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Comparing the passing rates of nursing students participating in the objective structured clinical examination using fixed score, Angoff, yes/no Angoff, and 3-level Angoff methods† Cover

Comparing the passing rates of nursing students participating in the objective structured clinical examination using fixed score, Angoff, yes/no Angoff, and 3-level Angoff methods†

Open Access
|Jan 2026

Figures & Tables

Comparing the frequency of passing by Angoff and yes/no Angoff methods in nursing OSCE (N= 65)_

Station and standard setting (score)Pass, N (%)Fail, N (%)P-value
Pharmaceutical care -
   Angoff (9.60)65 (100.0)0 (0.0)
   Yes/no Angoff (8.32)65 (100.0)0 (0.0)
Vaccination -
   Angoff (11)65 (100.0)0 (0.0)
   Yes/no Angoff (13.80)55 (84.6)10 (15.4)
Gavage <0.001
   Angoff (11.60)54 (83.1)11 (16.9)
   Yes/no Angoff (12.30)50 (77.0)15 (23.0)
The use of an ice bag -
   Angoff (10.80)61 (93.8)4 (6.2)
   Yes/no Angoff (8.32)65 (100.0)0 (0.0)
IV therapy <0.001
   Angoff (8.38)62 (95.4)3 (4.6)
   Yes/no Angoff (6.15)63 (96.9)2 (3.1)
Venipuncture -
   Angoff (12.30)65 (100.0)0 (0.0)
   Yes/no Angoff (18.46)7 (10.8)58 (89.2)
Personal protection -
   Angoff (13.20)65 (100.0)0 (0.0)
   Yes/no Angoff (20)12 (18.5)53 (81.5)

Comparing the frequency of passing by Angoff and the 3-level Angoff methods in nursing OSCE (N = 65)_

Station and standard setting (score)Pass, N (%)Fail, N (%)P-value
Pharmaceutical care -
   Angoff (9.60)65 (100.0)0 (0.0)
   3-level Angoff (10)65 (100.0)0 (0.0)
Vaccination -
   Angoff (11)65 (100.0)0 (0.0)
   3-level Angoff (11.50)65 (100.0)0 (0.0)
Gavage <0.001
   Angoff (11.60)54 (83.1)11 (16.9)
   3-level Angoff (10.76)61 (93.8)4 (6.2)
The use of an ice bag -
   Angoff (10.80)61 (93.8)4 (6.2)
   3-level Angoff (8.32)65 (100.0)0 (0.0)
IV therapy <0.001
   Angoff (8.38)62 (95.4)3 (4.6)
   3-level Angoff (5.38)64 (98.5)1 (1.5)
Venipuncture -
   Angoff (12.30)65 (100.0)0 (0.0)
   3-level Angoff (13.06)65 (100.0)0 (0.0)
Personal protection -
   Angoff (13.20)65 (100.0)0 (0.0)
   3-level Angoff (14.60)65 (100.0)0 (0.0)

Comparing the frequency of passing by fixed score and yes/no Angoff methods in nursing OSCE (N = 65)_

Station and standard setting (score)Pass, N (%)Fail, N (%)P-value
Pharmaceutical care -
   Fixed score (12)64 (99.8)1 (0.2)
   Yes/no Angoff (8.32)65 (100.0)0 (0.0)
Vaccination <0.001
   Fixed score (12)63 (96.9)2 (3.1)
   Yes/no Angoff (13.80)55 (84.6)10 (15.4)
Gavage <0.001
   Fixed score (12)52 (80.0)13 (20.0)
   Yes/no Angoff (12.30)50 (76.9)15 (23.1)
The use of an ice bag -
   Fixed score (12)61 (93.8)4 (6.2)
   Yes/no Angoff (8.32)65 (100.0)0 (0.0)
IV therapy <0.001
   Fixed score (12)53 (81.5)12 (18.5)
   Yes/no Angoff (6.15)63 (96.9)2 (3.1)
Venipuncture -
   Fixed score (12)65 (100.0)0 (0.0)
   Yes/no Angoff (18.46)7 (10.8)58 (82.9)
Personal protection -
   Fixed score (12)65 (100.0)0 (0.0)
   Yes/no Angoff (20)12 (18.5)53 (81.5)

