Comparison the Effect of Objective Structured Clinical Evaluation(OSCE) with Direct and Indirect Supervision on Nursing Student's Test Anxiety

Objective structured clinical evaluation is an evaluated clinical skill in simulated situations. The anxiety leads to decreased ability to confront with exam situation. The aim of this study was to determine the effect of objective structured clinical evaluation of direct and indirect supervision on nursing students'' test anxiety. this was a quasi- experimental study. The samples consisted of 50 undergraduate nursing students in Islamic Azad University، Najafabad، Iran who were recruited during academic year 2014-2015 using census sampling. Then they were randomly assigned into groups and test anxiety was assessed using OSCE in fundamental nursing skills. Evaluations were conducted using direct and indirect supervision according the different groups. Data were collected using demographic and Sarason test Anxious Inventory and analyzed using SPSS version 17. Then paired t-test was conducted using mean and standard deviations. The mean score before test anxiety in OSCE with indirect supervision and direct supervision were 29. 25±5. 23 and 28. 22±8. 42 respectively، and t-test results showed a significant difference (p>0/001). The mean scores of test anxiety after OSCE with indirect supervision were significantly decreased to 24. 34 ± 3. 53. (t=-3/15، p<0/05). The mean score of OSCE after the test anxiety was 24/16±7 in the direct supervision group. That’s thoughts significantly increased (t=4/55، p<0/004). Paired t - tests showed a significant difference in anxiety before and after evaluation in both groups (P=0/005). According to this study، effective evaluation can decrease the test anxiety. Considering higher mean score of the OSCE with indirect supervision، it is recommended to pay more attention to this in curriculum evaluation of medical sciences.