Mini-CEX as an assessment strategy for nursing students: an integrative review
DOI:
https://doi.org/10.47149/pemo.v7.e14092Keywords:
Mini-cex, Educational Measurement, Vocational training, NursingAbstract
This study aimed to evaluate the use of the Mini-Clinical Evaluation Exercise (Mini-CEX) as an evaluation tool in the training of nursing professionals. To this end, an integrative literature review was carried out, covering studies that applied Mini-CEX or adapted versions of the tool in nursing teaching contexts. The research showed that Mini-CEX has emerged in the training of nursing students as an alternative to the traditional assessment models previously used, in addition to guaranteeing good results in the ongoing training of professionals already in the job market. The positive impact of the feedback proposed at the end of the Mini-CEX application on student training was also observed, providing opportunities for critical and reflective learning. We concluded at the end of this study that the use of assessment tools based on the Mini-CEX can be advantageous in the training of nursing students and professionals and should be encouraged.
Downloads
References
BASTOS, L. F. L.; CIAMPONE, M. H. T.; MIRA, V. L. Asessment of evaluation of transference support and training impact on the work of nurses. Revista Latino-Americana de Enfermagem, v. 21, n. 6, p. 1274-1281, 2013. Disponível em: https://doi.org/10.1590/0104-1169.2913.2364.
BERTACCHINI DE OLIVEIRA, L.; FERREIRA AMORIM DE MELO, V.; TURIN ROUILLER, A. P.; DA COSTA FERREIRA, N.; BATISSALDO CARNEIRO, T. A.; ALVES DE ARAÚJO PÜSCHEL, V. Estratégias de avaliação da aprendizagem aplicadas no ensino de graduação em Enfermagem no Brasil. Rev. iberoam. Educ. investi. Enferm., v. 5, n. 1, p. 57-62, 2015.
BRASIL. Conselho Nacional de Educação. Câmara de Educação Superior. Resolução CNE/CES nº 3, de 7 de novembro de 2001. Diretrizes Curriculares Nacionais do Curso de Graduação em Enfermagem. Diário Oficial da União, Brasília, 9 nov. 2001, Seção 1, p. 37.
CAMARGO, I. DE B.; CONTEL, J. O. B. Tradução e adaptação de questionários norte-americanos para a avaliação de habilidades e conhecimentos na prática psiquiátrica brasileira. Revista de Psiquiatria Do Rio Grande Do Sul, v. 26, n. 3, p. 288-299, 2004. Disponível em: https://doi.org/10.1590/S0101-81082004000300006.
CHEN, Y.; LI, X.; ZHAO, J.; LI, S.; DAI, Y.; ZHOU, Z. Effects of the mini-clinical evaluation exercise teaching mode based on nurse-faculty cooperation in Fundamentals of Nursing course: A quasi-experimental study. Int. J. Nurs. Sci., v. 10, n. 3, p. 359-366, 2023. doi: 10.1016/j.ijnss.2023.06.013.
DOS SANTOS, R. DE O. J. F. L.; TEIXEIRA, E. R.; CURSINO, E. G. Estudo sobre as relações humanas interpessoais de trabalho entre os profissionais de Enfermagem: revisão integrativa. Rev. Enferm. UERJ, v. 25, n. 1, [e26393]-[e26393], 2017. Disponível em: https://doi.org/10.12957/REUERJ.2017.26393.
HORWITZ, L. I.; DOMBROSKI, J.; MURPHY, T. E.; FARNAN, J. M.; JOHNSON, J. K.; ARORA, V. M. Validation of a handoff assessment tool: The Handoff CEX. Journal of Clinical Nursing, v. 22, n. 9-10, p. 1477-1486, 2013. Disponível em: https://doi.org/10.1111/j.1365-2702.2012.04131.
JAFARPOOR, H.; HOSSEINI, M.; SOHRABI, M.; MEHMANNAVAZAN, M. The effect of direct observation of procedural skills/mini-clinical evaluation exercise on the satisfaction and clinical skills of nursing students in dialysis. J. Educ. Health Promot., v. 10, 2021. doi: 10.4103/jehp.jehp_618_20.
JASEMI, M.; AHANGARZADEH REZAIE, S.; HEMMATI MASLAKPAK, M.; PARIZAD, N. Are workplace-based assessment methods (DOPS and Mini-CEX) effective in nursing students' clinical skills? A single-blind randomized, parallel group, controlled trial.
Contemp. Nurse, v. 55, n. 6, p. 565-575, 2019. doi: 10.1080/10376178.2020.1735941.
LIU, Y. P.; JENSEN, D.; CHAN, C. Y.; WEI, C. J.; CHANG, Y.; WU, C. H.; CHIU, C. H.
Development of a nursing-specific Mini-CEX and evaluation of the core competencies of new nurses in postgraduate year training programs in Taiwan. BMC Medical Education, v. 19, n. 1, 2019. Disponível em: https://doi.org/10.1186/s12909-019-1705-9.
MARTINA, S. E.; PURBA, I. E.; SINAGA, J.; SIMANJUNTAK, E. H. Self-efficacy impact of the Mini-CEX among nursing students in North Sumatera, Indonesia. J. Public Health Res., v. 11, n. 2, 2021. doi: 10.4081/jphr.2021.2743.
