Electronic Fetal Monitoring Credentialing Examination: The First 4000
| Autor: | Marin O'Keeffe, Mark W. Tomlinson, Sara A. Brumbaugh, Richard L. Berkowitz, Michael P. Nageotte, Mary E. D'Alton |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine electronic fetal monitoring business.industry Concordance Obstetrics and Gynecology Fetal Monitoring Credentialing Case Report Certification Credentialing lcsh:Gynecology and obstetrics interpretation of fetal monitoring Online assessment 03 medical and health sciences 0302 clinical medicine Fetal heart rate Cronbach's alpha Family medicine Pediatrics Perinatology and Child Health Electronic fetal monitoring Medicine Nurse-Midwives 030212 general & internal medicine business lcsh:RG1-991 |
| Zdroj: | AJP Reports American Journal of Perinatology Reports, Vol 10, Iss 01, Pp e93-e100 (2020) |
| ISSN: | 2157-7005 2157-6998 |
| Popis: | Objective Recognized variability in fetal heart rate interpretation led the Perinatal Quality Foundation (PQF) to develop a credentialing exam. We report an evaluation of the 1st 4000 plus PQF Fetal Monitoring Credentialing (FMC) exams. Study Design The PQF FMC exam is an online assessment for obstetric providers and nurses. The exam contains two question types: traditional multiple-choice evaluating knowledge and Script Concordance Theory (SCT) evaluating judgment. Reliability was measured through McDonald's Total Omega and Cronbach's Alpha. Pearson's correlations between knowledge and judgment were measured. Results From February 2014 through September 2018, 4,330 different individuals took the exam. A total of 4,057 records were suitable for reliability analysis: 2,105 (52%) physicians, 1,756 (43%) nurses, and 196 (5%) certified nurse midwives (CNMs). As a measure of test reliability, total Omega was 0.80 for obstetric providers and 0.77 for nurses. There was only moderate correlation between the knowledge scores and judgment scores for obstetric providers (0.38) and for nurses (0.43). Conclusion The PQF FMC exam is a reliable, valid assessment of both Electronic Fetal Monitoring (EFM) knowledge and judgment. It evaluates essential EFM skills for the establishment of practical credentialing. It also reports modest correlation between knowledge and judgment scores, suggesting that knowledge alone does not assure clinical competency. |
| Databáze: | OpenAIRE |
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