Standardizing bimanual vaginal examination using cognitive task analysis.
Objective: To create a standardized universal list of procedural steps for bimanual vaginal examination (BVE) for teaching, assessment, and simulator development.Methods: This observational study, conducted from June-July 2012 and July-December 2014, collected video data of 10 expert clinicians perf...
| Publicado en: | International Journal of Gynecology & Obstetrics Vol. 139; no. 1; pp. 114 - 120 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125070571&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125070571 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00207292 3LX jtl: International Journal of Gynecology & Obstetrics issn: 00207292 maglogo: N pubinfo: dt: Oct2017 vid: 139 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 125070571 125070571 NLM28700088 125070571 10.1002/ijgo.12260 NLM28700088 125070571 ppf: 114 ppct: 6 formats: tig: atl: Standardizing bimanual vaginal examination using cognitive task analysis. aug: au: Plumptre, Isabella Mulki, Omar Granados, Alejandro Gayle, Claudine Ahmed, Shahla Low ‐ Beer, Naomi Higham, Jenny Bello, Fernando affil: Faculty of Medicine, Imperial College, London UK sug: subj: Gynecologic Examination Clinical Competence Female Task Performance and Analysis Gynecology Education Models, Anatomic Educational Measurement Obstetrics Education Human Interviews Videorecording Validation Studies Comparative Studies Evaluation Research Multicenter Studies Female ab: Objective: To create a standardized universal list of procedural steps for bimanual vaginal examination (BVE) for teaching, assessment, and simulator development.Methods: This observational study, conducted from June-July 2012 and July-December 2014, collected video data of 10 expert clinicians performing BVE in a nonclinical environment. Video data were analyzed to produce a cognitive task analysis (CTA) of the examination steps performed. The CTA was further refined through structured interviews to make it suitable for teaching or assessment. It was validated through its use as a procedural examination checklist to rate expert clinician performance.Results: BVE was deconstructed into 88 detailed steps outlining the complete examination process. These initial 88 steps were reduced to 35 by focusing on the unseen internal examination, then further refined through interviews with five experts into 30 essential procedural steps, five of which are additional steps if pathology is suspected. Using the CTA as a procedural checklist, the mean number of steps performed and/or verbalized was 21.6 ± 3.12 (72% ± 10.4%; range, 15.9-27.9, 53%-93%).Conclusion: This approach identified 30 essential steps for performing BVE, producing a new technique and standardized tool for teaching, assessment, and simulator development. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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