Procedural Fidelity

2013 ◽  
Vol 35 (2) ◽  
pp. 173-193 ◽  
Author(s):  
Jennifer R. Ledford ◽  
Mark Wolery
Keyword(s):  
Author(s):  
Joseph Perosky ◽  
Abdul Aref ◽  
Daniel Westcott ◽  
Robert Przybylski ◽  
Derek Woodrum ◽  
...  

Many trauma related surgical procedures cannot ethically be practiced by medical students or inexperienced doctors. Therefore, medical simulators that provide high anatomical and procedural fidelity are used. One of the most important things to monitor during such a procedure is the vital signs of the patient. One procedure for which this is important is a cricothyroidotomy, in which an incision through the skin and cricothyroid membrane is made to secure a patient’s airway during certain emergency situations in which an airway obstruction is present. The amount of cases per doctor is further amplified in many developing countries, with many of these clinicians not being able to practice before being in the real-life situation, partially due to the high cost of current simulators. Therefore, a low-cost cricothyroidotomy simulator with a live feedback system that tells the clinician the vital signs of the patient that they would be monitoring in such a situation that includes heart rate, blood pressure, respiratory rate, oxygen content, and ECG was developed.


2013 ◽  
Vol 24 (3-4) ◽  
pp. 332-348 ◽  
Author(s):  
Jennifer R. Ledford ◽  
David L. Gast

2017 ◽  
Vol 53 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Jennifer D. Walker ◽  
Colleen Barry

According to federal mandates, if a student’s behavior impedes their learning or the learning of others, the individualized education program team is required to address this with a functional behavioral assessment (FBA). The intent of the FBA is to determine the function, or reason, of the impeding behavior for the development of a behavioral intervention plan (BIP). The BIP process is a team-based approach that includes goals and interventions that result in positive behavior change. Procedural fidelity, or compliance with the plan, is of utmost importance to success of this process. Unfortunately, such integrity is often lacking, particularly when teachers carry the responsibility of implementing BIPs in the classroom. Therefore, capacity building within the school team is imperative to increase implementation fidelity of BIPs. This article provides practitioners with the tools to organize the monitoring and implementation of BIPs in classroom settings.


Author(s):  
Phil Strain ◽  
Lise Fox ◽  
Erin E. Barton

Although our field has made significant progress in the measurement of procedural fidelity in research studies, we argue for a more nuanced and expansive perspective on procedural fidelity. Specifically, we review the status quo of procedural fidelity measurement in intervention research along with specific suggestions for increasing both precision and focused research on the levels of procedural fidelity that are needed to maximize outcomes for individual participants. Second, we offer an expanded example of procedural fidelity by examining the data on the influence of typical peers, particularly on how the data influence a broad range of skills for individuals with severe disabilities. Finally, we examine the need for multiple layers of procedural fidelity assessment if we are to fully understand the vast array of contextual variables that can influence both procedural fidelity and child outcomes, particularly in a progression of research from initial efficacy assessment through scale-up and replication. We utilize the program-wide implementation of the Pyramid Model for illustrative purposes.


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