Elisa Andrea COBO-MEJÍA, Carolina SANDOVAL, Angélica VİLLARRAGA, Margareth ALFONSO, Adriana CATELLANOS, Martha ACOSTA, Yudhy RONDÓN, Ruth GOYENECHE, Rocío CATELLANOS

VALIDITY AND RELIABILITY OF AN OSCE FOR CLINICAL REASONING IN PHYSIOTHERAPY

Giriş. Bir değerlendirme aracı olan Hedef Yapılandırılmış Klinik Muayene (AGİT), klinik muhakeme ile ilgili becerilerin ölçülmesini garanti etmek için bir doğrulama süreci gerektirir. AGİT, mesleki uygulama oluşturma sürecinde karar verme süreciyle ilgilidir. Amaç. Klinik akıl yürütme için bir fizyoterapi lisans programı sırasında bir AGİT'in içerik geçerliliğini ve değerlendiriciler arası güvenilirliğini belirlemek. Malzemeler ve yöntemler. İçerik geçerliliğini iç tutarlılık (Cronbach's alpha) yoluyla tanımlayan araçsal tasarım, değerlendiriciler arası güvenilirliğin (sınıf içi korelasyon katsayısı) tanınmasına katkıda bulundu. Sonuçlar. Enstrüman, iyi bir iç tutarlılık ve esaslıdan neredeyse mükemmele doğru bir düzeyde uyum gösterir. Sonuçlar. AGİT, fizyoterapi öğrencilerinde klinik akıl yürütme becerilerini değerlendirmek için uygun bir araç olduğunu kanıtladı; bununla birlikte, bu doğrulama sürecinin istasyon sayısında ve fizyoterapiye yeterli uygulamanın olmamasıyla ilgili sınırlamaları vardır.

Anahtar Kelimeler:

Clinical skill, Educational assessment, Health education, Physiotherapy, Validity of tests

VALIDITY AND RELIABILITY OF AN OSCE FOR CLINICAL REASONING IN PHYSIOTHERAPY

Introduction. The Objective Structured Clinical Examination (OSCE), an evaluation instrument, requires a validation process to guarantee the measurement of skills related to clinical reasoning. The OSCE is relevant for decision making during the formation process for professional practice. Objective. To determine the content validity and inter-rater reliability of an OSCE during a physiotherapy undergraduate programme for clinical reasoning. Materials and Methods. Instrumental design, which identified content validity through internal consistency (Cronbach’s alpha), added to recognition of the inter-rater reliability (intraclass correlation coefficient). Results. The instrument demonstrates good internal consistency and a degree of agreement from substantial to almost perfect. Conclusions. The OSCE proved a suitable instrument to assess the clinical reasoning skill in physiotherapy students; nevertheless, this validation process has limitations in the number of stations and in not having sufficient application to physiotherapy.

Keywords:

Clinical skill,

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