scholarly journals Tools for measuring technical skills during gynaecologic surgery: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Louise Inkeri Hennings ◽  
Jette Led Sørensen ◽  
Jane Hybscmann ◽  
Jeanett Strandbygaard
Keyword(s):  
Scoping Review ◽  
Rating Scales ◽  
Assessment Tool ◽  
Technical Skills ◽  
Assessment Tools ◽  
Global Rating ◽  
Inclusion Criteria ◽  
Observational Assessment ◽  
Specific Error ◽  
Gynaecologic Surgery

Abstract Background Standardised assessment is key to structured surgical training. Currently, there is no consensus on which surgical assessment tool to use in live gynaecologic surgery. The purpose of this review is to identify assessment tools measuring technical skills in gynaecologic surgery and evaluate the measurement characteristics of each tool. Method We utilized the scoping review methodology and searched PubMed, Medline, Embase and Cochrane. Inclusion criteria were studies that analysed assessment tools in live gynaecologic surgery. Kane’s validity argument was applied to evaluate the assessment tools in the included studies. Results Eight studies out of the 544 identified fulfilled the inclusion criteria. The assessment tools were categorised as global rating scales, global and procedure rating scales combined, procedure-specific rating scales or as a non-procedure-specific error assessment tool. Conclusion This scoping review presents the current different tools for observational assessment of technical skills in intraoperative, gynaecologic surgery. This scoping review can serve as a guide for surgical educators who want to apply a scale or a specific tool in surgical assessment.

scholarly journals Picking the Right Tool for the Job: A Reliability Study of 4 Assessment Tools for Central Venous Catheter Insertion

2019 ◽  
Vol 11 (4) ◽  
pp. 422-429
Author(s):  
Jason A. Lord ◽  
Danny J. Zuege ◽  
Maria Palacios Mackay ◽  
Amanda Roze des Ordons ◽  
Jocelyn Lockyer
Keyword(s):  
Intensive Care ◽  
Central Venous Catheter ◽  
Rating Scales ◽  
Assessment Tool ◽  
Generalizability Theory ◽  
Venous Catheter ◽  
Assessment Tools ◽  
Global Rating ◽  
Central Venous ◽  
The Right

ABSTRACT Background Determining procedural competence requires psychometrically sound assessment tools. A variety of instruments are available to determine procedural performance for central venous catheter (CVC) insertion, but it is not clear which ones should be used in the context of competency-based medical education. Objective We compared several commonly used instruments to determine which should be preferentially used to assess competence in CVC insertion. Methods Junior residents completing their first intensive care unit rotation between July 31, 2006, and March 9, 2007, were video-recorded performing CVC insertion on task trainer mannequins. Between June 1, 2016, and September 30, 2016, 3 experienced raters judged procedural competence on the historical video recordings of resident performance using 4 separate tools, including an itemized checklist, Objective Structured Assessment of Technical Skills (OSATS), a critical error assessment tool, and the Ottawa Surgical Competency Operating Room Evaluation (O-SCORE). Generalizability theory (G-theory) was used to compare the performance characteristics among the tools. A decision study predicted the optimal testing environment using the tools. Results At the time of the original recording, 127 residents rotated through intensive care units at the University of Calgary, Alberta, Canada. Seventy-seven of them (61%) met inclusion criteria, and 55 of those residents (71%) agreed to participate. Results from the generalizability study (G-study) demonstrated that scores from O-SCORE and OSATS were the most dependable. Dependability could be maintained for O-SCORE and OSATS with 2 raters. Conclusions Our results suggest that global rating scales, such as the OSATS or the O-SCORE tools, should be preferentially utilized for assessment of competence in CVC insertion.

Development of a sustainability rating tool for heritage buildings: future implications

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Abobakr Al-Sakkaf ◽  
Tarek Zayed ◽  
Ashutosh Bagchi ◽  
Sherif Mahmoud ◽  
David Pickup
Keyword(s):  
Rating Scales ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Local Context ◽  
Global Rating ◽  
Rating Systems ◽  
Content Type ◽  
Building Assessment ◽  
Heritage Buildings ◽  
Heritage Building

