医学教育评估

基于Delphi-AHP法构建医学情境模拟课程实施质量评价工具的探索

  • 王佳玉 ,
  • 史霆 ,
  • 徐玲玲
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  • 1上海交通大学医学院附属瑞金医院医学教育处,上海 200025;
    2北京大学医学教育研究所,北京 100191

收稿日期: 2024-01-16

  网络出版日期: 2025-03-04

基金资助

国家重点研发计划“生物与信息融合”重点专项(2022YFF1202600)

An exploration of constructing an assessment tool for the implementation of medical scenario-based simulation based on Delphi-AHP method

  • Wang Jiayu ,
  • Shi Ting ,
  • Xu Lingling
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  • 1Department of Medical Education, Ruijin Hospital School of Medicine Shanghai Jiao Tong University, Shanghai 200025, China;
    2Institute of Medical Education, Peking University, Beijing 100191, China

Received date: 2024-01-16

  Online published: 2025-03-04

Supported by

National Key R&D Program of China (2022YFF1202600)

摘要

目的 构建情境模拟课程实施质量评价工具。方法 2023年11月至2024年1月,邀请来自全国不同地区、具有不同临床学科背景的医学情境模拟教育的10位专家为函询对象,通过文献回顾和德尔菲专家咨询法确定评价工具的各级指标,并通过层次分析法确定各项指标的权重。结果 2轮咨询专家积极系数均为100%,权威系数均为0.975,肯德尔协调系数分别为0.143、0.117(P<0.01)。最终形成包括4个一级指标、12个二级指标、36个三级指标的情境模拟课程实施质量评价工具。层次分析结果显示,三级指标各矩阵的一致性比率(CR)<0.001,符合一致性检验要求。结论 本研究科学构建了情境模拟课程实施质量评价工具,可以为情境模拟课程实施的评价和指导提供参考和依据。

本文引用格式

王佳玉 , 史霆 , 徐玲玲 . 基于Delphi-AHP法构建医学情境模拟课程实施质量评价工具的探索[J]. 中华医学教育杂志, 2025 , 45(3) : 235 -240 . DOI: 10.3760/cma.j.cn115259-20240116-00058

Abstract

Objective To construct an assessment tool for the implementation of scenario-based simulation. Methods From November 2023 to January 2024, 10 healthcare simulation education experts from various clinical specialties and different regions across the country were selected for the inquiry. Through literature review and Delphi expert consultation, the items of the assessment tool were determined, and the weights of the indicators were determined through the analytic hierarchy process. Results The expert positive coefficients of the two rounds of consultation were both 100%, and the authority coefficients were both 0.975. Kendall coefficients of the two rounds of consultation were respectively 0.143 and 0.117(P<0.01). An assessment tool for the implementation of scenario-based simulation was formed, including 4 first-level items, 12 second-level items, 36 third-level items. The results of the analytic hierarchy process showed that the CR values of each matrix of three-level items were all less than 0.001, which met requirements of the consistency test. Conclusions The assessment tool for the implementation of scenario-based simulation constructed in this study is objective and reliable, providing reference and basis for objective assessment and guidance of the implementation of scenario-based simulation.

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