The relationship between performance on computer-based clinical simulations and two written methods of evaluation: cognitive examination and self-evaluation of expertise.

The purpose of this study was to explore the relationship between computer-based clinical simulation performance and two commonly used methods of evaluation: cognitive examination and self-evaluation of expertise. The convenience sample of 68 critical care nurses completed the Basic Knowledge Assess...

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Publicado en:Computers in Nursing Vol. 11; no. 1; pp. 29 - 35
Autores principales: Henry SB, Holzemer WL
Formato: research Journal Article
Publicado: Lippincott Williams & Wilkins 1993 Jan-Feb
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1993 Jan-Feb
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: The relationship between performance on computer-based clinical simulations and two written methods of evaluation: cognitive examination and self-evaluation of expertise.
      aug:
        au:
          Henry SB
          Holzemer WL
        affil: Dept Mental Health Community Adm Nurs, Univ California San Francisco, San Francisco, CA
      sug:
        subj:
          Critical Care Nursing Evaluation
          Computer Simulation
          Evaluation Methods
          Clinical Competence Evaluation
          Decision Making, Clinical Evaluation
          Self Assessment Evaluation
          Descriptive Research
          Correlational Studies
          Educational Measurement
          Tachycardia Therapy
          Job Performance Evaluation
          Human
      ab: The purpose of this study was to explore the relationship between computer-based clinical simulation performance and two commonly used methods of evaluation: cognitive examination and self-evaluation of expertise. The convenience sample of 68 critical care nurses completed the Basic Knowledge Assessment Tool for Critical Care (BKAT), a cardiovascular self-assessment tool (CST), and two computer-based clinical simulations requiring the management of myocardial infarction patients with tachydysrhythmias (atrial flutter and ventricular tachycardia). Simulation performance was measured by proficiency score and patient outcome (live/die). Proficiency on the atrial simulation was significantly correlated with knowledge as measured by the BKAT (r=0.46, p 0.001) and with self-evaluation of clinical expertise (r=0.32, p=0.008). Atrial patient outcome was also significantly correlated with the BKAT (r=0.28, p=0.006) and the CST score (r=0.22, p=0.036). However, in the ventricular simulation only proficiency score and self-evaluation of expertise were significantly correlated (r=0.24, p=0.049). The modest relationships found in this study may indicate that, while clinical simulation performance is related to knowledge and self-evaluation of expertise, the constructs measured are not synonymous. This evidence provides support for the use of clinical simulations as an adjunct to other methods of evaluation.
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        Journal Article
      ougenre: Article
    language: English
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