Comparing the frequency of passing by fixed score and Angoff methods in nursing OSCE (N = 65)_

Station and standard setting (score)Pass, N (%)Fail, N (%)P-value
Pharmaceutical care <0.001
   Fixed score (12)64 (99.8)1 (0.2)
   Angoff (9.60)65 (100.0)0 (0.0)
Vaccination <0.001
   Fixed score (12)63 (96.9)2 (3.1)
   Angoff (11)65 (100.0)0 (0.0)
Gavage <0.001
   Fixed score (12)52 (80.0)13 (20.0)
   Angoff (11.60)54 (83.1)11 (16.9)
The use of an ice bag -
   Fixed score (12)61 (93.8)4 (6.2)
   Angoff (10.80)61 (93.8)4 (6.2)
IV therapy < 0.001
   Fixed score (12)53 (81.5)12 (18.5)
   Angoff (8.38)62 (95.4)3 (4.6)
Venipuncture -
   Fixed score (12)65 (100.0)0 (0.0)
   Angoff (12.30)65 (100.0)0 (0.0)
Personal protection -
   Fixed score (12)65 (100.0)0 (0.0)
   Angoff (13.20)65 (100.0)0 (0.0)

Comparing the frequency of passing by fixed score and 3-level Angoff methods in nursing OSCE (N = 65)_

Station and standard setting (score)Pass, N (%)Fail, N (%)P-value
Pharmaceutical care -
   Fixed score (12)64 (99.8)1 (0.2)
   3-level Angoff (10)65 (100.0)0 (0.0)
Vaccination -
   Fixed score (12)63 (96.9)2 (3.1)
   3-level Angoff (11.50)65 (100.0)0 (0.0)
Gavage <0.001
   Fixed score (12)52 (80.0)13 (20.0)
   3-level Angoff (10.76)61 (93.8)4 (6.2)
The use of an ice bag -
   Fixed score (12)61 (93.8)4 (6.2)
   3-level Angoff (8.32)65 (100.0)0 (0.0)
IV therapy <0.001
   Fixed score (12)53 (81.5)12 (18.5)
   3-level Angoff (5.38)64 (98.5)1 (1.5)
Venipuncture -
   Fixed score (12)65 (100.0)0 (0.0)
   3-level Angoff (13.06)65 (100.0)0 (0.0)
Personal protection -
   Fixed score (12)65 (100.0)0 (0.0)
   3-level Angoff (14.60)65 (100.0)0 (0.0)

Comparing the frequency of passing by yes/no Angoff and the 3-level Angoff methods in nursing OSCE (N = 65)_

Station and standard setting (score)Pass, N (%)Fail, N (%)P-value
Pharmaceutical care -
   Yes/no Angoff (8.32)65 (100.0)0 (0.0)
   3-level Angoff (10)65 (100.0)0 (0.0)
Vaccination -
   Yes/no Angoff (13.80)55 (84.6)10 (15.4)
   3-level Angoff (11.50)65 (100.0)0 (0.0)
Gavage <0.001
   Yes/no Angoff (12.30)50 (77.0)15 (23.0)
   3-level Angoff (10.76)61 (93.8)4 (6.2)
The use of an ice bag -
   Yes/no Angoff (8.32)65 (100.0)0 (0.0)
   3-level Angoff (8.32)65 (100.0)0 (0.0)
IV therapy <0.001
   Yes/no Angoff (6.15)63 (96.9)2 (3.1)
   3-level Angoff (5.38)61 (93.8)4 (6.2)
Venipuncture -
   Yes/no Angoff (18.46)7 (10.8)58 (89.2)
   3-level Angoff (13.06)65 (100.0)0 (0.0)
Personal protection -
   Yes/no Angoff (20)12 (18.5)53 (81.5)
   3-level Angoff (14.60)65 (100.0)0 (0.0)
DOI: https://doi.org/10.2478/fon-2025-0056 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 511 - 518
Submitted on: Nov 25, 2024
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Accepted on: Jan 26, 2025
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Published on: Jan 27, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Fatemeh Maghsoodi, Mohammadreza Yazdankhahfard, Shahnaz Pouladi, Kamran Mirzaei, Amin Beigzadeh, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.