Abstract
Today, there is an international consensus on advanced practice nursing educational programs that should be on the master’s level. In each country or setting, how advanced practice nursing is defined, a population’s health needs, and guidelines for health and educational policy comprise important starting points for the development of advanced practice nursing curricula. Master’s-level advanced practice nursing education is characterized as “hands-on” education, i.e., an education where if students are to be capable of practicing on the advanced level, clinical competence must be practiced and theoretical and clinical studies should be optimally balanced. The OSCE (Objective Structured Clinical Examination), a type of examination commonly used to test clinical competence in advanced practice nursing, is presented as an applicable and useful examination form that can be used in master’s-level advanced practice nursing education.
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References
Anathan J, Dlamini CP, Kaplan L (2020) Developing advanced practice nursing education, practice and policy in Eswatini. In: Hassmiller SB, Pulcini J (eds) Advanced practice nursing leadership: a global perspective. Springer Nature, Cham, pp 205–219
Bagnasco A, Tolotti A, Pagnucci N, Torre G, Timmins F, Aleo G, Sasso L (2016) How to maintain equity and objectivity in assessing the communication skills in a large group of student nurses during a long examination session, using the objective structured clinical examination (OSCE). Nurse Educ Today 38:54–60. https://doi.org/10.1016/j.nedt.2015.11.034
Barry M, Bradshaw C, Noonan M (2013) Improving the content and face validity of OSCE assessment marking criteria on an undergraduate midwifery programme: a quality initiative. Nurse Educ Pract 13(5):477–480. https://doi.org/10.1016/j.nepr.2012.11.006
Bryant-Lukosius D, Jokiniemi K, Martin-Misener R, Roussel J, Carr M, Kilpatrick K, Tramner J, Rietloetter SY (2018) Clarifying the contributions of specialized roles in Canada: Results of a national study. Panel presentation. Canadian Nurses Association Conference, Ottawa, ON. June 20
Canadian Nurses Association (2008) Advanced nursing practice: a National Framework. Canadian Nurses Association, Ottawa
Canadian Nurses Association (2019) Advanced practice nursing: a pan-Canadian framework. Canadian Nurses Association, Ottawa
Castledine G (2003) The development of advanced practice nursing practice in the UK. In: McGee P, Castledine G (eds) Advanced nursing practice, 2nd edn. Blackwell, Oxford, pp 8–16
Chan GK, Garbez RO (2006) Education of advanced practice nurses for emergency care settings. Emphasizing shared competencies and domains. Adv Emerg Nurs J 28(3):216–225
Fagerström L (2009) Developing the scope of practice and education for advanced practice nurses in Finland. Int Nurs Rev 56(2):269–272
Fagerström L (ed) (2019) Avansert klinisk sykepleie. Gyldendal, Oslo
Farley JE, Stewart J, Kub J, Cumpsty-Fowler C, Lowensen K, Becker K (2016) Development of the Johns Hopkins University School of nursing adult/geriatric primary care nurse practitioner program in HIV prevention, treatment, and care. J Assoc Nurses AIDS Care 27(3):223–233. https://doi.org/10.1016/j.jana.2015.12.006
Finnbakk E, Wangensteen S, Skovdal K, Fagerström, L (2015) The Professional Nurse Self-Assessment Scale: psychometric testing in Norwegian long term and home care contexts. BMC Nursing 14:59. https://doi.org/10.1186/s12912-015-0109-3
Finnish Nurses Association (2016) New roles for nurses—quality to future social welfare and health care services. https://nurses-fi-bin.directo.fi/@Bin/1c4b48017285bb112d43fe9baa64e60f/1590930881/application/pdf/256215/APN_RAPORTTI_ENG_VALMIS_pieni.pdf. Accessed 20 May 2020
Furlong E, Smith R (2005) Advanced nursing practice. Policy, education and role development. J Clin Nurs 14:1059–1066
Gagan MJ, Berg J, Root S (2002) Nurse practitioner curriculum for the 21st century. A model for evaluation and revision. J Nurs Educ 41:202–206
Gardner G, Carryer J, Dunn S, Gardner A (2004) Nurse practitioner standards project. Report to Australian nursing council. Dickson, Australian Nursing & Midwifery Council
Gardner G, Dunn S, Carryer J, Gardner A (2006) Competency and capability. Imperative for nurse practitioner education. Aust J Adv Nurs 24(1):8–14
Hamric AB (2009) A definition of advanced practice nursing. In: Hamric AB, Spross JA, Hanson CM (eds) Advanced practice nursing. An integrative approach. Saunders Elsevier, St. Louis, MO, pp 75–93
Harden RM (2016) Revisiting ‘assessment of clinical competence using an objective structured clinical examination (OSCE)’. Med Educ 50(4):376–379. https://doi.org/10.1111/medu.12801
Horrocks S, Anderson E, Salisbury C (2002) Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. Br Med J 324:819–823
International Council of Nurses (2004) Definition and characteristics of the role. Draft 6 and 7. ICN, Geneva. https://international.aanp.org/Practice/APNRoles
International Council of Nurses (2019) Definition and characteristics of the role. ICN, Geneva. https://international.aanp.org/Practice/APNRoles. Accessed 9 Mar 2019
International Council of Nurses (2020) Guidelines on advanced practice nursing. ICN, Geneva. https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf. Accessed 11 May 2020
