Objective Structured Clinical Examination for pediatric medication administration
DOI:
https://doi.org/10.15649/cuidarte.4659Keywords:
Nursing, Reproducibility of Results, Drug Dosage Calculations, PediatricsAbstract
Highlights
- The assessment of nursing competencies using clinical simulation enhances the efficiency of medication administration among future professionals.
- This study validated the Objective Structured Clinical Examination (OSCE) as a reliable instrument for measuring competencies in pediatric medication administration.
- Bartlett's test of sphericity and the Kaiser-Meyer-Olkin (KMO) index confirmed the acceptable adequacy and structural validity of the OSCE for application.
- With an alpha of 0.798, the instrument promotes learning and a more accurate evaluation of clinical practice in the health sciences.
Introduction: The systematic evaluation of clinical competencies of nursing professionals has been a subject of interest among educators, professionals, and other experts in this field, which enables the tracking of the graduation profile, career trajectory, and achievement of goals throughout the professional career. Faculty must prioritize efficiency in the performance of future nursing professionals by using instruments such as clinical simulation for practice development. Objective: To determine the construct validity of the objective structured clinical examination (OSCE) for assessing competence in pediatric medication administration. Materials and Methods: An observational, psychometric, and prospective study was conducted to determine the validity and reliability of the instrument "Objective Structured Clinical Examination for pediatric medication administration." Results: The final instrument consisted of 15 items. Bartlett's test of sphericity was significant (χ2 =145.887, p < 0.001), and the Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy was acceptable (0.703). Cronbach’s alpha for the total instrument was 0.798. Discussion: Developing psychometric tests for an OSCE in medication administration provides an empirical indicator that can be used accurately in nursing professionals' work. Conclusions: The validity of the OSCE for assessing competence in pediatric medication administration was established, and the instrument was deemed moderately acceptable for application in this area of knowledge. Its use favors both learning and evaluative processes of clinical practice for health sciences students.
How to cite this article: Valderrama-Sanabria Mery Luz, Bonilla-Santos Gisella, Muñoz-Duitama Daniela, Tellez-Avila Natalia Sofia. Objective Structured Clinical Examination for pediatric medication administration. Revista Cuidarte. 2025;16(3):e4659. https://doi.org/10.15649/cuidarte.4659
References
Abad-Carpa E, Guillén JF, Pastor-Bravo M, Jiménez I. Assessment of high fidelity simulation with actors in palliative care in nursing students: a mixed methods study. Enfermería Clínica. 2023; 33 (6):401-411. https://doi.org/10.1016/j.enfcle.2023.10.003
Finnbakk E, Wangensteen S, Skovdahl K, Fagerstrom L. The professional nurse self-assessment scale: psychometric testing in Norwegian long term and home care context. BMC Nurs. 2018;14(59). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4647290/pdf/12912_2018_Article_109.pdf
Holanda FL, Marra CC, Cunha ICKO. Assessment of professional competence of nurses in emergencies: created and validated instrument. Rev Bras Enferm. 2017; 71(4):1865-74. http://www.scielo.br/pdf/reben/v71n4/pt_0034-7167-reben-71-04-1865.pdf
Chen Leea, Hsuan Hob, CChing Yuc, Fen Chaod. The development of a six-station OSCE for evaluating the clinical competency of the student nurses before graduation: A validity and reliability analysis. Nurse Education Today. 2020; 84 104247 https://doi.org/10.1016/j.nedt.2019.104247
Soares MI, Leal LA, Resck ZM, Terra FS, Chaves LD, Henriques SH. Evaluación de desempeño por competencias en enfermeros hospitalarios. Rev. Latino-Am. Enfermagem. 2019; 27: (3184). http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692019000100373&lng=en.
