Grand James A, Pearce Marina, Rench Tara A, Chao Georgia T, Fernandez Rosemarie, Kozlowski Steve W J
College of Health Professions, The University of Akron, Akron, OH 44325, USA.
BMJ Qual Saf. 2013 May;22(5):436-48. doi: 10.1136/bmjqs-2012-000957. Epub 2013 Jan 25.
Whether for team training, research or evaluation, making effective use of simulation-based technologies requires robust, reliable and accurate assessment tools. Extant literature on simulation-based assessment practices has primarily focused on scenario and instructional design; however, relatively little direct guidance has been provided regarding the challenging decisions and fundamental principles related to assessment development and implementation.
The objective of this manuscript is to introduce a generalisable assessment framework supplemented by specific guidance on how to construct and ensure valid and reliable simulation-based team assessment tools. The recommendations reflect best practices in assessment and are designed to empower healthcare educators, professionals and researchers with the knowledge to design and employ valid and reliable simulation-based team assessments.
Information and actionable recommendations associated with creating assessments of team processes (non-technical 'teamwork' activities) and performance (demonstration of technical proficiency) are presented which provide direct guidance on how to Distinguish the underlying competencies one aims to assess, Elaborate the measures used to capture team member behaviours during simulation activities, Establish the content validity of these measures and Proceduralise the measurement tools in a way that is systematically aligned with the goals of the simulation activity while maintaining methodological rigour (DEEP).
The DEEP framework targets fundamental principles and critical activities that are important for effective assessment, and should benefit healthcare educators, professionals and researchers seeking to design or enhance any simulation-based assessment effort.
无论是用于团队培训、研究还是评估,有效利用基于模拟的技术都需要强大、可靠且准确的评估工具。关于基于模拟的评估实践的现有文献主要集中在场景和教学设计方面;然而,对于与评估开发和实施相关的具有挑战性的决策和基本原则,所提供的直接指导相对较少。
本文的目的是介绍一个可推广的评估框架,并辅以关于如何构建和确保基于模拟的团队评估工具的有效性和可靠性的具体指导。这些建议反映了评估中的最佳实践,旨在使医疗保健教育工作者、专业人员和研究人员具备设计和使用有效且可靠的基于模拟的团队评估的知识。
本文介绍了与创建团队流程(非技术性“团队合作”活动)和绩效(技术熟练程度展示)评估相关的信息和可操作建议,为如何区分旨在评估的潜在能力、阐述在模拟活动中捕捉团队成员行为的方法、确立这些方法的内容效度以及以与模拟活动目标系统一致且保持方法严谨性的方式将测量工具程序化(即DEEP)提供了直接指导。
DEEP框架针对有效评估的基本原则和关键活动,应会使寻求设计或加强任何基于模拟的评估工作的医疗保健教育工作者、专业人员和研究人员受益。