PurposeHeritage buildings are significant for their historical and architectural value. Due to the lack of rating systems designed specifically for heritage buildings, it is essential to develop and validate a heritage building assessment tool that considers its specific characteristics. The purpose of this study is to provide an extensive review of research on Sustainability of Heritage Buildings (SHBs).Design/methodology/approachThis review highlights methodologies applied in SHBs research and analyzes major global rating systems in order to identify their deficiencies for SHBs assessment. A systematic review was employed and articles from the top 10 high impact factor journals were studied. Twelve major global rating systems and their assessment criteria were identified.FindingsSignificant variability was observed among the assessment tools since each tool assesses several criteria, factors and indicators that fit its local context. Part of this variability can also be seen in the rating scales, threshold values and accreditation titles. As a result, the final sustainability ranking for a given building cannot be compared among the 12 rating systems. Most importantly, these systems fail to analyze some factors such as energy that are considered important with respect to heritage building assessment.Originality/valueSince no specific rating system could be identified in this review as the most appropriate for heritage buildings, a new sustainability assessment tool that is specific to heritage buildings should be developed. Such a tool will enable facility managers to evaluate and improve the sustainability of their heritage buildings while preserving them.

Objective structured assessment of technical skill in temporal bone dissection: validation of a novel tool

2021 ◽  
pp. 1-11
Author(s):  
M Stavrakas ◽  
G Menexes ◽  
S Triaridis ◽  
P Bamidis ◽  
J Constantinidis ◽  
...  
Keyword(s):  
Temporal Bone ◽  
Rating Scale ◽  
Assessment Tool ◽  
Three Dimensional ◽  
Technical Skills ◽  
Technical Skill ◽  
Global Rating Scale ◽  
Global Rating ◽  
Validity And Reliability ◽  
Cortical Mastoidectomy

Abstract Objective This study developed an assessment tool that was based on the objective structured assessment for technical skills principles, to be used for evaluation of surgical skills in cortical mastoidectomy. The objective structured assessment of technical skill is a well-established tool for evaluation of surgical ability. This study also aimed to identify the best material and printing method to make a three-dimensional printed temporal bone model. Methods Twenty-four otolaryngologists in training were asked to perform a cortical mastoidectomy on a three-dimensional printed temporal bone (selective laser sintering resin). They were scored according to the objective structured assessment of technical skill in temporal bone dissection tool developed in this study and an already validated global rating scale. Results Two external assessors scored the candidates, and it was concluded that the objective structured assessment of technical skill in temporal bone dissection tool demonstrated some main aspects of validity and reliability that can be used in training and performance evaluation of technical skills in mastoid surgery. Conclusion Apart from validating the new tool for temporal bone dissection training, the study showed that evolving three-dimensional printing technologies is of high value in simulation training with several advantages over traditional teaching methods.

scholarly journals Emergency care education in South Africa and the unique requirement of physical preparedness: A scoping review

2021 ◽  
Vol 18 ◽  
Author(s):  
Dagmar Muhlbauer ◽  
Craig Vincent-Lambert ◽  
Yoga Coopoo
Keyword(s):  
Higher Education ◽  
Scoping Review ◽  
Emergency Care ◽  
Assessment Tool ◽  
Current Knowledge ◽  
Assessment Tools ◽  
Knowledge Gap ◽  
Care Education ◽  
Narrative Literature Review ◽  
Task Oriented

Introduction The Bachelor Degree in Emergency Medical Care (BEMC) is a unique program in that students operate in both emergency care and rescue contexts, unlike international paramedic degree programs which focus only on emergency care. The learning activities associated with the rescue content are physically strenuous and therefore BEMC students need to be physically and mentally prepared to engage in diverse austere environments. Although South African BEMC programs have a common medical rescue curriculum, approaches to the training and assessment of physical preparedness vary between the institutions. The objective of this research was to explore the knowledge gap through the review of literature that describes the unique physical preparedness requirements in the field of emergency care education. Methods We conducted a scoping review in the form of a narrative literature review. Results Seventy-five (n) articles were initially identified, however, only four were relevant to the objective of this study. This highlighted the paucity of literature describing the unique physical fitness requirements of the BEMC program and the current challenges experienced by educators in the field. Conclusion While physical preparedness training exists in higher education institutes and there are assessments conducted at these higher education institutes, none of these assessment tools have yet been scientifically validated which creates a challenge for educators. The current knowledge gap within EMC education is therefore the absence of a scientifically validated task-oriented physical preparedness assessment tool which addresses the desired physical attributes and abilities of EMC students linked to the BEMC curriculum and associated learning experiences.

