验证高保真模拟用于评估护士教育中的程序技能:加纳的kane框架方法
1Department of Educational Foundations, University of Education, Winneba (UEW), West Africa, Ghana. sntumi@uew.edu.gh.
BMC medical education
|August 19, 2025
概括
高保真模拟评估 (HFSAs) 已被验证用于加纳的护理学生. 这些评估可靠地衡量程序能力和预测临床表现,支持它们融入护理教育.
科学领域:
- 护理教育 护理教育
- 医疗模拟 医疗模拟
- 心理测量 心理测量 心理测量
背景情况:
- 基于模拟的评估 (SBA) 对于评估护理程序能力至关重要.
- 在加纳护士教育中,SBA的正式采用和验证是有限的.
- 基于高准确度模拟的评估 (HFSA) 需要强大的验证才能有效实施.
研究的目的:
- 调查加纳护理学生HFSA的构造有效性.
- 应用凯恩的有效性框架来评估HFSA的心理特征.
- 为加纳护士教育中临床准备能力的可靠评估提供证据.
主要方法:
- 量化,横截面研究与150名护理学生的最后一年.
- 利用凯恩的有效性框架,包括评分,概括,推断和暗示推断.
- 采用了评估者之间的可靠性,内部一致性,相关性,多重回归,因子分析,MTMM和科恩的kappa.
主要成果:
- 在评分推断中具有强大的评分间可靠性 (ICC=0.77-0.84) 和高的内部一致性 (Cronbach的alpha=0.83).
- 模拟和欧安组织得分之间的中等相关性 (r=0.45) 支持概括.
- 模拟得分显著预测了临床实践中的表现 (R2=0.42),支持了推断.
- 模拟和欧安组织通过/失败决定之间的实质性一致性 (κ=0.67) 显示出强烈的影响.
结论:
- 在评估加纳护士学生的临床准备中,HFSA证明了强大的心理测量稳定性和实际可辩论性.
- 调查结果支持将HFSA纳入基于能力的护理课程.
- 建议包括投资模拟基础设施,评估员校准和公平获取.
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