Johnston ANB, Weeks B, Shuker MA, Coyne E, Niall H, Mitchell M, Massey D (2017) Objective structured clinical examination; pre-licensure; undergraduate nursing; student; assessment; perception; evaluation. Clin Simul Nurs 13(3):127–142. https://doi.org/10.1016/j.ecns.2016.11.002
Kilpatrick K, DiCenso A, Bryant-Lukosius D, Ritchie JA, Martin-Misener R, Carter N (2013) Practice patterns and perceived impact of Clinical Nurse Specialist roles in Canada: Results of a national survey. Int J Nurs Stud 50(110): 1524–1536
Martin-Misener R, Bryant-Lukosius D, Harbman P, Donald F, Kaasalainen S, Carter N, Kilpatrick K, DiCenso A (2010) Education of advanced practice nurses in Canada. Nurs Leadersh 23:61–84
Miller B, Carr KC (2016) Integrating standardized patients and objective structured clinical examinations into a nurse practitioner curriculum. J Nurse Pract 12(5):201–210. https://doi.org/10.1016/j.nurpra.2016.01.017
Muldoon K, Biesty L, Smith V (2014) ‘I found the OSCE very stressful’: student midwives’ attitudes towards an objective structured clinical examination (OSCE). Nurse Educ Today 34(3):468–473. https://doi.org/10.1016/j.nedt.2013.04.022
Muthamilselvi G, Ramanadin P (2014) Objective structured clinical examination: emerging trend in nursing profession. Int J Nurs Educ 6(1):43–47. https://doi.org/10.5958/j.0974-9357.6.1.009
Najjar RH, Docherty A, Miehl N (2016) Psychometric properties of an objective structured clinical assessment tool. Clin Simul Nurs 12(3):88–95. https://doi.org/10.1016/j.ecns.2016.01.003
Nieminen A-L, Fagerström L (2006) Assessment and Evaluation of Clinical Competence—Nurse Competence Scale and Nurse Clinical Competence Scale. In: ICN International Nurse Practitioner/Advanced Practice Nursing Network Conference 2006. International Council of Nurses, Sandton, South Africa
Nieminen A-L, Mannevaara B, Fagerström L (2011) Advanced practice nurses’ scope of practice—a qualitative study of advanced clinical competencies. Scand J Caring Sci 25(4):661–670
Nursing and Midwifery Board of Ireland (2017) Advanced Practice (Nursing) Standards and Requirement. https://www.nmbi.ie/NMBI/media/NMBI/Advanced-Practice-Nursing-Standards-and-Requirements-2017.pdf?ext=.pdf
Palese A, Bulfone G, Venturato E, Urli N, Bulfone T, Zanini A, Fabris S, Tomietto M, Comisso I, Tosolini C, Zuliani S, Dante A (2012) The cost of the objective structured clinical examination on an Italian nursing Bachelor’s degree course. Nurse Educ Today 32(4):422–426. https://doi.org/10.1016/j.nedt.2011.03.003
Peters JWB, Roodbol P (2020) Leadership in maintaining standards for the APN role. In: Hassmiller SB, Pulcini J (eds) Advanced practice nursing leadership: a global perspective. Springer, Berlin, pp 167–204
Royal College of Nursing (2018) Advanced level nursing practice. Royal College of Nursing Standards for Advanced Level Nursing Practice. Royal College of Nursing, London. https://www.rcn.org.uk/professional-development/publications/pub-007038
Rushforth HE (2007) Objective structured clinical examination (OSCE): review of literature and implications for nursing education. Nurse Educ Today 27(5):481–490. https://doi.org/10.1016/j.nedt.2006.08.009
Schober M, Affara F (2006) International Council of Nurses. Advanced nursing practice. Blackwell, Oxford
Schreiber R, MacDonald M, Pauly B, Davidson H, Crickmore J, Moss L, Regan S, Hammond C (2005) Singing in different keys: Enactment of Advanced Nrusing Practice in British Columbia. Canadian Journal of Nursing Leadership Online Exclusive June: 1–17
Taylor I, Bing-Jonsson PC, Johansen E, Levy-Malmberg R, Fagerström L (2019) The objective structured clinical examination in evolving nurse practitioner education: a study of students’ and examiners’ experiences. Nurse Educ Pract 37:115–123
Taylor I, Bing-Jonsson P, Wangensteen S, Finnbakk E, Sandvik L, McCormack B, Fagerström L (2020) The self-assessment of clinical competence and the need for further training: a cross-sectional survey of advanced practice nursing students. J Clin Nurs 29(3–4):545–555. https://doi.org/10.1111/jocn.15095
The APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee (2008) Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education. www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf. Accessed 2 Sept 2020
The University of Auckland New Zealand & Massey University, University of New Zealand 2016 The nurse practitioners programme. The facts. https://www.massey.ac.nz/massey/fms/Colleges/college-of-health/school-of-nursing/Nurse%20Practitioner%20Training%20Programme_The%20Facts.pdf
Walsh M, Bailey P, Koren I (2009) Objective structured clinical evaluation of clinicalcompetence: an integrative review. J Adv Nurs 65(8):1584–1595. https://doi.org/10.1111/j.1365-2648.2009.05054.x
Wangensteen S, Finnbakk E, Adolfsson A, Kristjansdottir G, Roodbol P, Ward H, Fagerström L (2018) Postgraduate nurses’ self-assessment of clinical competence and need for further training. A European cross-sectional survey. Nurse Educ Today 62(3):101–106. https://doi.org/10.1016/j.nedt.2017.12.020
Yanhua C, Watson R (2011) A review of clinical competence assessment in nursing. Nurse Educ Today 31(8):832–836. https://doi.org/10.1016/j.nedt.2011.05.003
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Fagerström, L.M. (2021). Advanced Practice Nursing Education. In: A Caring Advanced Practice Nursing Model . Advanced Practice in Nursing. Springer, Cham. https://doi.org/10.1007/978-3-030-53555-1_13
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