Simulated patient training: using inter-rater reliability to evaluate simulated patient consistency in nursing education
Date
2018
Authors
MacLean, S.
Geddes, F.
Kelly, M.
Della, P.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
Nurse Education Today, 2018; 62:85-90
Statement of Responsibility
Conference Name
Abstract
Background: Simulated patients (SPs) are frequently used for training nursing students in communication skills. An acknowledged benefit of using SPs is the opportunity to provide a standardized approach by which participants can demonstrate and develop communication skills. However, relatively little evidence is available on how to best facilitate and evaluate the reliability and accuracy of SPs' performances .Aim: The aim of this study is to investigate the effectiveness of an evidenced based SP training framework to ensure standardization of SPs. The training framework was employed to improve inter-rater reliability of SPs.
Methods: A quasi-experimental study was employed to assess SP post-training understanding of simulation scenario parameters using inter-rater reliability agreement indices. Two phases of data collection took place. Initially a trial phase including audio-visual (AV) recordings of two undergraduate nursing students completing a simulation scenario is rated by eight SPs using the Interpersonal Communication Assessments Scale (ICAS) and Quality of Discharge Teaching Scale (QDTS). In phase 2, eight SP raters and four nursing faculty raters independently evaluated students' (N = 42) communication practices using the QDTS. Results: Intraclass correlation coefficients (ICC) were > 0.80 for both stages of the study in clinical communication skills. Conclusion: The results support the premise that if trained appropriately, SPs have a high degree of reliability and validity to both facilitate and evaluate student performance in nurse education.
School/Discipline
Dissertation Note
Provenance
Description
Access Status
Rights
Copyright 2018 Crown Copyright Published by Elsevier Ltd.