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KMID : 0388320170240030189
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Journal of Korean Academy of Fundamental Nursing
2017 Volume.24 No. 3 p.189 ~ p.199
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Comparison of Standardized Patient and Faculty Agreement in Evaluating Nursing Students’ Assessment and Communication Skills
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Kim Young-Ju
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Abstract
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Purpose: This study was conducted to examine the level of agreement between a standardized patient (SP) and a faculty member in the evaluation of nursing students’assessment and communication skills.
Methods: Participants were 51 third year nursing students in a simulation practice of ‘nursing care for a patient admitted with chest pain’. Using a 30-item checklist and a 16-item communication tool, a SP and faculty member evaluated the students’ assessment and communication skills during the simulation.
Results: The average values for percent agreement and kappa statistic for nursing assessment between the two evaluators were 85.3% and .48 respectively. Twenty of thirty items evaluating assessment skill had above moderate agreement (≥.41) by kappa between the evaluators. Seven of sixteen items evaluating communication and interpersonal skills showed above fair agreement (≥.40) between the two evaluators, which was measured by intraclass correlation coefficient.
Conclusion: The findings show that the evaluation of the SP was consistent with those of the faculty member to a moderate degree. Clear guidelines for evaluating criteria and optimal time and effort for SP training are necessary to increase the reliability of standardized patients as evaluators in simulation-based nursing education.
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KEYWORD
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Patient simulation, Communication, Nursing education, Inter-observer variation
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