A clinical audit on soft skill elements in structured nursing clinical skill assessment on medication procedure

Jamaludin, Thandar Soe @ Sumaiyah and Nurumal, Mohd. Said and Ahmad, Norfadzilah and Muhammad, Siti Aeshah @ Naznin and Chong, Mei Chan (2025) A clinical audit on soft skill elements in structured nursing clinical skill assessment on medication procedure. Malaysian Journal of Medicine and Health Sciences, 21 (SUPP 6). pp. 57-63. ISSN 1675-8544 E-ISSN 2636-9346

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Abstract

Introduction: Soft skills are the fundamental principles that define the nursing profession and provide excellent nursing care. Indeed, current structured nursing clinical skill assessments on medication administration procedures place an excessive emphasis on dexterity and frequently fail to assess soft skill elements. Therefore, the purpose of this study was to investigate the soft skill elements in objectively structured clinical skill assessments of medication procedures in the undergraduate nursing programme. Materials and method: A clinical audit was performed on the retrospective structured clinical skill assessment exam questions using the clinical skill assessment index I (CSAI-I) instrument. A total of 40 medication procedures exam questions were gathered from seven higher education institutions in Malaysia that offered undergraduate nursing programmes. The data was analysed descriptively. Result: Among the 40 medication procedures audited, 14 (35% of them) were for oral medication, 9 (22.5%) for eye and ear medication, and the rest fell into other categories. Surprisingly, the 40 medication procedure checklists included soft skill elements such as communication skills 38 (95%), teamwork skills 40 (100%), social skills and responsibilities 3 (7.5%), critical thinking skills 1 (2.5%), professional and ethical decision-making skills 1 (2.5%), numeracy skill 1 (2.5%), and interpersonal skill 3 (7.5%). Conclusion: Many aspects of the current structured nursing clinical skill assessment on medication procedures can be improved, including the type of medication and the components of the soft skill elements, among others. Thus, a well-structured clinical skill assessment is essential for producing holistic graduate nurses.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Structured clinical skill assessment, soft skills, medication procedure, undergraduate nursing programme, nursing
Subjects:	R Medicine > RT Nursing > RT48 Nursing assessment
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Nursing
Depositing User:	Dr. Thandar Soe @ Sumaiyah Jamaludin
Date Deposited:	15 Aug 2025 08:49
Last Modified:	15 Aug 2025 08:49
URI:	http://irep.iium.edu.my/id/eprint/122625

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