is a staff CRNA at Northern Light AR Gould Hospital in Presque Isle, Maine. Email:
is a staff CRNA at Forsyth Hospital in Winston-Salem, North Carolina.
AANA J. 2023 Feb;91(1):46-54.
In 2016, the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) launched a Continued Professional Certification (CPC) Program to promote lifelong learning and to facilitate ongoing professional competency checks for practicing certified registered nurse anesthesiologists (CRNA). The use of simulation-based assessment is currently being studied by the NBCRNA for potential use in the CPC Program. The aim of the pilot project was to create and validate simulation scenarios and assessment tools for potential incorporation into the CPC Program. Using the modified Delphi method, an expert panel of eight CRNAs evaluated the validity of four simulation scenarios and the content validity and reliability of four scenario-specific assessment tools. Each of the eight individual surveys assessing simulation scenario validity and assessment tool validity reached ≥ 75% agreement among the expert panelists. Overall content validity index values for the four assessment tools ranged from 0.960 to 0.993. There was a direct relationship between panelists' scores and level of performance on all returned assessment tools. The expert panel validated four simulation scenarios and four accompanying assessment tools. All scenarios and assessment tools were determined to have high content validity and reliability. Using these scenarios and assessment tools would provide unique advantages over standardized assessment methods.
2016 年，美国国家认证和再认证护士麻醉师委员会（NBCRNA）启动了持续专业认证（CPC）计划，以促进终身学习，并为执业注册护士麻醉师（CRNA）提供持续的专业能力检查。目前，NBCRNA 正在研究基于模拟的评估方法，以将其潜在应用于 CPC 计划。该试点项目旨在创建和验证模拟场景和评估工具，以潜在纳入 CPC 计划。使用改良 Delphi 法，一个由 8 名 CRNA 组成的专家小组评估了四个模拟场景的有效性，以及四个特定场景的评估工具的内容有效性和可靠性。评估模拟场景有效性和评估工具有效性的 8 个单独调查中的每个调查都达到了专家组≥75%的一致性。四个评估工具的总体内容有效性指数值范围为 0.960 至 0.993。在所有返回的评估工具上，专家组的评分与表现水平之间存在直接关系。专家组验证了四个模拟场景和四个配套的评估工具。所有场景和评估工具都被确定具有较高的内容有效性和可靠性。使用这些场景和评估工具将提供比标准化评估方法更独特的优势。
