Quantitatively evaluating students' clinical reasoning with the Outcome-Present State-Test Model

2.50
Hdl Handle:
http://hdl.handle.net/10755/153396
Type:
Presentation
Title:
Quantitatively evaluating students' clinical reasoning with the Outcome-Present State-Test Model
Abstract:
Quantitatively evaluating students' clinical reasoning with the Outcome-Present State-Test Model
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Kautz, Donald D., PhD, RN, CNRN, CRRN-A
P.I. Institution Name:University of North Carolina Greensboro
Title:Assistant Professor
Co-Authors:RuthAnne Kuiper, RN, PhD; Robin Bartlett, PhD, RN, BC; Daniel J. Pesut, PhD, APRN, BC, FAAN and Raymond Buck, PhD
[Symposium Presentation] Assisting students to develop clinical competence requires that faculty must be able to evaluate students' ability to reason through clinical problems. This session will report the development of a tool to quantify students' ability to complete Clinical Reasoning Webs and Outcome-Present State-Test (OPT) Model worksheets after caring for patients in a variety of clinical settings. The tool is in its fourth version and continues to evolve as it is used for research and educational practice. The tool contains 22 areas for faculty to rate studentsÆ work with 76 possible total points. The tool was designed to detect variability from week to week, and to differentiate between good and poor work. The current version of the tool was used to conduct a secondary analysis of 510 clinical reasoning webs and OPT Model worksheets completed by 46 students in an adult health (medical-surgical) clinical practicum. Students completed the OPT Model work sheets following clinical each week, for 8-10 weeks. The tool was expanded from earlier versions in response to a lack in variation seen between students and over time, and low inter-rater reliability scores. The primary benefit of using a rating tool for clinical assignments is that faculty make their expectations explicit and show how students' work will be evaluated. Consistent use of the tool is promoted when faculty commit to training and group review to reduce threats to internal validity due to faculty fatigue, and bias towards or against particular students. Ever since faculty have been requiring students to complete nursing care plans for clinical practicums, nursing students have justifiably complained that faculty evaluation of their work was biased and variable from week to week. Reliable and valid measures of students' written clinical work would enable faculty to track progress and identify strengths and weaknesses for professional growth and remediation.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleQuantitatively evaluating students' clinical reasoning with the Outcome-Present State-Test Modelen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153396-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Quantitatively evaluating students' clinical reasoning with the Outcome-Present State-Test Model</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kautz, Donald D., PhD, RN, CNRN, CRRN-A</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of North Carolina Greensboro</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ddkautz@uncg.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">RuthAnne Kuiper, RN, PhD; Robin Bartlett, PhD, RN, BC; Daniel J. Pesut, PhD, APRN, BC, FAAN and Raymond Buck, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Symposium Presentation] Assisting students to develop clinical competence requires that faculty must be able to evaluate students' ability to reason through clinical problems. This session will report the development of a tool to quantify students' ability to complete Clinical Reasoning Webs and Outcome-Present State-Test (OPT) Model worksheets after caring for patients in a variety of clinical settings. The tool is in its fourth version and continues to evolve as it is used for research and educational practice. The tool contains 22 areas for faculty to rate students&AElig; work with 76 possible total points. The tool was designed to detect variability from week to week, and to differentiate between good and poor work. The current version of the tool was used to conduct a secondary analysis of 510 clinical reasoning webs and OPT Model worksheets completed by 46 students in an adult health (medical-surgical) clinical practicum. Students completed the OPT Model work sheets following clinical each week, for 8-10 weeks. The tool was expanded from earlier versions in response to a lack in variation seen between students and over time, and low inter-rater reliability scores. The primary benefit of using a rating tool for clinical assignments is that faculty make their expectations explicit and show how students' work will be evaluated. Consistent use of the tool is promoted when faculty commit to training and group review to reduce threats to internal validity due to faculty fatigue, and bias towards or against particular students. Ever since faculty have been requiring students to complete nursing care plans for clinical practicums, nursing students have justifiably complained that faculty evaluation of their work was biased and variable from week to week. Reliable and valid measures of students' written clinical work would enable faculty to track progress and identify strengths and weaknesses for professional growth and remediation.</td></tr></table>en_GB
dc.date.available2011-10-26T12:14:41Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:14:41Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.