scholarly journals Development and Pilot Validation of an Instrument Assessing Sensorimotor Skills for Percutaneous Gastral Puncture

2020 ◽  
pp. 1-7
Author(s):  
Monika Engelke ◽  
Karl Ernst Grund ◽  
Dieter Schilling ◽  
Ulrike Beilenhoff ◽  
Ferdinand Stebner ◽  
...  

<b><i>Introduction:</i></b> The acquisition of sensorimotor skills, so-called “technical skills”, plays an essential part in the professional and continuing educational training of medical and nursing staff. Facilities turn to simulator training to promote the safe and accurate performance of endoscopic examinations. Thus, this study aimed to develop and pilot-test a corresponding assessment instrument to monitor necessary sensorimotor or “technical” skills of the examiner for a safe percutaneous endoscopic gastrostomy (AS-PEG). <b><i>Materials and Methods:</i></b> Instrument development and pilot validation involved four stages: identification of potential items and initial draft of the AS-PEG; expert panel with 11 experts (content validity index [CVI] calculated); empirical validation using a quasi-experimental intervention on simulators; revision of the pilot AS-PEG taking expert assessment, and empirical testing into consideration. <b><i>Results:</i></b> The initial instrument yielded 13 categories and 44 items describing the PEG procedure. Experts rated 30 out of 44 items (68%) extremely or very important for the safety of the puncture of the stomach. Initial item-CVIs ranged from 0.00 to 1.00; scale-CVI was 0.61. Twenty-four trainees (7 physicians, 17 nurses) participated in the pilot simulation study. On average, 8:25 min were required for PEG placement (min–max 5:59–13:38 min, SD = 1:43). The revised AS-PEG version was reduced to 14 items with a range of the item CVI from 0.8 to 1.0, and a scale-CVI of 0.90. <b><i>Conclusion:</i></b> The AS-PEG instrument facilitates the evaluation of sensorimotor skills during percutaneous gastric puncture procedures within the context of PEG placement, across professions and without relating to the number of procedures previously performed. The instrument is economical and shows satisfying content validity.

2020 ◽  
Vol 14 (1) ◽  
pp. 148-158
Author(s):  
Eman Sobhy Elsaid Hussein ◽  
Lobna Mohamed Mohamed Abu Negm

Background: Percutaneous Endoscopic Gastrostomy (PEG) may cause complications when the management is inadequate and inappropriate. To avoid these complications, caregivers’ experiences and practices must be considered. Study Aim: This study aimed to evaluate the effect of nursing- based guidelines on caregivers’ knowledge and practices regarding adult patients with percutaneous endoscopic gastrostomy. Methods: A quasi-experimental design was used. The study was conducted in the medical and surgical departments in the National Cancer Institute, Cairo University, Egypt. Sample: The sample consisted of 30 patients with PEG and their caregivers. A Structured interviewing questionnaire, Self-Administered Structured Questionnaire for caregiver, Caregiver Performance observation checklist, and PEG-specific questionnaire were obtained for data collection Results: The majority of studied patients (86.7%) were suffering from oncologic problems, in post-test and following up, the majority (83.3%) of caregivers had satisfactory level (76.7) (90%) (70%) in knowledge, complication and management of PEG, respectively. During follow up, the majority (73.3%) (90%) of caregivers were well level as regarding nutritional management and care of PEG. There were statistically significant differences between pre/post and follow-up nursing-based guidelines for caregivers’ knowledge and practice regarding patients with percutaneous endoscopic gastrostomy. The results show an improvement in the patients outcomes and the level of caregiver coping with the care of PEG and overall Patient satisfaction at (χ2 = 3.844, 4.097) p<0.001 Conclusion: Nursing-based guidelines were helpful in the improvement of the caregiver's knowledge and practice regarding percutaneous endoscopic gastrostomy. Recommendations Periodic educational training programs regarding PEG were based on the best practice guidelines for caregivers of those patients.


Author(s):  
Irene Muir ◽  
Krista Munroe-Chandler

AbstractGiven the differences between young dancers’ and adult dancers’ use of imagery, a valid and reliable questionnaire specific to young dancers was necessary. The current study is the first phase of a multi-phase study in the development of the Dance Imagery Questionnaire for Children (DIQ-C). Specifically, the purpose of this study was to establish content validity of the DIQ-C. This was achieved through the following three stages: (1) definition, item, and scale development, (2) assessment of item clarity and appropriateness via cognitive interviews, and (3) assessment of item-content relevance via an expert rating panel. Guided by previous qualitative research with young dancers, 46 items representing seven subscales (i.e., imagery types) were developed. The initial item pool was then implemented during cognitive interviews with 16 dancers (15 females; Mage=10.63, SD=1.82), which led to the removal of 13 items and the modification of 21 items. Consequently, the revised 33-item pool was then administered to an expert panel of four imagery researchers and four dance instructors to measure item-content relevance. This resulted in the removal of eight items, the revision of four items, and the merging of two subscales. Overall, the current study provides content validity evidence for a 25-item pool (representing five subscales) to be used in further development of the DIQ-C (i.e., identifying and establishing factor structure).


