Exploring the Development of an Interprofessional Situational Judgment Test

J. Jessen, K. Somers, Julie A. Manz, S. Foster, Kimberly Beran-Shepler
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Abstract

INTRODUCTION Although the prevalence of interprofessional education (IPE) is increasing, research measuring competency in IPE is underdeveloped (MacDonald et al., 2010; Shrader et al., 2017). Interprofessional assessment tools are plentiful, but most rely on self-report rather than performance data. Thus, the purpose of this study was to develop a computer-based situational judgment test to evaluate health professional student preparedness for interprofessional practice. METHODS The investigators developed the Creighton Interprofessional Situational Judgment Test (C-IPSJT) which includes nine interprofessional clinical case scenarios, each with multiple questions reflecting IPEC competencies. Subsequently, focus groups representing both IPE and health education experts were convened to assess the C-IPSJT. RESULTS Qualitative analysis revealed several themes. Participants found that the C-IPSJT was a novel assessment of interprofessional skills and case scenarios presented were reflective of current clinical practice. Challenges were found in understanding the role of the test taker, discerning correct responses, and the need for further validity testing. Additional themes included the impact team dynamics have on learner responses and how student responses could be affected by their place on the learning continuum. DISCUSSION Findings from the initial testing of the C-IPSJT demonstrate positive content validity through two independent content expert reviews. Content experts identified that the C-IPSJT could be a viable mechanism to differentiate between novice and competent health professional students. Future research includes item revision, testing over a larger sample in which psychometric properties and item analysis can be studied, and establishing content validity.
跨专业情境判断测验的开发探讨
虽然跨专业教育(IPE)的普及程度越来越高,但对跨专业教育胜任力的测量研究并不发达(MacDonald et al., 2010;Shrader et al., 2017)。跨专业评估工具很多,但大多数依赖于自我报告,而不是绩效数据。因此,本研究的目的是开发一种基于计算机的情境判断测试来评估卫生专业学生对跨专业实践的准备。方法研究人员开发了克赖顿跨专业情景判断测试(C-IPSJT),该测试包括9个跨专业临床病例场景,每个场景都有多个反映IPEC能力的问题。随后,代表国际健康教育专家和健康教育专家的焦点小组被召集来评估C-IPSJT。结果定性分析揭示了几个主题。参与者发现C-IPSJT是一种新的跨专业技能评估,所呈现的案例场景反映了当前的临床实践。在理解测试者的角色、辨别正确的回答以及进一步有效性测试的必要性方面发现了挑战。其他主题包括团队动态对学习者反应的影响,以及学生在学习连续体中的位置如何影响他们的反应。C-IPSJT的初步测试结果通过两个独立的内容专家评审证明了积极的内容效度。内容专家认为,C-IPSJT可能是区分初级卫生专业学生和合格卫生专业学生的可行机制。未来的研究包括项目修订,在更大的样本上测试,其中心理测量特性和项目分析可以研究,以及建立内容效度。
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