使用凯恩的有效性框架来比较一个综合和单一技能目标结构化临床检查
Angelina Lim1, Carmen Abeyaratne2, Emily Reeve3
1Monash University, Faculty of Pharmacy and Pharmaceutical Sciences, Parkville, Australia; Royal Children's Hospital, Murdoch Children's Research Institute, Parkville, Australia.
American journal of pharmaceutical education
|July 13, 2024
概括
一个综合客观结构化临床检查 (OSCE) 站评估药物服用史,结合口语和书面组成部分,与仅口语评估相比,证明了优越的有效性. 这种综合方法导致了更少的药物错误和基于凯恩的有效性框架的更强有力的证据.
科学领域:
- 医疗教育 医学教育
- 评估方法 评估方法
- 药房实践 在药房实践中
背景情况:
- 目标 结构化临床检查 (OSCE) 对于评估临床技能至关重要.
- 评估药物服用史对于患者的安全至关重要.
- 传统的欧安组织站往往侧重于单一的技能,这可能会限制全面的评估.
研究的目的:
- 为了比较一个集成的欧安组织站 (口头和书面组件) 与一个仅口头的欧安组织站的有效性,以评估药物服用史.
- 评估综合评估对药物错误类型和学生成绩的影响.
主要方法:
- 融合混合方法设计使用凯恩的有效性框架.
- 整合定性数据 (学生反思) 和定量数据 (评估成绩,药物错误类别).
- 学生的表现和错误类型的比较,仅在口头的欧安组织 (2022) 和一个集成的欧安组织 (2023) 之间.
主要成果:
- 综合OSCE (2023) 的学生获得的中位数 (88%) 比仅口头OSCE (2022) 的学生 (80%) 高.
- 综合评估显示,委托错误的比例较高,但遗漏和患者资料错误较少.
- 学生的反思表明,他们对欧安组织的真实性和结构表示赞赏,尽管他们对忙的对话和书面格式有所担忧.
结论:
- 欧安组织整合的口头和书面组件在评估药物服用史方面表现出卓越的有效性.
- 在OSCE综合系统中,观察到的患者概况和药物遗漏错误较少.
- 凯恩的有效性框架支持了欧安组织的整合,特别是关于推断和影响推断的推断.
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