J Educ Eval Health Prof.  2017;14:26. 10.3352/jeehp.2017.14.26.

Perception survey on the introduction of clinical performance examination as part of the national nursing licensing examination in Korea

• Shin SJ
• Kim YK
• Suh SR
• Jung DY
• Kim Y
• Yim MK

• KMID: 2406689
• DOI: http://doi.org/10.3352/jeehp.2017.14.26

Abstract

PURPOSE
The purpose of this study was to analyze opinions about the action plan for implementation of clinical performance exam as part of the national nursing licensing examination and presents the expected effects of the performance exam and aspects to consider regarding its implementation.
METHODS
This study used a mixed-methods design. Quantitative data were collected by a questionnaire survey, while qualitative data were collected by focus group interviews with experts. The survey targeted 200 nursing professors and clinical nurses with more than 5 years of work experience, and the focus group interviews were conducted with 28 of professors, clinical instructors, and nurses at hospitals.
RESULTS
First, nursing professors and clinical specialists agreed that the current written tests have limitations in evaluating examinees' ability, and that the introduction of a clinical performance exam will yield positive results. Clinical performance exam is necessary to evaluate and improve nurses' work ability, which means that the implementation of a performance exam is advisable if its credibility and validity can be verified. Second, most respondents chose direct performance exams using simulators or standardized patients as the most suitable format of the test.
CONCLUSION
In conclusion, the current national nursing licensing exam is somewhat limited in its ability to identify competent nurses. Thus, the time has come for us to seriously consider the introduction of a performance exam. The prerequisites for successfully implementing clinical performance exam as part of the national nursing licensing exam are a professional training process and forming a consortium to standardize practical training.

Keyword

Clinical performance examination; Focus groups; Korea; Nursing licensure; Surveys and questionnaires

MeSH Terms

Focus Groups
Humans
Korea*
Licensure*
Licensure, Nursing
Nursing*
Specialization
Surveys and Questionnaires

Reference

References

1. Song J, Kim M. Study on clinical education for nursing in hospitals in Korea. J Korean Acad Soc Nurs Educ. 2013; 19:251–264. https://doi.org/10.5977/jkasne.2013.19.2.251.

2. Kim CH. Presidential address: launching the Korea Health Personnel Licensing Examination Institute, a government-supported special foundation from December 23, 2015. J Educ Eval Health Prof. 2016; 13:20. https://doi.org/10.3352/jeehp.2016.13.20.

3. Ministry of Health and Welfare. Clinical skill test for dentist licensing exam from 2021 [Internet]. Seoul: Ministry of Health and Welfare;2017. [cited 2017 Feb 23]. Available from: http://www.mohw.go.kr/front_new/alsal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=338533&page=1.

4. Korean Accreditation Board of Nursing Education. Manual of Accreditation of Nursing Education. 2014.

5. Ordre des infirmieres et infirmiers du Quebec. Preparation guide for the professional examination of the Ordre des infirmieres et infirmiers du Quebec [Internet]. Montreal (Que): Ordre des infirmieres et infirmiers du Quebec;2012. [cited 2017 Feb 23]. Available from: http://www.oiiq.org/sites/default/files/uploads/pdf/publications/publicationsoiiq/361G_maj_2012_en.pdf.

6. Kim JH. The effects and challenges of clinical skills assessment in the Korean medical license examination. Korean Med Educ Rev. 2013; 15:136–143.

7. Park HK. The impact of introducing the Korean Medical Licensing Examination clinical skills assessment on medical education. J Korean Med Assoc. 2012; 55:116–123. https://doi.org/10.5124/jkma.2012.55.2.116.

8. Choi JY. Clinical performance examination for nursing students: 2006-2009. J East West Nurs Res. 2011; 17:87–95.

9. Park HS, Chaung SK, Yang YO, Yang J, Kim MS, Shin YS, Kim DH, Kim HJ, Won J, Cho BH, Park KY. Recognition of accreditation for nursing education, job satisfaction and intention to change teaching area for faculty in fundamentals of nursing. J Korean Acad Fundam Nurs. 2017; 24:157–166. https://doi.org/10.7739/jkafn.2017.24.2.157.