)
jkan-38-83-i001.jpg

MDI=metered dose inhaler; M/S=mental status; CVP=central venous pressure.

Table 2
Relation between CPX Score and Average Grade at Previous Semester, and between CPX Score and Average Grade of Paper and Pens Test in Pulmonary System of Adult Nursing (N=70)
jkan-38-83-i002.jpg

CPX=clinical performance examination.

Table 3
Agreement of Scoring between Trained Faculties and Standardized Patients (N=70)
jkan-38-83-i003.jpg
Table 4
Score of Clinical Performance Examination according to Stations (N=70)
jkan-38-83-i004.jpg

MDI=metered dose inhaler.

Table 5
Student Satisfaction (N=70)
jkan-38-83-i005.jpg

Figure & Data

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        Validity and Reliability of a Clinical Performance Examination using Standardized Patients
        Journal of Korean Academy of Nursing. 2008;38(1):83-91.   Published online February 28, 2008
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      Validity and Reliability of a Clinical Performance Examination using Standardized Patients
      Validity and Reliability of a Clinical Performance Examination using Standardized Patients

      Validity of Checklists for the Clinical Performance Examination (N=70)

      MDI=metered dose inhaler; M/S=mental status; CVP=central venous pressure.

      Relation between CPX Score and Average Grade at Previous Semester, and between CPX Score and Average Grade of Paper and Pens Test in Pulmonary System of Adult Nursing (N=70)

      CPX=clinical performance examination.

      Agreement of Scoring between Trained Faculties and Standardized Patients (N=70)

      Score of Clinical Performance Examination according to Stations (N=70)

      MDI=metered dose inhaler.

      Student Satisfaction (N=70)

      Table 1 Validity of Checklists for the Clinical Performance Examination (N=70)

      MDI=metered dose inhaler; M/S=mental status; CVP=central venous pressure.

      Table 2 Relation between CPX Score and Average Grade at Previous Semester, and between CPX Score and Average Grade of Paper and Pens Test in Pulmonary System of Adult Nursing (N=70)

      CPX=clinical performance examination.

      Table 3 Agreement of Scoring between Trained Faculties and Standardized Patients (N=70)

      Table 4 Score of Clinical Performance Examination according to Stations (N=70)

      MDI=metered dose inhaler.

      Table 5 Student Satisfaction (N=70)


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