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在一项基于模拟的跨专业团队培训计划中,同伴评估与教师评估的比较。

Comparison of peer assessment and faculty assessment in an interprofessional simulation-based team training program.

机构信息

Department of Health and Caring Sciences, Faculty of Health and Social Sciences, Western Norway University of Applied Science, Inndalsveien 28, 5063, Bergen, Norway.

出版信息

Nurse Educ Pract. 2020 Jan;42:102666. doi: 10.1016/j.nepr.2019.102666. Epub 2019 Nov 9.

Abstract

Challenges related to limited clinical sites and shortage of clinical instructors may reduce the quality of clinical experiences, leading to increased demand for the establishment of simulation-based training programs in the curricula of educational institutions. However, simulation-based training programs in health education place great demands on faculty resources. It is interesting, therefore, to investigate peers contributions in formal assessment, and how this compares to faculty assessment. This paper report the results from the comparison of direct observation by peer observers who had received short rater training, and post-hoc video-based assessment by trained facilitators. An observation form with six learning outcomes was used to rate team performance. Altogether 262 postgraduate nursing students, bachelor of nursing students and medical students participated, organized into 44 interprofessional teams. A total of 84 peers and two facilitators rated team performance. The sum score of all six learning outcomes showed that facilitators were more lenient than peer observers (p = .014). The inter-rater reliability varied considerably when comparing scores from peer observers from the three different professions with those of the facilitators. The results indicate that peer assessment may support, but not replace, faculty assessment.

摘要

挑战与有限的临床站点和临床讲师短缺可能会降低临床经验的质量,导致在教育机构的课程中对基于模拟的培训计划的需求增加。然而,健康教育中的基于模拟的培训计划对教师资源有很高的要求。因此,调查同行在正式评估中的贡献,以及这与教师评估的比较是很有趣的。本文报告了经过短期评分员培训的同行观察员进行直接观察,以及经过培训的促进者进行事后基于视频的评估的结果比较。使用一个具有六个学习成果的观察表来评估团队表现。共有 262 名研究生护理学生、护理学士学生和医学生参加,组织成 44 个跨专业团队。共有 84 名同行和两名促进者对团队表现进行了评分。所有六个学习成果的总和得分表明,促进者比同行观察员更宽容(p=0.014)。当比较来自三个不同专业的同行观察员的评分与促进者的评分时,评分者间的可靠性差异很大。结果表明,同伴评估可以支持,但不能替代教师评估。

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