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Development of student simulated patient training and evaluation indicators in a high-fidelity nursing simulation: a Delphi consensus study† Cover

Development of student simulated patient training and evaluation indicators in a high-fidelity nursing simulation: a Delphi consensus study†

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Open Access
|Apr 2021

Figures & Tables

Figure 1

Strategic key elements of SSP training.
Strategic key elements of SSP training.

Figure 2

SSP training process and the design of simulated scenario.
SSP training process and the design of simulated scenario.

The weight of judgment basis (Ca)_

Judgment basisLargeMedianSmall
Theoretical knowledge0.300.200.10
Experience0.450.350.20
References0.200.150.10
Intuition0.050.050.05

Characteristics of participants in Delphi consultations (n = 20)_

Characteristicsn%M ± SD
Age (years)
  30–39315
  40–49840
  50–59945
Working area
  Clinical nursing630
  Nursing education1050
  Nursing management420
Academic degree
  Bachelor of nursing science525
  Master of nursing science840
  Doctor of philosophy in nursing science735
Job title/classification
  Senior registered nurse/senior lecturer525
  Associate professors735
  Professors840
  Nursing administrator420
  Nursing teacher/clinical preceptor1680
  Master supervisor945
  Doctor supervisor525
Research expertise
  Clinical nursing1050
  Nursing education1680
  Nursing management420
Years of experience in nursing25.55 ± 9.57
  5–9210
  9–19315
  20–29735
  30–40840

The descriptions of SSP evaluation indicators after expert consultations_

DimensionIndicatorImportanceCoefficient of variationWeight

MeanSD
1. Disease knowledge 3.870.630.160.211
1.1. Symptoms and signs3.800.770.200.041
1.2. Treatment and prognosis3.950.690.170.042
1.3. Physical examinations, laboratory and imaging examinations3.850.750.190.043
2. Role portrayal 4.630.290.060.253
2.1. Complete presentations of symptoms4.900.310.060.053
2.2. Complete presentations of signs4.750.440.090.051
2.3. Clear and fluent expression4.850.370.080.052
2.4. Consistency with the script plot4.850.370.080.052
2.5. Accurate and complete memory of plot lines4.850.370.080.052
2.6. Accurate and complete memory of case data4.900.310.060.053
2.7. Answer given only if be asked4.050.600.150.044
2.8. Respond promptly3.900.850.220.042
3. Performance fidelity 4.830.350.070.264
3.1. Mimicking symptoms4.950.220.050.054
3.2. Mimicking signs4.850.370.080.052
3.3. Mimicking tone and intonation4.750.550.120.051
3.4. Mimicking facial features and expression4.800.520.110.052
3.5. Mimicking postures and behaviors4.750.550.120.051
3.6. Realistic psychological and emotional responses4.850.370.080.052
4. Being a rater 4.950.220.050.271
4.1. Paying attention to students’ performance4.950.220.050.054
4.2. Completion of assessment4.950.220.050.054
4.3. Accuracy of assessment4.950.220.050.054

The description of the coordination of expert consultations_

ConsultationItemKendall’s Rank correlation test

Coordination coefficient (w)Degrees of freedomχ2 valueP value
First roundSSP training content
  Dimension0.377430.1590.000
  Indicator0.32616104.4000.000
SSP evaluation
  Dimension0.447435.7310.000
  Indicator0.31117105.8860.000

Second roundSSP training content
  Dimension0.918355.0910.000
  Indicator0.54816175.3510.000
SSP evaluation
  Dimension0.594447.5280.000
  Indicator0.53019201.5550.000

The descriptions of SSP training content after expert consultations_

DimensionIndicatorImportanceCoefficient of variationWeight

MeanSD
1. Role and responsibility of SP 4.250.290.070.239
1.1. SP concept3.950.600.150.053
1.2. The performance is consistent with the plot of the play4.800.410.090.064
1.3. Handling the events that may be encountered4.000.460.110.053
1.4. Each performance is consistent4.650.590.130.062
1.5. Punctuality and dedication3.850.490.130.051
2. Script interpretation 4.470.350.080.252
2.1. Disease knowledge: symptoms, signs, treatment4.050.390.100.054
2.2. The progress of script plot4.750.440.090.063
2.3. Characteristics of patient4.850.370.080.065
2.4. Health concerns4.700.570.120.063
2.5. The relevant physical examinations, and laboratory and imaging examinations4.000.560.140.053
3. Plot performance 4.550.360.080.257
3.1. Memory: medical history and health concerns3.750.690.170.049
3.2. Demonstrations of symptoms4.800.410.090.064
3.3. Demonstrations of signs4.800.520.110.064
3.4. Demonstrations of psychological and emotional responses4.850.490.100.065
4. Training for a rater 4.450.440.100.251
4.1. Assessment content4.800.520.110.064
4.2. Scoring criteria for each indicator4.700.570.120.063
4.3. Paying attention to students’ performance3.850.590.150.051
DOI: https://doi.org/10.2478/fon-2021-0003 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 23 - 31
Submitted on: Jun 8, 2020
Accepted on: Jul 21, 2020
Published on: Apr 30, 2021
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2021 Hao-Bin Yuan, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.