Construction and empirical study of a quality assessment tool for teaching plans designed for clinical scenario-based simulation

Wang Jiayu; Xu Lingling; Shi Ting; Han Yizhe

doi:10.3760/cma.j.cn116021-20250110-02081

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Construction and empirical study of a quality assessment tool for teaching plans designed for clinical scenario-based simulation

Medical Simulation Education | 更新时间：2025-08-08

- Construction and empirical study of a quality assessment tool for teaching plans designed for clinical scenario-based simulation
- Chinese Journal of Medical Education Research Vol. 24, Issue 7, Pages: 872-877(2025)
- 作者机构：
  
  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
  3.中国医师协会住培部，北京 100073
- 作者简介：
  
  Shi Ting, Email: sting122@msn.com
- 基金信息：
  
  National Key R&D Program of China(2022YFF1202600)
- DOI：10.3760/cma.j.cn116021-20250110-02081
  CLC： R-4
- Received：10 January 2025，
  
  Published：20 July 2025
- 稿件说明：
移动端阅览
王佳玉, 徐玲玲, 史霆, 等. 临床情境模拟教案质量评价工具的构建及实证研究[J]. 中华医学教育探索杂志, 2025, 24(7): 872-877.

Wang Jiayu, Xu Lingling, Shi Ting, et al. Construction and empirical study of a quality assessment tool for teaching plans designed for clinical scenario-based simulation[J]. Chinese journal of medical education research, 2025, 24(7): 872-877.
王佳玉, 徐玲玲, 史霆, 等. 临床情境模拟教案质量评价工具的构建及实证研究[J]. 中华医学教育探索杂志, 2025, 24(7): 872-877. DOI： 10.3760/cma.j.cn116021-20250110-02081.

Wang Jiayu, Xu Lingling, Shi Ting, et al. Construction and empirical study of a quality assessment tool for teaching plans designed for clinical scenario-based simulation[J]. Chinese journal of medical education research, 2025, 24(7): 872-877. DOI： 10.3760/cma.j.cn116021-20250110-02081.

摘要

目的

构建临床情境模拟教案质量评价工具并检验其信效度，为准确、客观地评价模拟教师在临床情境模拟教学中的设计能力及教案撰写质量提供有效工具。

方法

通过文献回顾，并运用德尔菲法进行两轮专家咨询，形成评价工具初稿。随后，面向全国征集了85份临床情境模拟教案，以开展实证研究，并进行信效度检验。

结果

临床情境模拟教案质量评价工具包含5个一级条目和17个二级条目。该量表的Cronbach’s

系数为0.872，评分者间一致性采用组内相关系数（intraclass correlation coefficient，ICC）衡量，其值为0.838。量表的内容效度指数在量表水平上为0.949。验证性因子分析的结果显示：

=2.385，RMSEA=0.090，CFI=0.861，表明模型拟合度较好。

结论

临床情境模拟教案质量评价工具具有较好的信度和效度，可以作为评价模拟教师的临床情境模拟教学设计能力及教案撰写质量的工具。

Abstract

Objective

To construct a quality assessment tool for teaching plans designed for clinical scenario-based simulation

test its reliability and validity

and provide an effective tool for accurately and objectively evaluating the simulation instructors' capabilities in clinical scenario-based simulation teaching designs and the quality of teaching plans.

Methods

Through literature review and two rounds of expert consultation using the Delphi method

an initial draft of the assessment tool was formed. Subsequently

an empirical study was conducted with 85 clinical scenario-based simulation teaching plans collected nationwide to test the reliability and validity of the assessment tool.

Results

The quality assessment tool for teaching plans designed for clinical scen

ario-based simulation consists of 5 primary items and 17 secondary items. The Cronbach's

coefficient of the scale was 0.872. The inter-rater reliability

measured by the intraclass correlation coefficient

was 0.838. The scale level content validity index was 0.949. The results of confirmatory factor analysis showed

of 2.385

a root mean square error of approximation of 0.090

and a comparative fit index of 0.861

indicating an acceptable model fit.

Conclusions

The quality assessment tool for teaching plans designed for clinical scenario-based simulation demonstrates high reliability and validity and can be used as a tool for evaluating the simulation instructors' capabilities in clinical scenario-based simulation teaching designs and the quality of teaching plans.

关键词

Keywords

references

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