The objective structured clinical examination (OSCE) in high-fidelity simulations for assessing nursing students' clinical judgment

Clinical judgment is defined as an interpretation and reaching a conclusion about a patient's situation and the decision by the nurse to intervene. Clinical judgment is a very essential skill in caring for patients, but nurse educators may struggle with how to present it to students and assess it. This paper describes the design of the Objective Structured Clinical Examination (OSCE) in high-fidelity simulations for assessing nursing students' clinical judgment. Based on Tanner's clinical judgment model, the OSCE incorporates the stations of noticing, interpreting, responding and reflection. The evaluation forms are the observational measurements for students' clinical judgment evaluation in high-fidelity simulations by two raters. The inter-rater reliability should be established for minimizing the possibility that the scores would vary from rater to rater. The simulation offered a realistic learning environment for tutors to assess students' clinical judgment. It is necessary to enhance the realism of the scenario with physical props and psychosocial interactions.