How to maintain equity and objectivity in assessing the communication skills in a large group of student nurses during a long examination session, using the Objective Structured Clinical Examination (OSCE)
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While OSCE development, testing, and innovation are common in the literature, studies from the USA, Australia, and the UK predominate.

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Little is known about OSCE use in European countries such as Italy, where other than Palese et al.'s (2012) analysis of its cost, there is little reporting about OSCE.

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This has important implications for nurse education and practice as the extent to which OSCE approaches are culturally sensitive or reliable across cultures is not clear.

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This paper is the first reporting an Italian OSCE initiative, which evaluated the equity and objectivity of the OSCE method of assessing clinical learning in one university.

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