Almalkawi I, Jester R, Terry L. Developing a consensus-based scoring rubric to enhance practice-based assessment of student nurses’ clinical competence: A Delphi study. Nurse Education Today. 2021; 100 104859. https://doi.org/10.1016/j.nedt.2021.104859
Valderrama Sanabria, M. L., Cruz Lendínez, A. J. Construcción y validación de un Objeto Virtual de Aprendizaje (OVA) en la administración de medicamentos en pacientes pediátricos. Revista Virtual Universidad Católica del Norte. 2019; (58), 58-73. https://doi.org/10.35575/rvucn.n58a5
Saldarriaga L, Teixeira F, de Almeida P, Barbosa L, de Souza S, Pascoal L. Confiabilidad del instrumento Seguridad del Paciente en Administración de Medicamentos en Pediatría- Versión española. Rev Enfermería Global. 2021; 63, 330-340. https://doi.org/10.6018/eglobal.442261
Rivera V. Estudio sobre la percepción de los estudiantes de Bachillerato en Enfermería al utilizar la evaluación clínica objetiva estructurada (ECOE) en simulación clínica en cursos de enfermería en Puerto Rico. Rev. Educational Research. 2018;1(1)211-225. https://dialnet.unirioja.es/servlet/articulo?codigo=6928854
López R., Palmero D., Sánchez S., & Quintana Álvarez, M. Validación de instrumentos como garantía de la credibilidad en las investigaciones científicas. Revista Cubana de Medicina Militar, 2019. 48(2), 441-450. de http://www.revmedmilitar.sld.cu/index.php/mil/article/view/390/331
Espinoza-Fernández B., Herrera-Brito B., Acevedo C., Gálvez-Carvajal R. Autoevaluación del aprendizaje clínico en estudiantes de enfermería. Validación de rúbrica. Zona Proxima. 2021; (34):78-96. https://doi.org/10.14482/zp.34.610.73
Msosa A, Bruce J, Crouch R. Effect of a formative assessment intervention on nursing skills laboratory learning in a resource-constrained country. Nurse Education Today. 2021. 97; 104677 https://doi.org/10.1016/j.nedt.2020.104677
Alarcon M. Incorporación del Examen Clínico Objetivo Estructurado (ECOE) en la Carrera de Enfermería. Revista de Educación en Ciencias de la Salud. 2018; 10(1):18-22. https://dialnet.unirioja.es/servlet/articulo?codigo=4750349
Raurell M, Bonmatí A, Lamoglia M, Zaragoza I, Farrñés M, Roldán J, Gómez R. Psychometric design and validation of a tool to assess the medication administration process through simulation in undergraduate nursing students. Nurse Education Today. 2021. 98 104726 https://doi.org/10.1016/j.nedt.2020.104726
Hamui M, Ferreira J, Paganini A, Torres F, Ossorio M, Yulitta H, Kumiko Eiguchi, Ferrero M. Aplicación del Examen Clínico Objetivo Estructurado en la residencia de Pediatría de la Ciudad de Buenos Aires. Revista Chilena de Pediatría. 2019; 87(4): 274-278. https://doi.org/10.1016/j.rchipe.2016.02.003.
Harden RM, Stevenson WM, Doynie W, Wilson GM. Assessment of Clinical Competence Using an Objective Structured Examination (OSCE). Br Med J. 1975;1:447-451, http://dx.doi.org/10.1136/bmj.1.5955.447
Espinoza Fernandez. La evaluación de competencias clínicas en estudiantes de enfermería, un nuevo paradigma. Validación de rúbrica. Tesis doctoral; 2018. http://dx.doi.org/10.6035/14103.2018.612138
Escurra M LM. Cuantificación de la validez de contenido por criterio de jueces. Rev de Psicología. 2018; 6(1). http://revistas.pucp.edu.pe/index.php/psicologia/article/view/4555/4534
Montgomery A, Hui-Chen R, Hsing M, Smerdely P, Traynor V. The use and effect of OSCES in post-registration nurses: An integrative review. Nurse Education Today. 2022. 100; 104845. https://doi.org/10.1016/j.nedt.2021.104845
Campo-Arias A y Oviedo H. Propiedades Psicométricas de una Escala: la Consistencia Interna. Rev. salud pública. 2008; 10(5):831-839. Disponible en: http://www.redalyc.org/articulo.oa?id=42210515
Lloret-Segura S, Ferreres-Traver A, Hernández-Baeza A, Tomás-Marco I. El análisis factorial exploratorio de los ítems: una guía práctica, revisada y actualizada. Anales de Psicología. 2014. 30 (3):1151-1169 http://dx.doi.org/10.6018/analesps.30.3.199361
Bekes J., Sackash C., Voss A., Gill C. Errores de medicación pediátrica y estrategias de reducción en el período perioperatorio. AANA J. 2021; 89(4):319-324. PMID: 34342569.
Valverde Barrocoso J, Ciudad Gómez A. El uso de las e-rúbricas para la evaluación de las competencias de los estudiantes. Rev de Docencia Universitaria REDU. 2017; 12(1):49-79. https://www.researchgate.net/publication/262233615
Guáqueta S, Triana M, Henao A. Validación de un instrumento para medir la dimensión científica clínica del cuidado de enfermería en UCI. Rev Av Enferm. 2022; 40(1):98762. doi: http://doi.org/10.15446/av.enferm.v40n1.98762
García S, Quemada C, León C, Kaknani S, Gutiérrez LRodríguez, Carmona A, Martí C. Nursing students’ perceptions on the use of clinical simulation in psychiatric and mental health nursing by means of objective structured clinical examination (OSCE). Nurse Education Today. 2021; 100. 104866. https://doi.org/10.1016/j.nedt.2021.104866
Downloads
Published
How to Cite
Downloads
Issue
Section
Categories
License
Copyright (c) 2025 Revista Cuidarte

This work is licensed under a Creative Commons Attribution 4.0 International License.
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.

