Examination of standardized patient performance: accuracy and consistency of six standardized patients over time.

Examination of standardized patient performance: accuracy and consistency of six standardized patients over time.
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检查标准化患者表现:六名标准化患者的准确性和一致性。

DOI:
10.1016/j.pec.2010.10.005
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发表时间:
2011-11
影响因子:
3.5
通讯作者:
Biesecker BB
Biesecker BB
中科院分区:
医学2区
文献类型:
--
作者:
Erby LA;Roter DL;Biesecker BB

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探讨常规遗传咨询背景下标准化患者(SP)表现的准确性和一致性,重点关注脚本案例项目以外的元素,包括一般沟通风格和情感行为。177名遗传咨询师被随机分配到6个SP中的一个。对会议的录像带和记录进行了分析,以评估四个维度的表现一致性。在产前和癌症病例中,脚本项目呈现的准确性较高,分别为91%和89%。然而,在陈述的准确性、一般沟通风格和情感陈述的某些方面,SP之间存在统计学显著差异。所有战略计划都被评为具有类似的高水平的现实主义。随着时间的推移,SP性能通常是一致的,有一些小的,但统计学上显着的差异。这些研究结果表明,训练有素的SP不仅可以执行的事实元素的情况下,具有高度的准确性和现实主义,但他们也可以保持足够的水平的统一性,随着时间的推移,一般的沟通风格和情感的举止,以支持他们的使用,即使是在苛刻的遗传咨询的背景下。结果表明,需要进一步注重不同战略计划之间一致性的培训。
To explore the accuracy and consistency of standardized patient (SP) performance in the context of routine genetic counseling, focusing on elements beyond scripted case items including general communication style and affective demeanor. One hundred seventy-seven genetic counselors were randomly assigned to counsel one of six SPs. Videotapes and transcripts of the sessions were analyzed to assess consistency of performance across four dimensions. Accuracy of script item presentation was high; 91% and 89% in the prenatal and cancer cases. However, there were statistically significant differences among SPs in the accuracy of presentation, general communication style, and some aspects of affective presentation. All SPs were rated as presenting with similarly high levels of realism. SP performance over time was generally consistent, with some small but statistically significant differences. These findings demonstrate that well-trained SPs can not only perform the factual elements of a case with high degrees of accuracy and realism; but they can also maintain sufficient levels of uniformity in general communication style and affective demeanor over time to support their use in even the demanding context of genetic counseling. Results indicate a need for an additional focus in training on consistency between different SPs.
DOI: 10.1097/00001888-199708000-00019
发表时间: 1997-08-01
期刊: ACADEMIC MEDICINE
影响因子: 7.4
作者:
Hodges, B;Regehr, G;McNaughton, N
通讯作者: McNaughton, N
DOI: 10.1016/j.socscimed.2004.08.004
发表时间: 2005-04-01
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发表时间: 2004-10-01
影响因子: 1.9
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通讯作者: Lobb, Elizabeth A
DOI: 10.1002/ajmg.c.30094
发表时间: 2006-11-15
影响因子: 3.1
作者:
Roter, D.;Ellington, L.;Dudley, W.
通讯作者: Dudley, W.
DOI: 10.1001/jama.266.10.1390
发表时间: 1991-09-11
影响因子: 120.7
作者:
AINSWORTH, MA;ROGERS, LP;PETRUSA, ER
通讯作者: PETRUSA, ER