Rubrik Nursing Clinical Exercise: Pengembangan Instrumen Penilaian Kompetensi Klinis Pada Pendidikan Klinik Keperawatan

https://doi.org/10.22146/jpki.32224

Retno Sumiyarrini(1*), Gandes Retno Rahayu(2), Yoyo Suhoyo(3)

(1) Mahasiswa S2 Ilmu Pendidikan Kedokteran, Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta -INDONESIA
(2) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta - INDONESIA
(3) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta - INDONESIA
(*) Corresponding Author

Abstract


Background: Clinical Skills is a fundamental ability that must be mastered by the newly graduated nurses. Therefore, assessment of clinical competence is essential to be considered by educators and education managers. It needs a valid assessment instrument, which is reliable and impactful on learning the process by giving a structured feedback so that qualified graduates can be produced. Some assessment instruments in the clinical nursing education have less evidence of validity and reliability and less feasible, so it requires a development of clinical assessment instruments. This study aims to develop a clinical assessment instrument in the nursing clinic and to test the content validity.

Method: This study used a qualitative research design that includes drafting through literature review and expert review by the expert panel.

Results: The process of drafting and reviewing produces a rubric named Nursing Clinical Exercise (NCEx) made of six domains consisting the assessment of subjective data, physical examination, diagnosis formulation, treatment planning formulation, communication and interpersonal relationships, and professionalism. The value of content validity is good (CVR of the entire domain = 1)

Conclusion: The NCEx Rubric consists of six domains and has good content validity.


Keywords


Mini-CEX, Nursing Clinical Exercise (NCEx), clinical competence of nurses, clinical assessment

Full Text:

PDF


References

  1. Wu XV, Enskär K, Lee CCS, Wang W. A systematic review of clinical assessment for undergraduate nursing students. Nurse Education Today, 2015;35(2):347-59.
  2. Carr SJ. Assessing clinical competency in medical senior house officers: how and why should we do it? Postgraduate Medical Journal, 2004;80(940):63-6.
  3. Sargeant J, Macleod T, Sinclair D, Power M. How do physicians assess their family physician colleagues' performance? Creating a rubric to inform assessment and feedback. Journal of Continuing Education in the Health Professions, 2011;31(2):87-94.
  4. Roghieh N, Fateme H, Hamid S, Hamid H. The effect of formative evaluation using “direct observation of procedural skills” (DOPS) method on the extent of learning practical skills among nursing students in the ICU. Iranian Journal of Nursing and Midwifery Research, 2013;18(4):290.
  5. Lesa R, Dixon A. Physical assessment: implications for nurse educators and nursing practice. International Nursing Review, 2007;54(2):166-72.
  6. Horwitz LI, Dombroski J, Murphy TE, Farnan JM, Johnson JK, Arora VM. Validation of a handoff assessment tool: The Handoff CEX. Journal of Clinical Nursing, 2013;22(9-10):1477-86.
  7. Norcini JJ, Blank LL, Arnold GK, Kimball HR. The mini-CEX (clinical evaluation exercise): A preliminary investigation. Ann Inter Med, 1995;123:795–9.
  8. Swanwick T, Chana N. Workplace assessment for licensing in general practice. British Journal of General Practice, 2005;55(515):461-7.
  9. Weller JM, Jolly B, Misur MP, Merry AF, Jones A, Crossley JM et al. Mini-clinical evaluation exercise in anaesthesia training. British Journal of Anaesthesia, 2009;102(5):633-41.
  10. Fernando N, Cleland J, McKenzie H, Cassar K. Identifying the factors that determine feedback given to undergraduate medical students following formative mini‐CEX assessments. Medical Education, 2008;42(1):89-95.
  11. Bourgault AM, Mundy C, Joshua T. Comparison of audio vs. written feedback on clinical assignments of nursing students. Nursing Education Perspectives, 2013;34(1):43-6.
  12. Cyr PR, Smith KA, Broyles IL, Holt CT. Developing, evaluating and validating a scoring rubric for written case reports. International Journal of Medical Education, 2014;5:18.
  13. Hung HT, Chiu YCJ, Yeh HC. Multimodal assessment of and for learning: A theory‐driven design rubric. British Journal of Educational Technology, 2013;44(3):400-9.
  14. Rochford L, Borchert PS. Assessing higher level learning: Developing rubrics for case analysis. Journal of Education for Business, 2011;86(5):258-65.
  15. Holmboe ES, Yepes M, Williams F, Huot SJ. Feedback and the mini clinical evaluation exercise. Journal of General Internal Medicine, 2004;19(5p2);558-61.
  16. Glover PA. ‘Feedback. I listened, reflected and utilized’: Third year nursing students' perceptions and use of feedback in the clinical setting. International Journal of Nursing Practice, 2000;6(5):247-52.
  17. Day T, Iles N, Griffiths P. Effect of performance feedback on tracheal suctioning knowledge and skills: randomized controlled trial. Journal of Advanced Nursing, 2009;65(7):1423-31.
  18. Cohen RJ, Swerdlik ME, Phillips SM. Psychological testing and assessment: An introduction to tests and measurement. Mayfield Publishing Co.;1996.
  19. Nitko AJ, Brookhart SM. Educational Assessment fo Students. Boston: Pearson Education; 2011.
  20. Delgado-Rico E, Carretero-Dios H, Ruch W. Content validity evidences in test development: An applied perspective1. International Journal of Clinical and Health Psychology, 2012;12(3):449.
  21. Lasater K. Clinical judgment development: Using simulation to create an assessment rubric. Journal of Nursing Education, 2007;46:496-503.
  22. Wanda. An investigation of clinical assessment processes of student nurses in Jakarta, Indonesia [Doctoral dissertation], Australian Catholic University; 2007.



DOI: https://doi.org/10.22146/jpki.32224

Article Metrics

Abstract views : 2164 | views : 5510

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Retno Sumiyarrini, Gandes Retno Rahayu, Yoyo Suhoyo

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:

  

 JPKI Stats