Validation of a self-assessment questionnaire of clinical competencies acquired in intrahospital simulated clinical practice
DOI:
https://doi.org/10.56294/saludcyt20241105Keywords:
Simulation Training, Professional Practice, High Fidelity Simulation TrainingAbstract
Introduction: in-hospital simulated clinical practice is essential in the training of health career students, since it allows them to develop technical and non-technical skills for effective interprofessional collaborative practice. However, there are not many validated instruments that evaluate the development of these competencies. The objective of this study was to determine the psychometric properties of a self-assessment questionnaire of clinical skills acquired in simulated in-hospital clinical practice in an interdisciplinary group of students.
Method: a quantitative descriptive study was carried out. The sample included 312 students from 6 health programs at a private Chilean university, who completed 25 hours of simulated interprofessional internships. A 14-item self-assessment questionnaire with 5 response categories was applied, validated by experts. Internal consistency was evaluated using Cronbach’s alpha and an exploratory and confirmatory factor analysis was performed.
Results: the factor analysis confirmed a structure of 4 dimensions: ethical values, roles and responsibilities, interprofessional communication and teamwork. The response averages were very high, close to 5 (totally agree). Pearson correlations were high (>0,6) for most items. The overall Cronbach’s alpha was 0,94.
Conclusions: the questionnaire showed adequate psychometric properties to evaluate the self-perception of clinical skills acquired in interprofessional simulated practice
References
1. López-Medina IM, Sánchez-Criado V. Percepción del estrés en estudiantes de enfermería en las prácticas clínicas. Enferm Clin. 2005;15(6):307–13. http://dx.doi.org/10.1016/s1130-8621(05)71136-0
2. Moya Nicolás M, Larrosa Sánchez S, López Marín C, López Rodríguez I, Morales Ruiz L, Simón Gómez Á. Percepción del estrés en los estudiantes de Enfermería ante sus prácticas clínicas. Enferm Glob. 2013;12(3). http://dx.doi.org/10.6018/eglobal.12.3.166261
3. López F V, López M MJ. Situaciones generadoras DE estrés en Los estudiantes DE enfermería en Las prácticas clínicas. Cienc Enferm (Impresa). 2011;17(2):47–54. http://dx.doi.org/10.4067/s0717-95532011000200006
4. Bastidas-Bilbao H. H, Universidad de los Andes, Velásquez A. M. AM. Modelo lógico de la supervisión como actividad educativa para la formación en psicología clínica: concepciones de supervisores clínicos. Av Psicol Latinoam.2016;34(2):293–314. http://dx.doi.org/10.12804/apl34.2.2016.06
5. OMS [Internet]. Informe sobre la salud en el mundo 2010. 2010. Disponible en: https://www.who.int/es/director-general/speeches/detail/the-world-health-report-2010
6. INACSL standards of best practice: SimulationSM simulation-enhanced interprofessional education (Sim-IPE). Clin Simul Nurs. 2016;12:S34–8. Disponible en: http://dx.doi.org/10.1016/j.ecns.2016.09.011
7. la Rosa-Salas V, Arbea Moreno L, Vidaurreta Fernández M, Sola Juango L, Marcos Álvarez B, Rodríguez Díez C, et al. Educación interprofesional: una propuesta de la Universidad de Navarra. Educ médica. 2020;21(6):386–96. http://dx.doi.org/10.1016/j.edumed.2020.07.001
8. Rodríguez S, Condés E, Arriaga A. Irrupción de la simulación clínica online en tiempos de COVID-19. Una experiencia ilustrativa de asignatura en el Grado de Psicología. Educ médica. 2021;24(2):101. http://dx.doi.org/10.33588/fem.242.1118
9. Meneses Castaño CY, Jimenez Becerra I, Penagos Gomez PT. Simulación clínica mediada por tecnología: un escenario didáctico a partir de recursos para la formación de los profesionales en rehabilitación. Educ médica. 2023;24(4):100810. http://dx.doi.org/10.1016/j.edumed.2023.100810
10. Clinical simulation and the COVID-19 pandemic. Where do we come from? Where do we want to go? An Sist Sanit Navar. 2020;43(2):125–9. http://dx.doi.org/10.23938/assn.0887
11. Ferre A, Benites M, Jan NVS, Hernandez N, Peña A, Sepulveda MI, et al. Evaluación de la percepción de los participantes de un programa de entrenamiento con simulación in situ en un centro de paciente crítico adulto. Rev médica Clín Las Condes. 2023;34(3):204–9. http://dx.doi.org/10.1016/j.rmclc.2023.03.009
12. Randazzo ME, Teragni E. Practice in simulators as a means of acquiring skills. Gamification and Augmented Reality. 2023;1:9. https://doi.org/10.56294/gr20239
13.Roco Videla Á, Hernández Orellana M, Silva González O. What is the appropriate sample size to validate a questionnaire? Nutr Hosp. 2021; 38(4), 877–878 http://dx.doi.org/10.20960/nh.03633
14.Rivero-López CA, Vega-Rodríguez MF, Yap-Campos K, Jiménez-Galván I, Ponce-Rosas ER, Martínez-González A. La evaluación de la competencia clínica a través de un Web-ECOE: una experiencia de aplicación. Investig educ médica. 2021;10(38):68–75. http://dx.doi.org/10.22201/fm.20075057e.2021.38.21341
15.Vela J, Contreras C, Jarry C, Varas J, Corvetto M. Recomendaciones generales para elaborar un programa de entrenamiento basado en simulación para desarrollar competencias en pregrado y postgrado. Revista Latinoamericana de Simulación Clínica. 2020;2(1):26–38. http://dx.doi.org/10.35366/92936
16. Parra DI, Tiga Loza DC, Domínguez Nariño CC, Navas Torres J. Evaluación de las competencias clínicas en estudiantes de enfermería. Rev Cuid. 2016;7(2):1271. http://dx.doi.org/10.15649/cuidarte.v7i2.322
17. Orjuela DV, Osses MH. Percepción de la simulación clínica como estrategia de enseñanza para el desarrollo de competencias transversales en terapia ocupacional. Cad Bras Ter Ocup. 2021;29. http://dx.doi.org/10.1590/2526-8910.ctoao2199
Published
Issue
Section
License
Copyright (c) 2024 Blanca Aguila Millaquen, Angel Roco-Videla, Pamela Paredes Miño, Alejandro Lara Muñoz, María Eugenia Espinoza Garrido (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
