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Computer-Based Case Simulations for Assessment in Health Care: A Literature Review of Validity Evidence
Robyn C Ward1, Timothy J Muckle2, Michael J Kremer3,4
1College of Nursing, Rush University, Chicago, IL, USA.
Evaluation & the Health Professions
|July 21, 2017
Summary
Computer-based case simulations (CCSs) effectively assess decision-making competence in healthcare professionals. Further research is needed to establish robust psychometric evidence for these valuable assessment tools.
Area of Science:
- Healthcare Professions Education
- Medical Simulation
- Assessment in Healthcare
Background:
- Simulation is widely used for healthcare training but its role in competence assessment remains unclear.
- Logistical challenges of simulation-based assessments prompt the use of computer-based case simulations (CCSs).
Purpose of the Study:
- To review the literature and identify psychometrically sound CCS instruments for assessing decision-making competence in healthcare professionals.
Main Methods:
- A systematic literature search was conducted across CINAHL, MEDLINE, and Ovid databases.
- 12 articles published between January 2000 and May 2017 met the inclusion criteria.
Main Results:
- CCSs are used for summative assessment of higher-order decision-making competence in healthcare.
- Psychometric strength was validated in 8 studies, with 4 replication studies.
- Two studies provided evidence of construct validity, highlighting the need for theoretical frameworks.
Conclusions:
- CCSs are a viable tool for assessing healthcare professional competence, particularly decision-making skills.
- Further research is required to strengthen the psychometric evidence supporting the use of CCSs for assessment.
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