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定位和定制汇报评估用于医疗保健中的模拟,以优化适合性
Jannet Lee-Jayaram1, Kyle Ishikawa2, Yu Jin Lee3
1SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, USA.
Cureus
|January 13, 2025
概括
本地化培训和标记增强了DASH工具,提高了评价者的可靠性,并加强了其对医疗保健模拟报告的有效性. 这确保了基于模拟的教育更一致和特定于背景的评估.
科学领域:
- 医疗保健模拟器 医疗保健模拟器
- 医学教育 医学教育
- 评估工具 评估工具
背景情况:
- 在医疗模拟中,解读对加强学习和改善患者护理至关重要.
- 在医疗保健中模拟解答评估 (DASH) 是一个验证的工具来评估解答质量.
- 针对DASH的本地化评分员培训以前没有被描述过.
研究的目的:
- 用于用本地化符号来增强DASH.
- 为了定位DASH评分器训练.
- 评估本地化DASH工具的可靠性和有效性.
主要方法:
- 在SimTiki模拟中心进行,涉及模拟专家和研究助理.
- 通过转录DASH行为并添加示例符号来开发本地化标准.
- 在43次汇报中校准了评级者 (ICC=0.884) 和评估了评级者之间的可靠性 (ICC=0.810).
主要成果:
- 通过本地化训练和标记,实现了高interrater可靠性 (ICC=0.810) 和一致性 (ICC=0.825).
- 融合有效性得到了DASH分数与观察到的最佳实践/因素之间的相关性.
- 在特定的DASH行为 (如2B) 中,人们注意到"不适用"的不一致使用.
结论:
- 局部化的评分员培训和标记显著提高了DASH工具的评分员之间的可靠性.
- 与汇报实践的相关性加强了局部DASH的有效性证据.
- 达什分数的解释需要在一个共享的,本地化的结构中进行上下文化;跨机构的比较可能不反映绝对质量.
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