Development and testing of the Quint Leveled Clinical Competency Tool

Prion, Susan; Gilbert, Gregory E.; Adamson, Katie Anne; Kardong-Edgren, Suzan; Quint, Shelly

doi:10.1016/j.ecns.2016.10.008

Cited by 15 publications

(8 citation statements)

References 27 publications

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“…The seven studies conducted in practice settings used a variety of approaches: numeric scales, checklists, multi-level rubric, or a clinical observation and oral viva (SOAP approach). The 1-10 scale poorly differentiated between students (Gorton & Hayes, 2014), whereas observational multi-level rubrics were able to effectively correlate performance based on practice assessors' feedback with clinical placement exposure (Vreugdenhil & Spek, 2018;r=0.62, p<0.001) and level of study (Prion et al, 2017;r=0.83, p<0.05). Well-defined rubric descriptors set out student expectations, minimised subjective bias between assessors and promoted student self-assessment (Vreugdenhil & Spek, 2018).…”

Section: Does: Practical Assessments Of Direct Patient Carementioning

confidence: 90%

“…There appeared to be most support for using the Lasater Clinical Judgement Rubric (LCJR), which demonstrated good psychometric properties, with one low risk of bias paper supporting its use (Vreugdenhil & Spek, 2018). However, being an exclusively observational assessment tool, it may not be sensitive enough to assess students who work with complex patients in their final year of study (Vreugdenhil & Spek, 2018) and there is some criticism that it is too lengthy and cumbersome to be used in clinical practice (Prion et al, 2017). The majority of students also perceived alternative methodologies, such as the subjective, objective, assessment, plan (SOAP) model, to be reflective of their clinical practice (Levett-Jones et al, 2011).…”

Section: Does: Practical Assessments Of Direct Patient Carementioning

confidence: 99%

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The validity and reliability of clinical judgement and decision-making skills assessment in nursing: A systematic literature review

Clemett

Raleigh

2021

Nurse Education Today

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Section: Does: Practical Assessments Of Direct Patient Carementioning

confidence: 90%

Section: Does: Practical Assessments Of Direct Patient Carementioning

confidence: 99%

The validity and reliability of clinical judgement and decision-making skills assessment in nursing: A systematic literature review

Clemett

Raleigh

2021

Nurse Education Today

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“…Students were evaluated using the Quint Leveled Clinical Competency Tool (Quint), which measures clinical reasoning abilities and demonstrates good validity and reliability (Prion et al, 2017). The Quint was developed to provide a direct measure of student learning and performance in clinical settings.…”

Section: Discussionmentioning

confidence: 99%

“…Students caring for VIPs in the initial semester demonstrated average clinical reasoning skills at Quint Level 3, defined as “advanced” and consistent with third-semester nursing students (Prion et al, 2017). This rating was appropriate for the first-semester seniors engaged in the activity.…”

Section: Discussionmentioning

confidence: 99%

Alternative Clinical Learning Experiences for Nursing Education Using Virtual Individual Patients

2022

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Acute care pediatric clinical experiences for undergraduate nursing students can present a challenge given the limited availability of clinical sites, increased restrictions, and variations in direct patient care experiences. Unfolding virtual individual patient pediatric simulations were developed using complex pediatric disorders with multiple physiological, psychosocial, and developmental components. Ten unfolding simulations were implemented to standardize clinical experiences and replace clinical hours. Students were evaluated using the Quint Leveled Clinical Competency Tool, demonstrating overall progressing ability to use clinical reasoning skills. Unfolding virtual individual patients allow for deliberate, coordinated, and consistent exposure to clinical experiences and are a valuable substitution for traditional clinicals.

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“…Other evaluation techniques have been described in the context of nursing education to evaluate progression or development of the learner through stages of learning; for example, the Quint Levelled Clinical Competency Tool (QLCCT) 38 and the Lasater Clinical Judgement Rubric. 39 However, these are more suitable for a training programme that takes place over a period of time rather than a 1-day course where there is no substantial scope for assessing the learner's progression from a novice to a mature state.…”

Section: Economic Evaluation and Sustainabilitymentioning

confidence: 99%

Challenges in evaluation of a simulation-based educational course for repair of obstetric anal sphincter injuries

Kumar¹,

Roberts²

2022

J Surg Simul

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Background: Failure to identify and repair anal sphincter injuries sustained during childbirth can lead to significant long-term morbidity. This paper describes the evaluation methods used to assess the efficacy of The All Wales Hands-on Third and Fourth Degree Perineal Tear Repair Course in reducing the long-term complications associated with obstetric anal sphincter injuries (OASIS). Methods: Formative evaluation was received from the learners between 2015 and 2021. The post-surgical outcome after OASIS repair in North East Wales was assessed using a postal questionnaire sent to general practitioners between 2012 and 2015. The survey was done 1 year after the last case of OASIS in 2015. Results: Feedback from all the learner delegates suggested a high satisfaction rate. Forty-five women were identified as needing repair of OASIS giving an OASIS incidence of only 0.6%. Of the 45 questionnaires, 35 (77.8%) were returned by the general practitioners. None of the 35 women had reported any residual symptoms of anal incontinence to their general practitioner. Conclusion: This review demonstrates high post-course satisfaction rates among attending delegates and very low reported long-term complication rates after OASIS repair in women giving birth in North Wales. The simulation-based education described appears highly effective in reducing the long-term complications associated with obstetric anal sphincter injuries, suggesting that the skills developed in the laboratory are being transferred to the real-life setting. However, designing a strategy to adequately evaluate a course of this nature is difficult and needs careful planning to overcome the challenges posed by this type of research.

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Development and testing of the Quint Leveled Clinical Competency Tool

Cited by 15 publications

References 27 publications

The validity and reliability of clinical judgement and decision-making skills assessment in nursing: A systematic literature review

The validity and reliability of clinical judgement and decision-making skills assessment in nursing: A systematic literature review

Alternative Clinical Learning Experiences for Nursing Education Using Virtual Individual Patients

Challenges in evaluation of a simulation-based educational course for repair of obstetric anal sphincter injuries

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