Aug 2026· Higher Education, Skills and Work-based Learning· 0 citations· 61 references
TL;DR
Results indicated that interactive, simulation-based workshops enhance educators' assessment skills, knowledge and confidence, however, important gaps remain regarding optimal programme length, pedagogical frameworks, translational of training into the work environment and longitudinal outcomes.
Abstract
Performance-based assessment (PBA) plays a pivotal role in evaluating allied health and nursing students' readiness for independent clinical practice. Despite its importance, training for clinical educators in PBA is often ad hoc and inconsistent. This scoping review aimed to map the landscape of existing PBA education programmes for allied health and nursing educators and describe their content, format and educational impact.
A scoping review was conducted based on Arksey and O'Malley's framework in accordance with the Joanna Briggs Institute scoping review guidance. Searches of five electronic databases and three grey literature collections were performed for publications from 2000 to 2025. Articles were included if they reported on design, implementation or evaluation of PBA educator programmes. Screening and data extraction were conducted independently by three reviewers using a standardized tool to chart programme characteristics, instructional strategies, outcome measures and educational impact. Data were synthesized descriptively.
Of 5,306 records screened, nine studies met inclusion criteria. Programme durations ranged from 1–15 h, primarily delivered via in-person workshops (n = 8/9). Instructional strategies frequently included interactive workshops, video-based simulation of student's performance and guided practice. Outcome measures focused on educators' self-reported confidence, knowledge gains and rating accuracy, with most studies reporting improvements.
Results indicated that interactive, simulation-based workshops enhance educators' assessment skills, knowledge and confidence. However, important gaps remain regarding optimal programme length, pedagogical frameworks, translational of training into the work environment and longitudinal outcomes.
Standardized, evidence-informed training is needed to ensure reliable PBA practices and maintain the integrity of competency-based education.
CBA domains in nursing provide rich information on complex competencies but are unevenly developed, and integrated, theory-informed, and programmatic assessment systems are required to optimise their contribution to practice-ready graduates.
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To map and characterise the scientific evidence on strategies used to assess public health competencies in undergraduate medical students, a continuum of evaluative complexity was identified, reflecting a shift from cognitive assessment towards multidimensional, context-based and performance-oriented approaches.
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Making feedforward explicit and actionable within assessment cycles might strengthen competence development, promote learner agency, and support continuous improvement in PA context.
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This review will provide a comprehensive overview of how OSCEs are operationalized across nursing, midwifery, and medical programs, and highlight emerging themes, key differences between guidelines and practice, and underresearched areas, informing future research and educational practice.
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POCUS education is emerging within APRN programs but lacks standardized competency assessment and longitudinal evaluation, demonstrating the need for structured curricula and further research.
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Most studies found no significant differences between observer and active participant roles at Kirkpatrick Levels 1 and 2, but generalizability across all health professions and settings is limited.
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