Enhancing Communication Module Assessment in Nursing Education
Pajany Vythelingum
ABSTRACT
Background: The Communication module previously relied on OSCEs with lecturers acting as patients, which posed challenges for both staff and students. Students reported heightened anxiety when lecturers assumed patient roles [1], while lecturers expressed concerns about inconsistent acting and difficulty identifying student errors. The existing SBAR-focused assessment lacked integration with module alignment.
Objective: To enhance the learner experience by accessing and assessing real world issues innovatively.
Design: To address these issues, a new assessment model was developed using video-based scenarios that reflect poor communication practices observed in clinical placements. Drawing on simulation expertise, actors were introduced to enhance realism and engagement [2].
Method: Inspired by UEL’s performing arts school, students recorded reflective video presentations using Microsoft Teams, enabling secure storage and ongoing access. Scenarios were co-developed with stakeholders and drama students, incorporating service user input to ensure authenticity. Health Action Training (HAT) was undertaken to support actor preparation and deepen understanding of empathy and communication. Scripts were refined collaboratively, and actors received training on empathy, behaviuor, and cultural diversity. Three scenarios were filmed with student actors, guided by lecturers and service users. Debriefing ensured psychological safety, aligning with best practices in simulation-based education [3-6]. Students analyzed the videos, identified communication strengths and weaknesses, and submitted reflective assessments online.
Results: This approach reduced staff burden, improved scalability, and fostered critical thinking. Feedback was overwhelmingly positive, with students reporting increased confidence and understanding. Assessment data showed 75% submission success, with 85% passing on the first attempt and fewer than 5% failing upon resubmission.
Conclusion: This interdisciplinary collaboration demonstrated the value of creative partnerships in healthcare education. The video based assessment model offers a sustainable, impactful alternative to traditional OSCEs, enhancing communication skills and promoting empathetic practice [7-11].