2020 ◽  
Vol 33 (1) ◽  
Author(s):  
Raira Fernanda Altmann ◽  
Karin Zazo Ortiz ◽  
Tainá Rossato Benfica ◽  
Eduarda Pinheiro de Oliveira ◽  
Karina Carlesso Pagliarin

Abstract Background Evaluating patients in the acute phase of brain damage allows for the early detection of cognitive and linguistic impairments and the implementation of more effective interventions. However, few cross-cultural instruments are available for the bedside assessment of language abilities. The aim of this study was to develop a brief assessment instrument and evaluate its content validity. Methods Stimuli for the new assessment instrument were selected from the M1-Alpha and MTL-BR batteries (Stage 1). Sixty-five images were redesigned and analyzed by non-expert judges (Stage 2). This was followed by the analysis of expert judges (Stage 3), where nine speech pathologists with doctoral training and experience in aphasiology and/or linguistics evaluated the images, words, nonwords, and phrases for inclusion in the instrument. Two pilot studies (Stage 4) were then conducted in order to identify any remaining errors in the instrument and scoring instructions. Results Sixty of the 65 figures examined by the judges achieved inter-rater agreement rates of at least 80%. Modifications were suggested to 22 images, which were therefore reanalyzed by the judges, who reached high levels of inter-rater agreement (AC1 = 0.98 [CI = 0.96–1]). New types of stimuli such as nonwords and irregular words were also inserted in the Brief Battery and favorably evaluated by the expert judges. Optional tasks were also developed for specific diagnostic situations. After the correction of errors detected in Stage 4, the final version of the instrument was obtained. Conclusion This study confirmed the content validity of the Brief MTL-BR Battery. The method used in this investigation was effective and can be used in future studies to develop brief instruments based on preexisting assessment batteries.


2021 ◽  
Vol 2 (01) ◽  
pp. 21-42
Author(s):  
Muhammad Afifullah Nizary ◽  
Ahmad Nur Kholik Nur Kholik

This article attempts to examine how to analyze the validity of the assessment instrument. In fact, not all teachers are able to make the correct instruments. Many teachers only take instruments from other schools to be used as a tool in measuring their students, even though the same instrument is not necessarily a measuring instrument with different objects. This habit needs to be improved. The teacher should be able to make their own instruments, because the teacher knows best about the differences in the abilities of each student. When the teacher uses instruments from other schools, where there are parts that the teacher has not conveyed in class, the students themselves are the losers. In making an assessment instrument the teacher must pay attention to two characteristics. Namely validity and reliability. Validity itself is divided into content validity, construct validity, and eksternal validity. Each validity has its own characteristics. Keywords: evaluation and teacher, the validity of the assessment instrument, the validity of the content


2016 ◽  
Vol 5 (2) ◽  
pp. 285 ◽  
Author(s):  
Mara Gerich ◽  
Bernhard Schmitz

<p>In research on parental involvement and teacher professionalization, counseling parents on the support of their children’s learning processes is considered to be an increasingly important competence area of teachers. However, to date little research has been conducted on the development of appropriate approaches to the assessment of teachers’ counseling competence. The current study describes the validation of a behavior-based instrument for the assessment of teachers’ counseling competence including counseling talk simulations with standardized parents as well as the examination of its suitability as an intervention for the improvement of participants’ counseling competence. The validation was carried out within the framework of a longitudinal quasi-experimental study with 51 prospective teachers. Multivariate repeated measures MANOVAs revealed the suitability of the counseling talk simulations both as an assessment instrument and an intervention. Results provide numerous implications for teacher preparation and continuing education, for example, the use of the counseling talk simulations as a didactical tool within the framework of teacher training programs.</p>


Neurosurgery ◽  
2013 ◽  
Vol 73 (suppl_1) ◽  
pp. S46-S50 ◽  
Author(s):  
Kyle M. Fargen ◽  
Adam S. Arthur ◽  
Bernard R. Bendok ◽  
Elad I. Levy ◽  
Andrew Ringer ◽  
...  

