6533b7d9fe1ef96bd126cc07

RESEARCH PRODUCT

Validity of a questionnaire developed to measure the impact of a high‐fidelity simulation intervention: A feasibility study

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To evaluate the validity and responsiveness of a questionnaire developed to measure the impact of a high-fidelity simulation intervention.A pre- and postintervention design.In August 2017, 107 participants completed a questionnaire measuring knowledge and perceived self-confidence pre- and postintervention. Validity of the questionnaire was determined by expert reviews, individual interviews and estimates of the changes in knowledge and perceived self-confidence. The changes were estimated by the differences between paired proportions of participants. The responsiveness of the ordered categorical item scores on self-confidence was evaluated by the measure of systematic group change and individual variations.The analysis of the interviews resulted in three themes: item content, item style and the administration of the questionnaire. An intervention effect on knowledge assessments was shown by the changes in paired proportions of participants with increased or decreased correct assessments (ranging from -25.5 - 24.8 percentage units). The responsiveness of the self-confidence scale was confirmed by evidence of post-intervention systematic group changes towards higher levels.This study provides useful experience for a forthcoming randomized controlled study to evaluate the effect of high-fidelity simulation on undergraduate nursing students' knowledge and self-confidence when assessing patient deterioration.Cause-and-effect relationship between simulation and learning is required to improve nursing education. A statistically significant rise in students' knowledge and levels of self-confidence after simulation were identified in this study. The study provided important aspects of future research study designs.目的: 评估为测量高保真模拟干预的影响而开发的问卷的有效性和反应性。 设计: 干预前和干预后设计。 方法: 2017年8月,107名参与者完成了一份问卷调查,对知识和自信心进行了干预前和干预后测试。问卷的有效性由专家评审、个人访谈和对知识和自信心变化的估计来确定。这些变化是通过参与者配对比例的差异来估计的。采用系统性群体变化和个体差异的测量方法,对自信心的有序分类项目得分的反应性进行评估。 结果: 对访谈的分析产生了三个主题:项目内容、项目风格和问卷管理。通过改变正确评估增加或减少的参与者配对比例的(从-25.5到24.8个百分比单位不等),可以看出对知识评估的干预效果。自我信心量表的反应性通过干预后,系统性群体向更高水平变化的证据得到证实。 结论: 本研究为即将开展的一项随机对照研究提供了有益的经验,以评估高保真模拟对护理本科生评估患者病情恶化时的知识和自信的影响。 影响: 模拟与学习的因果关系是提高护理教育质量的必要条件。本研究发现,在模拟之后,学生的知识和自信心水平在统计学上显著提高。该研究为今后的研究设计提供了重要经验。.