Department of Anesthesiology and Operating Room, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Operating Room, Maragheh University of Medical Sciences, Maragheh, Iran.
Syst Rev. 2023 Apr 1;12(1):60. doi: 10.1186/s13643-023-02220-6.
Situation awareness (SA) is a key factor in accountability and ensuring patient safety in health care. SA is an essential element to research on human factors in healthcare. It is essential to identify valid instruments for measuring this concept and assessing how it is affected by interventions and educational methods.
This systematic review aimed to assess the measurement properties of situation awareness instruments in health care providers' (HCP) using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology. Four databases (Medline (through PubMed), Embase, Scopus, and Web of Science) were systematically searched. A manual search was also conducted on Google Scholar and the reference list of the included primary studies to supplement the electronic search. Studies aiming to determine the measurement properties of SA instruments or non-technical skills in HCP were included. The overall results for each measurement property were reported as sufficient, insufficient, inconsistent, or indeterminate, and the quality of evidence was reported as high, moderate, low, or very low.
A total of 25 studies and 15 instruments were included in the study. More than one measurement property was reported in some of the studies, and none of the studies presented all measurement properties. The most common measurement properties were content validity (12/25) and internal consistency (12/25). Cross-cultural validity and responsiveness were not investigated in any study. Evidence quality for the measurement properties was not high in any of the 15 instruments.
None of the instruments can be recommended as the most suitable instrument, and all instruments were classified as promising instruments in need of further psychometric assessment. This systematic review proves the dire need for the development and psychometric evaluation of instruments to measure SA in HCPs in clinical settings.
PROSPERO CRD42020147349.
情境意识（SA）是医疗保健中问责制和确保患者安全的关键因素。SA 是医疗保健中人因研究的一个基本要素。识别有效的测量工具来衡量这一概念，并评估干预和教育方法如何影响它是至关重要的。
本系统评价旨在使用共识基础的健康测量仪器选择标准（COSMIN）方法评估医疗保健提供者（HCP）情境意识仪器的测量特性。系统地检索了四个数据库（Medline（通过 PubMed）、Embase、Scopus 和 Web of Science）。还在 Google Scholar 和纳入的主要研究的参考文献列表中进行了手动搜索，以补充电子搜索。纳入的研究旨在确定 HCP 的 SA 仪器或非技术技能的测量特性。每个测量特性的总体结果报告为充足、不充足、不一致或不确定，并报告证据质量为高、中、低或极低。
共有 25 项研究和 15 种仪器纳入研究。一些研究报告了不止一个测量特性，而且没有一项研究报告了所有测量特性。最常见的测量特性是内容有效性（12/25）和内部一致性（12/25）。没有研究调查文化间有效性和反应性。15 种仪器中的任何一种测量特性的证据质量都不高。
没有一种仪器可以被推荐为最合适的仪器，所有仪器都被归类为有前途的仪器，需要进一步进行心理测量评估。本系统评价证明了在临床环境中开发和心理测量评估测量 HCP 情境意识的仪器的迫切需要。
PROSPERO CRD42020147349。