Assessment of technical skills in simulated oncoplastic wide local excision – Construct validity of procedure specific global rating scales

2014 ◽  
Vol 40 (5) ◽  
pp. 629 ◽  
Author(s):  
Daniel Leff ◽  
George Petrou ◽  
Stella Mavroveli ◽  
Daniel Cocker ◽  
Monika Bersihand ◽  
...  
Keyword(s):  
Construct Validity ◽  
Local Excision ◽  
Wide Local Excision ◽  
Rating Scales ◽  
Technical Skills ◽  
Global Rating

scholarly journals Cognitive Assessment and Rehabilitation for Pediatric-Onset Multiple Sclerosis: A Scoping Review

Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 183
Author(s):  
Wei-Sheng Lin ◽  
Shan-Ju Lin ◽  
Ting-Rong Hsu
Keyword(s):  
Multiple Sclerosis ◽  
Scoping Review ◽  
Cognitive Assessment ◽  
Cognitive Rehabilitation ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Systematic Research ◽  
Computer Assisted ◽  
Clinical Issue ◽  
Pediatric Onset

Cognitive impairment is increasingly recognized as an important clinical issue in pediatric multiple sclerosis (MS). However, variations regarding its assessment and remediation are noted in clinical arena. This scoping review aims to collate available evidence concerning cognitive assessment tool and cognitive rehabilitation for pediatric MS. We performed a systematic search of electronic databases (MEDLINE, PubMed, CINAHL Plus, and Web of Science) from inception to February 2020. Reference lists of included articles and trial registers were also searched. We included original studies published in English that addressed cognitive assessment tools or cognitive rehabilitation for pediatric-onset MS. Fourteen studies fulfilled our inclusion criteria. Among them, 11 studies evaluated the psychometric aspects of various cognitive assessment tools in the context of pediatric MS, and different neuro-cognitive domains were emphasized across studies. There were only three pilot studies reporting cognitive rehabilitation for pediatric-onset MS, all of which used home-based computerized programs targeting working memory and attention, respectively. Overall, more systematic research on cognitive assessment tools and rehabilitation for pediatric MS is needed to inform evidence-based practice. Computer-assisted cognitive assessment and rehabilitation appear feasible and deserve further studies.

scholarly journals Effects of task constraints on training workload in elite women’s soccer

2019 ◽  
Vol 15 (1) ◽  
pp. 99-107 ◽  
Author(s):  
Sergio J Ibáñez ◽  
Emilio Pérez-Goye ◽  
Javier García-Rubio ◽  
Javier Courel-Ibáñez
Keyword(s):  
Heart Rate ◽  
Assessment Tool ◽  
Study Data ◽  
Training Load ◽  
Assessment Tools ◽  
Integrative Approach ◽  
Observational Assessment ◽  
Task Constraints ◽  
Integrative Assessment ◽  
Women's Soccer

The purposes of this study were to identify which major constraints contribute to greater task workload and to determine distinctive training task profiles using an integrative approach during a regular season from a professional women’s soccer team. Twenty-seven elite soccer players from a team competing in the first Spanish women’s soccer league participated in this study. Data were obtained from 46 training sessions (112 training tasks) along five competitive months. Workload measures were collected using the SIATE integrative assessment tool and heart rate monitors during the team’s regular training routine. Results from cluster analysis effectively classified four types of training activities that caused a distinct physiological response from players. The most relevant constraints that increased the task workload were, in order of influence: interaction possibilities, opposition degree, simultaneous participation, game space, competitive workload and intensity. In turn, internal training load monitoring by heart rate seems to be worthless during technical-tactical soccer drills. These results provide coaches an easy, affordable and more informative tool to quantify the training workload. Whereas this information requires observational assessment tools to be obtained, these methods should be considered as a complement to wearables devices for training load control and monitoring in field sports.

scholarly journals A Comprehensive Evaluation of Studies on the Adverse Effects of Medications in Australian Aged care Facilities: A Scoping Review

Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 56
Author(s):  
Haider Qasim ◽  
Maree Simpson ◽  
Yann Guisard ◽  
Barbora de Courten
Keyword(s):  
Adverse Effects ◽  
Older People ◽  
Scoping Review ◽  
Adverse Drug Events ◽  
Assessment Tool ◽  
The Elderly ◽  
Aged Care ◽  
Inclusion Criteria ◽  
Care Facilities ◽  
Aged Care Facilities

