Objective To explore the application effects of Objective Structured Clinical Examination ( OSCE) . Methods A total of 32 nursing students took part in the skill competition by OSCE mode, and surveyed and analyzed the application effects by questionnaire. Results Over 80% of candidates believed the pre-training help them be familiar with OSCE mode and process and 5 examination station designed reasonable, and over 50% candidates considered that OSCE competition mode benefited clinical skill mastery, formation of clinical ideation and changed the method of learning. 96. 88% of candidates recognized the OSCE should be promoted to the other teaching. However, over 30% candidates viewed that the length of each examination station was not reasonable, and the standardized patients acted by nursing students were common and did not act as real clinical patients. Conclusions The skill competition of OSCE mode can promotes the change of clinical teaching mind and students′ clinical comprehensive ability, and further spread its implementation in nursing practice teaching.

Objective:To explore the factors affecting the safety of home environment for device-aided elderly people, so as to provide a basis for improving the safety of the elderly's home environment and promoting aging-adapted reform.Methods:From August 2021 to March 2022, stratified cluster sampling was used to select 326 device-aided elderly people from 8 communities in Urumqi City as the research subject. The survey was conducted using the General Information Questionnaire, Capacity Assessment Standard Table for the Elderly, Home Environment Safety Assessment Scale for the Elderly, and Home Environment Ageing-adapted Reform Cognition and Needs Concise Questionnaire for the Elderly. Multiple linear regression was used to explore the influencing factors of home environment safety for device-aided elderly people.Results:A total of 326 questionnaires were distributed, and 305 valid questionnaires were collected, with an effective recovery rate of 93.56% (305/326) . The influencing factors of home environment safety for device-aided elderly people included housing area, self-evaluation of the home environment, chronic diseases, monthly pension income, and cognition of aging-adapted reform ( P<0.05) . Conclusions:The aging-adapted reform of home environment should focus on elderly people who suffer from chronic diseases, have poor self-evaluation of the environment, have low monthly pension income and cognition of aging-adapted reform. Relevant departments should promote the self-evaluation methods of home environment and knowledge on home aging-adapted reform.