MEGALE, L.; GONTIJO, E. D.; MOTTA, J. A. C. Avaliação de competência clínica em estudantes de Medicina pelo Miniexercício Clínico Avaliativo (Miniex). Revista Brasileira de Educação Médica, v. 33, n. 2, p. 166-175, abr. 2009.
MOTEFAKKER, S.; SHIRINABADI FARAHANI, A.; NOURIAN, M.; NASIRI, M.; HEYDARI, F. The impact of the evaluations made by Mini-CEX on the clinical competency of nursing students. BMC Medical Education, v. 22, n. 1, p. 634, 2022. Disponível em: https://doi.org/10.1186/s12909-022-03667-2.
PENG, Q.; GAO, Y.; LIU, N.; GAN, X. Development of a tool for assessing the clinical competency of Chinese master's nursing students based on the mini-CEX: a Delphi method study. BMJ Open, v. 14, n. 3, 2024. doi: 10.1136/bmjopen-2023-078719.
RAFII, F.; GHEZELJEH, T. N.; NASROLLAH, S. Design and implementation of clinical competency evaluation system for nursing students in medical-surgical wards. J. Family Med. Prim. Care, v. 8, n. 4, p. 1408-1413, 2019. doi: 10.4103/jfmpc.jfmpc_47_19.
RAWEKAR, A.; CHOUDHARI, S. G.; MISHRA, V.; VAGHA, S. Formative assessment in practical for Indian postgraduates in health professions education: A strategic initiative towards competency-based education. J. Family Med. Prim. Care, v. 9, n. 7, p. 3399-3404, 2020. doi: 10.4103/jfmpc.jfmpc_185_20.
RYDER, M.; SMITH, R.; FURLONG, E. Evaluation of a nurse practitioner clinical practicum module using a capability education framework: A case study design. J. Clin. Nurs., v. 32, n. 13-14, p. 3775-3786, 2023. doi: 10.1111/jocn.16626.
SHAHID, Z.; et al. Impacto do Mini-CEX e DOPS na competência clínica e satisfação entre estudantes de Medicina do último ano: um estudo intervencionista comparativo. Khyber Medical University Journal, v. 16, n. 2, p. 97-102, 2024. doi: 10.35845/kmuj.2024.23418.
SANTOS, R. B. DOS; NOGUEIRA, M. DE A.; CARVALHO, D. DE N. R. DE; SOUZA, M. L. S. DE; OLIVEIRA, S. S. S. DE; OLIVEIRA, M. F. V. DE; LIMA, P. A. V.; SILVA, T. F. DA; RODRIGUES, M. DA G.; TAVARES, N. K. C.; DERGAN, M. R. A.; ESTEVES, A. V. F.; FERREIRA, I. P.; VALOIS, R. C.; SÁ, A. M. M.; NASCIMENTO, M. H. M. Reflective portfolio as an instrument of evaluation and self-evaluation in the teaching-learning process: Experience of the stricto sensu, graduate program of the master’s degree in nursing at Pará State University and Federal University of Amazonas. Research, Society and Development, v. 10, n. 4, e4610413295-e4610413295, 2021. Disponível em: https://doi.org/10.33448/RSD-V10I4.13295
SOUZA, M. T. DE, SILVA, M. D. DA, & CARVALHO, R. DE. (2010). Integrative review: what is it? How to do it? Einstein (São Paulo), 8(1), 102–106. https://doi.org/10.1590/S1679-45082010RW1134
SU X, NING H, ZHANG F, LIU L, ZHANG X, XU H. Application of flipped classroom based on CDIO concept combined with mini-CEX evaluation model in the clinical teaching of orthopedic nursing. BMC Med Educ. 2023 Apr 6;23(1):219. doi: 10.1186/s12909-023-04200-9. PMID: 37024905; PMCID: PMC10078046.
VASCONCELOS, C.M. da C.B; BACKES, V.M.S.; GUE, J.M. Avaliação no ensino de graduação em Enfermagem na América Latina: uma revisão integrativa. Enferm. glob., Murcia, v. 10, n. 23, p. 96-117, jul. 2011. Disponível em: <http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412011000300008&lng=es&nrm=iso>. Acesso em 13 fev. 2025. https://dx.doi.org/10.4321/S1695-61412011000300008
WHITTEMORE, R.; KNAFL, K. The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/J.1365-2648.2005.03621.X
YANG, Ying-Ying, et al. Validation of the behavior and concept based assessment of professionalism competence in postgraduate first-year residents. Journal of the Chinese Medical Association: JCMA, v. 76, n. 4, p. 186-194, 2013. doi: 10.1016/j.jcma.2012.12.002.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Brigida Maria Diniz, Juliana Sabino de Oliveira, Laryssa Karolyne da Costa Dantas Dantas, Nara Maria Holanda de Medeiros, Elzenir Pereira de Oliveira Almeida (Autor)

This work is licensed under a Creative Commons Attribution 4.0 International License.