Abstract BACKGROUND: Simulation is an increasingly useful means of teaching in the era of duty hour restrictions. Since the completion of our diagnostic cerebral angiography simulator curriculum pilot program, we have performed this resident course at 2 Congress of Neurological Surgeons (CNS) annual meetings with larger participant numbers. OBJECTIVE: To report the ongoing results of these courses. METHODS: A 120-minute simulator-based training course was performed at 2 CNS annual meetings. Precourse written and simulator skills assessments were performed, followed by instructor-guided training on an endovascular simulator. Postcourse written and simulator practical assessments were then performed and compared with precourse scores. RESULTS: Thirty-seven neurosurgery resident participants completed the course module: 16 completed the first course provided and 21 completed the second. Posttest written scores were significantly higher than pretest scores (mean ± SEM, 8.5 ± 0.40.3 vs 4.9 ± 0.3; P &lt; .001). Instructor assessments of practical posttest scores of participants were significantly higher than pretest practical scores for both the CNS 2011 and CNS 2012 groups (P &lt; .001). CONCLUSION: The expansion of a curriculum-based, cerebral angiography simulator pilot program to trainees through courses at national neurosurgical meetings demonstrated excellent results with significant improvements in written test scores and instructor assessments of participant technical skills. With ever-expanding improvements in simulation technology and realism, simulator training for cerebral angiography may become an integral component of resident training in the future.


2019 ◽  
Vol 107 ◽  
pp. 104538 ◽  
Author(s):  
Annemiek Vial ◽  
Claudia van der Put ◽  
Geert Jan J.M. Stams ◽  
Mark Assink

2019 ◽  
Vol 58 (3) ◽  
pp. 570-595
Author(s):  
Pao-Nan Chou

This study investigated young children’s computational thinking (CT) development by integrating ScratchJr into a programming curriculum. Twelve third graders (six males and six females) voluntarily participated in an experiment-based computer class conducted at a public elementary school in Taiwan. This study adopted a case study methodology to investigate research questions in one specific case (8-week CT educational training). A one-group quasi-experimental pretest and posttest design with the support of qualitative observation was used to examine four research topics: CT competence progress, programming behaviors in a CT framework, factors influencing CT competence, and learning responses to CT training. The quantitative results indicated that students immersing in weekly programming projects significantly improved in terms of their CT competence, which was mostly retained 1 month after completion of the class. The programming behaviors indicated that students’ CT concepts (sequence, event, and parallelism) and practice (testing and debugging as well as reusing and remixing) significantly improved. Moreover, parents’ active involvement in take-home assignments influenced students’ long-term CT competence retention. The qualitative results indicated that students enjoyed using tablet computers to learn ScratchJr programming and demonstrated various leaning behaviors in a three-stage instructional design model.


Author(s):  
Aline de Oliveira Meireles Pires ◽  
Maria Beatriz Guimarães Ferreira ◽  
Kleiton Gonçalves do Nascimento ◽  
Márcia Marques dos Santos Felix ◽  
Patrícia da Silva Pires ◽  
...  

ABSTRACT Objective: to elaborate and validate a checklist to identify compliance with the recommendations for the structure of medication prescriptions, based on the Protocol of the Ministry of Health and the Brazilian Health Surveillance Agency. Method: methodological research, conducted through the validation and reliability analysis process, using a sample of 27 electronic prescriptions. Results: the analyses confirmed the content validity and reliability of the tool. The content validity, obtained by expert assessment, was considered satisfactory as it covered items that represent the compliance with the recommendations regarding the structure of the medication prescriptions. The reliability, assessed through interrater agreement, was excellent (ICC=1.00) and showed perfect agreement (K=1.00). Conclusion: the Medication Prescription Safety Checklist showed to be a valid and reliable tool for the group studied. We hope that this study can contribute to the prevention of adverse events, as well as to the improvement of care quality and safety in medication use.


Author(s):  
Yulia N. Gorbunova ◽  
Konstantin V. Trubitsyn ◽  
Natalia V. Solovova ◽  
Olga Yu. Kalmykova

The organizational culture of customs authorities is understood by the authors as a set of norms, rules, customs and traditions that are supported by customs authorities and set a general framework for the behavior of officials. To determine the key characteristics and analyze the dynamics of the organizational culture of the customs authorities, the methodology of Robert E. Quinn and Kim S. Cameron Organizational Culture Assessment Instrument (OCAI) was used. This methodology is based on the framework construction of competing values corresponding to four types of culture: clan, adhocratic, market, bureaucratic. According to the results of the survey, currently the bureaucratic type of organizational culture prevails in the Samara customs, the values of the other types of cultures are approximately equal to each other. At the same time, there are significant differences between the prevailing and preferred type of organizational culture. In the preferred state, the adhocratic type of culture predominates, bureaucracy is in second place in importance, then the clan and the market type of culture. At the second stage of the study, using the method of analyzing hierarchies, an expert assessment of the formation of the preferred – adhocratic type of organizational culture of customs authorities was carried out. The factor analysis of the identified types of organizational cultures of the customs authority made it possible to determine which type of organizational culture contains the potential for increasing the effectiveness of personnel management. To solve this problem, a mathematical tool was used – the method of analyzing hierarchies. The data obtained as a result of the application of the OCAI methodology and the hierarchy analysis method in the study of organizational culture made it possible to solve the problems of defining the type and strength of the culture dominant in the customs authorities, to establish profiles for the existing and intended organizational culture and to determine the scenario for further changes in the organizational culture of the customs authorities. contributing to improving the efficiency of personnel management.


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