Aim: this scoping review was designed to identify studies that assess adverse drug reactions (ADRs) for older people in Australian aged care facilities. This review critically evaluates each published study to identify the risk of, or actual, adverse drug events in older people. Inclusion criteria: this review considered any clinical studies that examined the adverse effects of medications in older people who were living in aged care facilities. This review considered qualitative studies, analytical studies, randomized controlled trials (RCTs), descriptive cross-sectional studies, and analytic observational studies that explored the use of medications and their adverse effects on older people in clinical settings (including aged care facilities). Methods: an initial search of the PubMed (United State National Library of Medicine), OvidSP, EBSCOHost, ScienceDirect, Wiley Online, SAGE, and SCOPUS databases, with full text was performed, followed by an analysis of the article’s title and abstract. Additionally, MeSH (Medical Subject Headings) was used to describe the article. The initial round of the database search was based on inclusion criteria from studies that assessed tools or protocols aiming to identify the adverse effects of medications on the elderly population suffering chronic conditions or multiple co-morbidities. Two reviewers screened the retrieved papers for inclusion. The data presented in this review are in tabular forms and accompanied by a narrative summary which aligns with the review’s objectives. Results: seven studies were identified, and the extracted data from these studies were grouped according their characteristics and the auditing results of each study. Conclusion: it would be beneficial to design a comprehensive or broadly adverse drug reaction assessment tool derived from Australian data that has been used on the elderly in an Australian healthcare setting.

scholarly journals Assessing Professionalism in Medicine – A Scoping Review of Assessment Tools from 1990 to 2018

2020 ◽  
Vol 7 ◽  
pp. 238212052095515
Author(s):  
Kuang Teck Tay ◽  
Shea Ng ◽  
Jia Min Hee ◽  
Elisha Wan Ying Chia ◽  
Divya Vythilingam ◽  
...  
Keyword(s):  
Scoping Review ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Medical Professionalism ◽  
Culturally Appropriate ◽  
Scoping Reviews ◽  
Competency Based ◽  
Specific Competency ◽  
Context Specific ◽  
Patient Relationships

Background: Medical professionalism enhances doctor-patient relationships and advances patient-centric care. However, despite its pivotal role, the concept of medical professionalism remains diversely understood, taught and thus poorly assessed with Singapore lacking a linguistically sensitive, context specific and culturally appropriate assessment tool. A scoping review of assessments of professionalism in medicine was thus carried out to better guide its understanding. Methods: Arksey and O’Malley’s (2005) approach to scoping reviews was used to identify appropriate publications featured in four databases published between 1 January 1990 and 31 December 2018. Seven members of the research team employed thematic analysis to evaluate the selected articles. Results: 3799 abstracts were identified, 138 full-text articles reviewed and 74 studies included. The two themes identified were the context-specific nature of assessments and competency-based stages in medical professionalism. Conclusions: Prevailing assessments of professionalism in medicine must contend with differences in setting, context and levels of professional development as these explicate variances found in existing assessment criteria and approaches. However, acknowledging the significance of context-specific competency-based stages in medical professionalism will allow the forwarding of guiding principles to aid the design of a culturally-sensitive and practical approach to assessing professionalism.

scholarly journals OUTCOMES MEASUREMENT IN EARLY-STAGE MEMORY LOSS INTERVENTIONS: A SCOPING REVIEW

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S596-S596
Author(s):  
Anita Marie Souza ◽  
Boeun Kim ◽  
Christina Miyawaki ◽  
Basia Belza ◽  
Mee Kyung Lee ◽  
...  
Keyword(s):  
Scoping Review ◽  
Intervention Studies ◽  
Early Stage ◽  
Controlled Trial ◽  
Memory Loss ◽  
Assessment Tools ◽  
Psychosocial Assessment ◽  
Inclusion Criteria ◽  
Psychoeducational Groups ◽  
Measurement Tools

Abstract Psychosocial and psychoeducational groups are widely recommended for individuals with early stage Alzheimer’s disease and related dementias (ADRD). However, measurement challenges have hindered researchers’ efforts to demonstrate the efficacy of these groups. The purpose of this scoping review was to identify common measurement tools used in interventions for individuals with early stage ADRD and to develop suggestions for future investigations. CINAHL, Embase, PsycINFO, and PubMed were searched; 102 studies were reviewed. Inclusion criteria were set to capture intervention studies that utilized quantifiable measures with participants over age 50. Eleven articles met inclusion criteria. The majority of studies (73%) employed randomized controlled trial designs. Sample sizes ranged from N=20-236. Most commonly measured outcomes included depression, self-efficacy, self-esteem, and quality of life, but there was little consensus on how to best measure these outcomes. Standardization of psychosocial assessment tools are needed for future intervention studies with early stage ADRD.

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