Abstract
IntroductionAssessing clinical performance, such as managing respiratory distress, in clinical trainees is challenging yet important. Our objective was to describe and evaluate an integrative and iterative approach to developing a checklist measuring simulated clinical performance for infant respiratory distress.MethodsWe implemented a five-step modified Delphi process with an embedded qualitative component. An implementation period occurred followed by a second qualitative data collection. Validity evidence was collected throughout the process.ResultsA 19-item assessment checklist was developed for managing infant respiratory distress by medical student learners in a simulation-based setting. The iterative process provided content validity while the qualitative data provided response process validity. Cohen kappa was 0.82 indicating strong rater agreement. The assessment checklist was found to be easy to use and measure what was intended.ConclusionWe developed an accurate and reliable assessment checklist for medical student learners in a simulation-based learning setting with high interrater reliability and validity evidence. Given its ease of use, we encourage medical educators and researchers to utilize this method to develop and implement assessment checklists for their interventions.
Highlights
Assessing clinical performance, such as managing respiratory distress, in clinical trainees is challenging yet important
A 19-item assessment checklist was developed for managing infant respiratory distress by medical student learners in a simulation-based setting
We found that the participants did not find the process overly time consuming, that the assessment tool measured our specific metrics, and was easy to use in real-time
Summary
Our objective was to describe and evaluate an integrative and iterative approach to developing a checklist measuring simulated clinical performance for infant respiratory distress. The aims of this study were to 1) develop a checklist for assessing the clinical performance of managing infant respiratory distress and evaluate validity evidence, 2) qualitatively investigate the development process via questionnaire and focus group, and 3) qualitatively investigate the functionality, response process validity, and ease of use of the developed checklist
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have