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Related Concept Videos

Nursing Evaluation01:15

Nursing Evaluation

The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...

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Updated: Jun 16, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
08:21

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

Refining the evaluation of operating room performance.

Michael J Kim1, Reed G Williams, Margaret L Boehler

  • 1Department of Surgery, University of Rochester, Rochester, New York 14642, USA. m_kim@urmc.rochester.edu <m_kim@urmc.rochester.edu>

Journal of Surgical Education
|February 10, 2010
PubMed
Summary
This summary is machine-generated.

Surgical resident evaluations show performance improves with training level, but delays in rating may impact accuracy. Multiple raters are needed due to evaluator stringency differences.

Related Experiment Videos

Last Updated: Jun 16, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
08:21

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

Area of Science:

  • Surgical Education
  • Medical Simulation
  • Performance Assessment

Background:

  • Accurate evaluation of surgical resident performance is crucial but challenging.
  • The Southern Illinois University (SIU) operative performance rating system (OPRS) is examined for reliability and accuracy.
  • Additional factors influencing OPRS reliability, accuracy, and interpretability are investigated.

Purpose of the Study:

  • To analyze factors affecting the reliability, accuracy, and interpretability of the SIU operative performance rating system (OPRS).
  • To determine the time elapsed between surgical procedures and evaluation completion.
  • To assess response patterns in procedure-specific and global surgical skills items.
  • To identify differences in rating stringency among evaluating surgeons.

Main Methods:

  • Analysis of 566 OPRS evaluations of surgical residents from 2001-2008 at SIU.
  • Focus on frequently rated procedures: open colectomy, open inguinal hernia, laparoscopic cholecystectomy, and excisional biopsy.
  • Evaluation of time to completion, response patterns, and inter-rater stringency.

Main Results:

  • Median evaluation completion time was 11 days, 9 hours; most within 4.5 to 22 days.
  • Procedure-specific and global scale scores showed similar performance rank-ordering (ICC=0.88) and absolute scores (ICC=0.89).
  • Significant differences in evaluator stringency were observed (average difference of 1.4 points out of 5).
  • Resident performance improved with increasing postgraduate year (PGY) level for all procedures.

Conclusions:

  • A significant delay exists between surgery and evaluation, questioning recall accuracy.
  • Rating item type does not impact performance assessment outcomes.
  • Inter-evaluator stringency variations necessitate multiple observations by different surgeons.
  • Findings support a future multi-institutional trial on operative performance evaluation.