Methods for the development and validation of new assessment instruments
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Francisco Jimenez, Psychologist; A. J. Kleinheksel, Med
- Sigma Affiliation
- Non-member
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- Shadow Health, Inc., Gainesville, Florida, USA
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Session presented on Friday, April 8, 2016:
Intorduction: Clinical reasoning is the non-linear analytical process of making decisions for the prevention, diagnosis, or treatment of problems facing a particular patient (Forsberg, Georg, Ziegert, & Fors, 2011; Shellenbarger & Robb, 2015). Nursing faculty often use virtual patients to assess their students' clinical reasoning abilities. Cook and Triola (2009) identified clinical reasoning as the only valid learning objective for a virtual patient simulation, yet they also found that most assessment instruments within virtual patient programs employed an algorithmic approach, scoring the completeness of information elicited, instead of the cognitive process of clinical reasoning. At the time of this study, there were still no valid and reliable instruments designed to evaluate clinical reasoning in a virtual patient program.
Methods: To measure the higher order thinking skill of clinical reasoning within a virtual patient program, the researchers first developed a conceptual framework of clinical reasoning within a virtual environment, then validated it with a group of subject matter experts in the field clinical reasoning. After the conceptual framework was validated, discrete components of the clinical reasoning framework were identified as areas for student assessment. Instruments were developed to measure these discrete components of clinical reasoning for BSN, RN-BSN, and MSN students in parallel, to control for differences in the learning populations.
Results: A conceptual framework for clinical reasoning within a virtual patient simulation was constructed and content validated with a group of experts in clinical reasoning. Assessment instruments were developed to measure three components of clinical reasoning within the framework: data collection, therapeutic communication, and information processing. Each instrument was examined for evidence of internal consistency reliability and validity for BSN, RN-BSN, and MSN populations. All items showed high quality, and the instruments showed evidence of reliability and validity for each population.
Conclusion: Attendees of this presentation will understand the development and validation process involved in identifying a new conceptual framework, as well as the methods used to develop valid and reliable assessment instruments to measure their conceptual framework.
Nursing Education Research Conference Theme: Research as a Catalyst for Transformative Practice
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Assessment; Instrument Development; Conceptual Framework |
Name | Nursing Education Research Conference 2016 |
Host | Sigma Theta Tau International; National League for Nursing |
Location | Washington, DC, USA |
Date | 2016 |
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