Holzemer W L, Schleutermann J A, Farrand L L, Miller A G
Nurs Res. 1981 May-Jun;30(3):139-44.
A national sample of 79 masters- and certificate-prepared family and adult nurse practitioners completed six instruments designed to validate one type of clinical simulation, patient management problems (PMPs). The instruments were: a self-chart audit, self-evaluation rating scale, colleague evaluation rating scale, multiple-choice examination. PMP simulation, and demographic questionnaire. Use of a multitrait-multimethod correlation matrix, a multivariate analysis of covariance, and a stepwise multiple regression analysis provided modest evidence to support the claim that the PMP simulation is a valid measure of the construct clinical problem solving. In fact, a multiple-choice examination appeared to be an equal, if not superior, instrument.
一项针对79名拥有硕士学位和证书的家庭及成人执业护士的全国性抽样调查,他们完成了六项旨在验证一种临床模拟类型——患者管理问题(PMPs)的工具。这些工具包括:自我图表审核、自我评估量表、同事评估量表、多项选择题考试、PMP模拟以及人口统计学问卷。使用多特质多方法相关矩阵、多变量协方差分析和逐步多元回归分析提供了适度的证据,以支持PMP模拟是临床问题解决这一结构的有效测量方法这一说法。事实上,多项选择题考试似乎是一种同样有效(如果不是更优的话)的工具。