Validation of “Time to Task” Performance Assessment Method in Simulation
Mary Ann Shinnick, PhD, ACNP, CCNS, CHSE; Mary A. Woo, PhD
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- International Nursing Association for Clinical Simulation and Learning (INACSL)
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Background. Current methods to assess clinical performance are known to be often invalid and unreliable1. Therefore, we pilot tested an objective assessment of clinical competence, “Time to Task” (ability to perform specific activities within 5 minutes) and compared it to two other assessments, the Lasater Clinical Judgement Rubric (Lasater) and the common “pass/fail” assessment (subjective measure of whether the subject would “pass” or “fail”).
Methods. Using a prospective, “Known Groups” (expert vs. novice nurses) design, Expert nurses (ICU nurses) and Novice nurses (senior prelicensure nursing students) participated individually in a simulation. Academic and clinical experts reviewed each video and scored each performance on two assessments while the third assessment, “Time to Task”, (key task elements to be completed in 5 minutes) was calculated from each video by the researcher. Statistical analysis consisted of T-Tests and Chi-square.
Results. Fourteen evaluators reviewed the videos. For “Time to Task”. There was strong statistical significance between the novice and expert groups (p < 0.01) and sensitivity (0.80) and specificity (0.85) were good. The Lasater (p < 0.01) only had sensitivity (0.72) and specificity (0.40) while “pass/fail”, sensitivity was high (0.90) but specificity was low (0.47) indicating an ability to identify “Expert” nurses but not “Novice” nurses.
Conclusion. “Time to Task” performed best as a measure of competency in simulation. While there have been similar objective measures in healthcare, they have not been adopted for assessment of clinical performance 2,3. One instrument is not appropriate for all assessment but “Time to Task” warrants further study.
|Review Type||Abstract Review Only: Reviewed by Event Host|
nurse competency assessment;
time based assessments
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