IMPROVING NURSING OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) READINESS THROUGH STUDENTS’ GENERATED QUESTION

Abstract

Objective Structured Clinical Examination (OSCE) is an evaluation method to measure nursing students' clinical skills. The low percentage of students passing the internal campus OSCE is an evaluation of nursing education institutions in Indonesia. The factor that causes the low students’ passing rate on the OSCE exam is students' lack of understanding in analyzing and answering OSCE questions in the form of case studies. One solution that can be done to overcome this problem is to provide additional learning to students with a student generated question strategy, namely students create their own questions in the form of cases according to the OSCE exam template and answer them themselves. The research design uses classroom action research which population is all students of grade III of Akper Kesdam I/BB Padang in 2024, and the sampling technique was carried out with a total sampling of 41 students. The research results obtained before the action were only 3 students who were able to generate them, in the first cycle only 26.11% of students were able to generate questions because the researcher determined which category that must be made, and in cycle II it increased to 73.1% because the researcher gave students the freedom to choose which category to make. As an indicator of students' ability to solve case problems in OSCE in writing, before being given action only 12.1% of students were able to complete it, in cycle I 36.5% and cycle II 85.36%. There was an increase in cycle 2 because students could be more optimal in explaining the answers in the OSCE vignette. The indicator for students' ability to present the results of discussions before action was only 17.1% capable, in cycle 1 26.8% and cycle II 90.2%. It shows that students have better mastery of the material they master. Meanwhile, in OSCE there are several reviews that they have to fulfill so that if students diligently create these generated questions, they will be trained and used to completing OSCE questions and they will be better prepared to face OSCE.