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Table 8 Categories of competence used in OSCE rating scale and their definitions. Adopted from Bondy’s scale [18]

From: Scaling up pediatric nurse specialist education in Ghana – a longitudinal, mixed methods evaluation

The following criteria describe the standard of behaviour or procedure, quality of Performance and level of Assistance required

ND- Not Done

• Behaviour/ Procedure Not Done

1- Not competent

• Unsafe behaviour/ procedure

• Unskilled

• Required continuous cuesa

2- Towards competent

• Requires guidance to ensure safety, Not completely accurate

• The procedure does not accomplish the intended outcome

• Unskilled, Inefficient, excess time and energy

• Required frequent cuesa

3- Competent

• Safe, Accurate, Intended outcome mostly achieved

• Skilled, Hesitant, some excess time or energy noted

• Required occasional supportive commentsb

4- Towards proficient

• Safe, Accurate, Achieved intended outcome

• Proficient, Minimal hesitation, good pace

• Requires minimal supportive commentsb

5- Proficient

• Safe, Accurate, Achieved intended outcome

• Proficient, Confident, Efficient speed and style

• No supporting comments required

  1. aSupportive Cues involve providing the student with directions or prompts to guide their completion of the behaviour or procedure
  2. bSupportive Comments involve statements of encouragement or agreement with the student’s behaviour or completion of the procedure