Journal List > Korean J Adult Nurs > v.26(6) > 1094675

Yang and Hwang: Development of Clinical Scenarios and Rubrics for a Program Outcome-based Evaluation for Students' Adult Health Nursing Practice



This study was aimed to develop frequently-used clinical scenarios and scoring rubrics to assess core basic nursing skills in adult health nursing clinical practice for clinical evaluation based on program learning outcomes (PO).


This study was a methodological research combining focus group interviews and questionnaires to select and construct scenarios. Data were collected from clinical practitioners, adult health nursing professors, and new nurses from November, 2013 to April, 2014. The developed scenarios and rubrics were applied to nursing students by way of showing an example.


The 12 frequently-used clinical scenarios were developed. The proportion of the evaluation rubrics were 30% for clinical instructors where as 70% for college instructors. In order for students to achieve the important learning outcomes from the courses for clinical practice, four program outcomes (POs) were selected as well as a rubric for each POs was developed. Students who had situation-based clinical practices showed higher levels of satisfaction on mastery of core basic nursing skills and communication skills.


This findings of the study suggested the strategies for complementing pitfalls in clinical setting and achieving PO during students' clinical practicum.

Figures and Tables

Figure 1

The research process and conceptual framework.

Figure 2

Clinical scenarios related to learning phase, core basic nursing skills and program outcome.

Table 1

Recognition of Professors and Clinical Nurses on Evaluation for Students' Clinical Practice

Table 2

Scoring Rubric for Clinical Practice Evaluation of Nursing Students


Evaluation Criteria; High≥24, Moderate 11~23, and Low≤10 points out of 30 points; Distr.=distribution.

Table 3

Evaluation Rubric for Program Outcome (PO) in Adult Health Clinical Practice


PO 1=Apply integrated nursing skills to patient care based on liberal education and nursing knowledge; 2=Select and apply core basic nursing skills properly to nursing situation; 3=Apply therapeutic communication skills to clients with verbal and non-verbal interaction; 6=Apply critical thinking-based nursing process and perform clinical reasoning skills.


This study was supported by the National Research Foundation Fund in 2013.(No: 201300000001585)


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