RT journal article T1 A Student Assessment Tool for Standardized Patient Simulations (SAT-SPS): Psychometric analysis A1 Castro Yuste, Cristina María A1 García Cabanillas, María José A1 Rodríguez Cornejo, María Jesús A1 Carnicer Fuentes, Concepción A1 Paloma Castro, Olga A1 Moreno Corral, Luis Javier A2 Enfermería y Fisioterapia K1 Student assessment tool K1 Clinical competence K1 Nursing education K1 Psychometric analysis K1 Standardized patient K1 Assessing clinical competence AB Background: The evaluation of the level of clinical competence acquired by the student is a complex process that must meet various requirements to ensure its quality. The psychometric analysis of the data collected by the assessment tools used is a fundamental aspect to guarantee the student's competence level.Aim: To conduct a psychometric analysis of an instrument which assesses clinical competence in nursing students at simulation stations with standardized patients in OSCE-format tests.Method: The construct of clinical competence was operationalized as a set of observable and measurable behaviors, measured by the newly-created Student Assessment Tool for Standardized Patient Simulations (SATSPS),which was comprised of 27 items. The categories assigned to the items were ‘incorrect or not performed’ (0), ‘acceptable’ (1), and ‘correct’ (2).Participants: 499 nursing students. Data were collected by two independent observers during the assessment of the students' performance at a four-station OSCE with standardized patients. Descriptive statistics were used to summarize the variables. The difficulty levels and floor and ceiling effects were determined for each item. Reliability was analyzed using internal consistency and inter-observer reliability. The validity analysis was performed considering face validity, content and construct validity (through exploratory factor analysis), and criterion validity.Results: Internal reliability and inter-observer reliability were higher than 0.80.The construct validity analysis suggested a three-factor model accounting for 37.1% of the variance. These three factors were named ‘Nursing process’, ‘Communication skills’, and ‘Safe practice’. A significant correlation was found between the scores obtained and the students' grades in general, as well as with the grades obtained in subjects with clinical content.Conclusions: The assessment tool has proven to be sufficiently reliable and valid for the assessment of the clinicalcompetence of nursing students using standardized patients. This tool has three main components: the nursingprocess, communication skills, and safety management. PB Elsevier SN 1532-2793 YR 2018 FD 2018 LK http://hdl.handle.net/10498/30207 UL http://hdl.handle.net/10498/30207 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 21-sep-2026