@article{ajphr20251353,
author={{Li, Tong and Feng, Qi and Ma, Yuxuan and Yang, Bing and Huang, Fang},
title={Development and Application of a Contextual Assessment Method for Clinical Competency of Newly Hired Nurses Based on the Mini-CEX},
journal={American Journal of Public Health Research},
volume={13},
number={5},
pages={224--227},
year={2025},
url={https://pubs.sciepub.com/ajphr/13/5/3},
issn={2327-6703},
abstract={<b>Objective:</b> To develop a contextual assessment method based on the Mini-Clinical Evaluation Exercise (Mini-CEX) for evaluating the clinical competency of newly hired nurses and validate its effectiveness in enhancing clinical skills, teaching quality, and patient satisfaction. <b>Methods:</b> A non-concurrent controlled trial was conducted from July 2024 to July 2025. The control group (n=43, 2024 cohort) received routine theoretical and operational assessments, while the intervention group (n=50, 2025 cohort) underwent the Mini-CEX-based contextual assessment. The protocol was developed using the Delphi expert consultation method. Clinical instructors received unified frame-of-reference training. Outcomes included clinical performance scores, clinical competency, and humanistic care competency evaluated via bedside contextual assessments. <b>Results:</b> The intervention group demonstrated significantly higher scores in: Clinical performance (90.5¡À6.2 vs. 79.3¡À8.1, P&lt;0.01) Clinical competency (231.31¡À16.58 vs. 202.31¡À13.26, P&lt;0.01) Humanistic care competency (230.21¡À22.38 vs. 205.21¡À23.26, P&lt;0.01). <b>Conclusion:</b> The Mini-CEX-based contextual assessment objectively evaluates clinical competency in newly hired nurses, effectively enhances clinical and humanistic care literacy, and ensures assessment homogeneity through frame-of-reference training. This method provides a reference for standardized training evaluation.},
doi={10.12691/ajphr-13-5-3}
publisher={Science and Education Publishing}
}