The use of scoring rubrics to determine clinical performance in the operating suite

Nicholson, Patricia, Gillis, Shelley and Dunning, A.M. Trisha 2009, The use of scoring rubrics to determine clinical performance in the operating suite, Nurse education today, vol. 29, no. 1, pp. 73-82, doi: 10.1016/j.nedt.2008.06.011.

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Title The use of scoring rubrics to determine clinical performance in the operating suite
Author(s) Nicholson, PatriciaORCID iD for Nicholson, Patricia
Gillis, Shelley
Dunning, A.M. TrishaORCID iD for Dunning, A.M. Trisha
Journal name Nurse education today
Volume number 29
Issue number 1
Start page 73
End page 82
Total pages 10
Publisher Elsevier
Place of publication London, England
Publication date 2009-01
ISSN 0260-6917
Keyword(s) competence
inter-rater reliability
competency-based assessment
item separation index
Summary Summary : This research evolved out of the need to examine the validity and inter-rater reliability of a set of performance-based scoring rubrics designed to measure competencies within the operating suite.

Method : Both holistic and analytical rubrics were developed aligned to the ACORN Standard [Australian College of Operating Room Nurses Standard NR4, 2004. ACORN Competency Standards for Perioperative Nurses: Standard NR4: The Instrument Nurse in the Perioperative Environment. Australian College of Operating Room Nurses Ltd, Adelaide] and underpinned by the Dreyfus model (1981). Three video clips that captured varying performance of nurses performing as instrument nurses in the operating suite were recorded and used as prompts by expert raters, who judged the performance using the rubrics.

Results :
The study found that the holistic rubrics led to more consistent judgments than the analytical rubrics, yet the latter provided more diagnostic information for intervention purposes. Despite less consistency, the Analytical Observation Form had sufficient construct validity to satisfy the requirements of criterion referencing as determined by the Item Separation Index (Rasch, 1960), including high internal consistency and greater inter-rater reliability when average ratings were used.

Conclusion :
The study was an empirical investigation of the use of concomitant Analytical and Holistic Rubrics to determine various levels of performance in the operating suite including inter-rater reliability. The methodology chosen was theoretically sound and sufficiently flexible to be used to develop other competencies within the operating suite.
Language eng
DOI 10.1016/j.nedt.2008.06.011
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 0 Not Applicable
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
HERDC collection year 2009
Copyright notice ©2008, Elsevier Ltd.
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Created: Tue, 08 Sep 2009, 15:19:53 EST by Deborah Wittahatchy

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