Miller A M, Wilbur J, Montgomery A C, Talashek M L
Department of Public Health, Mental Health, and Administrative Nursing, University of Illinois at Chicago 60612, USA.
Clin Excell Nurse Pract. 1998 Mar;2(2):102-9.
Biases related to variations among patients and settings may be reduced by having faculty evaluate the clinical skills of students as they interact with simulated patients. The Student Clinical Performance Scale is a rating scale developed to standardize assessment of videotaped simulated patient encounters with family nurse practitioner students. In a pilot study of faculty interrater reliability, correlation coefficients for independent scoring by faculty pairs using the Student Clinical Performance Scale varied widely among six case studies, and several scenario- and faculty-related factors served as systematic sources of faculty variability. The findings demonstrate the importance of a rigorous approach to developing and testing instruments that guide measurement of clinical competence. The use of simulated patients to evaluate nurse practitioner students provides opportunities to assess a wide range of attributes and holds promise for assessing advanced clinical skills in controlled educational environments.
通过让教员在学生与模拟患者互动时评估其临床技能，可减少与患者和环境差异相关的偏差。学生临床技能表现量表是一种评分量表，旨在对家庭执业护士学生与模拟患者的录像互动评估进行标准化。在一项关于教员评分者间信度的试点研究中，在六个案例研究中，教员对使用学生临床技能表现量表进行独立评分的相关系数差异很大，并且一些与场景和教员相关的因素是教员评分差异的系统来源。研究结果表明，采用严谨的方法来开发和测试指导临床能力测量的工具非常重要。使用模拟患者来评估执业护士学生提供了评估广泛属性的机会，并有望在可控的教育环境中评估高级临床技能。
