Designing Nursing Staff Competency Assessment Using Simulation

Hagler, Debra; Wilson, Rebecca

doi:10.1016/j.jradnu.2013.10.001

Cited by 9 publications

(7 citation statements)

References 12 publications

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“…Use of simulation to mimic real-life situations may be beneficial for training and competency assessment of superusers for this high-risk skill. 21 Additionally, an institutional process should be developed for procedural documentation and performance improvement opportunities. A copy of the CORTRAK insertion tracing should be included in the patient's permanent record for all CORTRAKassisted insertions of feeding tubes.…”

Section: Recommendations For Practicementioning

confidence: 99%

Cortrak-Assisted Feeding Tube Insertion: A Comprehensive Review of Adverse Events in the MAUDE Database

Bourgault

Aguirre

Ibrahim

2017

American Journal of Critical Care

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Background Electromagnetic devices to guide feeding tube placement such as the CORTRAK Enteral Access System have shown promising results; however, researchers in recent studies have expressed concern that a higher level of user expertise may be required for safe use. Objectives To review adverse events related to CORTRAK-assisted feeding tube insertion reported in the Food and Drug Administration’s Manufacturer and User Facility Device Experience (MAUDE) database. Methods A retrospective, secondary analysis of the MAUDE database was performed to evaluate adverse events (ie, injury or death of patient) related to CORTRAK. Results Fifty-four adverse events between January 1, 2006 and February 29, 2016 were identified and reviewed. Most events (98%) involved feeding tube placement in the lungs (37%, left lung; 46%, right lung; 15%, not specified). Lung complications included pneumothorax (77%) and pneumonitis (21%). Death occurred in 17% of lung placements. Clinicians failed to recognize placement in 89% of CORTRAK insertion tracings reviewed. Conclusions Lung placement is not unique to CORTRAK and is an inherent risk of all feeding tube insertions. In known or suspected lung placement, feeding tubes should be removed and radiography performed to assess for pneumothorax. Clinicians must observe closely for lung placement and discriminate lung from gastric placement on insertion tracings. Clinicians require specialized training and experience to develop competency in using the CORTRAK device, although the exact amount of experience needed is unknown.

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Section: Recommendations For Practicementioning

confidence: 99%

Cortrak-Assisted Feeding Tube Insertion: A Comprehensive Review of Adverse Events in the MAUDE Database

Bourgault

Aguirre

Ibrahim

2017

American Journal of Critical Care

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“…Performance levels have been minimally discussed in the literature, and there is no consensus on the ideal number of descriptive levels in a rubric [5]. According to Popham [35], three to five levels should be considered; Stevens and Levi [36] recommend a minimum of three levels; Brookhart [34] recommends a maximum of four levels.…”

Section: Rubrics For Assessmentmentioning

confidence: 99%

“…It defines individual competence as the application of knowledge, skills, and abilities to achieve the desired results [3] but does not describe assessment methods in detail. Therefore, it is necessary to plan the assessment and develop an instrument to support the assessment of competences [5]. Moreover, the ICB presents a competence Educ.…”

Section: Introductionmentioning

confidence: 99%

Rubric’s Development Process for Assessment of Project Management Competences

et al. 2022

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Assessment rubrics are recognized for their positive effects, being defined as an evaluative instrument that establishes assessment criteria and performance levels. In this sense, assessment rubrics can be associated with professional practices for more authentic assessment processes. In the context of Project Management, the International Project Management Association (IPMA) has developed a framework that establishes the individual competences for professionals working in the area, the Individual Competence Baseline (ICB). The objective of this study is to propose a process of rubric development for competence assessment in Project Management. A rubric for Leadership competence was developed to show the applicability and relevance of the proposed process. The research methodology adopted in the study was Design Science Research. The application and evaluation of this rubric in a pilot study show that the rubric development process allowed the creation of a specific rubric for the assessment of leadership competence. This paper guides those who need to develop and assess project management competences, and it is intended to propose a replicable process for the other ICB competences.

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“…[12] They are also beneficial in assessing competency as they allow the learner to demonstrate the knowledge, skills and attitudes in a realistic environment. [14] Therefore, low-fidelity simulation may be beneficial when assessing competency in central line care.…”

Section: Introductionmentioning

confidence: 99%

Assuring RN competency in central line catheter care

Beltran

Schroeder

Smith

et al. 2015

JNEP

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The culture of healthcare is evolving and patients are expecting high quality, effective care from competent practitioners. This brings to light the challenge of maintaining and assuring competency in healthcare providers. The goal of this project was to identify the most effective, cost-conscious method for improving nurses' competency in central line care. Competency-based education using low-fidelity simulation was found to improve competency in nursing practice, leading to safer care, less hospitalacquired infections, and cost savings for the patient and the healthcare organization. This article highlights the importance of maintaining competency to improve patient outcomes and includes recommendations for use of low-fidelity simulation in central line care.

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Designing Nursing Staff Competency Assessment Using Simulation

Cited by 9 publications

References 12 publications

Cortrak-Assisted Feeding Tube Insertion: A Comprehensive Review of Adverse Events in the MAUDE Database

Cortrak-Assisted Feeding Tube Insertion: A Comprehensive Review of Adverse Events in the MAUDE Database

Rubric’s Development Process for Assessment of Project Management Competences

Assuring RN competency in central line catheter care

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