الفهرس 
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Abstract
Clinical competence is a complex concept that includes such attributes as knowledge, skills, and attitudes. Objective structured clinical examination (OSCE) is considered the most reliable method for assessing skills for health profession. OSCE is a tool to objectively and fairly assess nursing students’ clinical competences. This study aimed to evaluate the effectiveness of the Objective Structured Clinical Examination versus traditional examination in assessing nursing students’ surgical clinical competence. Four tools for data collection. Clinical Competence Level Sheets one for the delineation of the nursing students knowledge and the second to observe nursing students practice. An Evaluation Sheet was used to record Patients’ Complications resulting from Intravenous Therapy. Finally a Perception Scale was used consisting of two sheets, the first for the Perception of students, and the second for the perception of teachers. A convenient sample of 22 students was selected to apply the traditional method to assess clinical practice in academic year 2010-2011, and 32 nursing students formed the study sample exposed to the OSCE method of assessment in academic year 2011-2012 at the Faculty of nursing at the British University in Egypt. The results revealed that, 50% of the students in the control group assessed through the traditional method had a satisfactory level of total knowledge related to intravenous therapy, while, 70% of the study group assessed through the OSCE had a satisfactory level of total knowledge related to IV therapy. Moreover, the 81.82% of the students utilizing the traditional method had satisfactory level of performance. While, 96.88% of the students utilizing OSCE had a satisfactory level of performance. As regards students’ perception towards method of assessment, 45.45% of the students had a positive perception towards the traditional method, while 75% of the students who utilize OSCE had a positive perception toward the method. As regards to patients’ complications resulting from IV therapy the study revealed that, higher percentage among students who utilized the traditional method as compared to the patients who received IV therapy from students exposed to the OSCE method at P <0.001. The study concluded that Objective Structured Clinical Examination has statistically significant positive effect in assessing nursing students’ surgical competence regarding IV therapy (IV cannula insertion and IV fluids administration) which reflect positively on patients receiving IV therapy by decreasing complications resulting from this therapy versus traditional method. The study recommends that the OSCE should be implemented in all faculties of nursing for enhancing the level of students’ competence.