Coleman E A, Pennypacker H
College of Nursing, University of Arkansas Medical Sciences, Little Rock.
Cancer Nurs. 1991 Aug;14(4):211-7.
A continuous scoring strategy yielding a proficiency score on breast self-examination (BSE) performance was developed and validated. The method of paired comparisons was used to provide a rank ordering on an interval scale of the eight components of the evaluation tool. Twenty-one experts in teaching the MammaCare method of breast self-examination participated in the survey to help in developing the composite measure of proficiency in BSE performance. Data on each component of BSE were collected quantitatively, and performance scores were computed using a formula incorporating the weighting schema derived from the paired comparisons procedure. A comparison of preteaching versus postteaching mean performance scores on BSE indicated that the scoring system worked even when the teaching method varied. The scoring system presented here is a start on the development of a tool that can be useful to researchers using relative performance as a measure in BSE studies. The components of the scoring system can be used by nurses in the practice setting as a checklist for evaluating BSE performance.
我们开发并验证了一种用于对乳房自我检查（BSE）表现进行评分的连续评分策略。采用配对比较法在评估工具的八个组成部分的区间量表上进行排序。21位教授乳房自我检查MammaCare方法的专家参与了调查，以帮助制定BSE表现熟练度的综合测量方法。对BSE各组成部分的数据进行了定量收集，并使用一个公式计算表现分数，该公式纳入了从配对比较程序得出的加权方案。BSE教学前与教学后平均表现分数的比较表明，即使教学方法不同，评分系统也能发挥作用。这里介绍的评分系统是开发一种工具的开端，该工具对于在BSE研究中使用相对表现作为衡量指标的研究人员可能有用。评分系统的组成部分可被实践环境中的护士用作评估BSE表现的清单。
