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Validity and Reliability of a Clinical Performance Examination using Standardized Patients
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Ja Yun Choi, Keum Seong Jang, Soon Hee Choi, Mi Soon Hong
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Journal of Korean Academy of Nursing 2008;38(1):83-91. Published online February 28, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.1.83
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Abstract
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Purpose
The purpose of this study was to test the validity of a modified clinical performance examination (CPX) for preclinical students in nursing.
Methods
70 nursing students in their second semester of the junior year at C University participated in CPX. Scenarios and checklists were developed by our research team from September to October 2005. Six stations were organized. Evaluation included physical examination of a patient with lung cancer, education on usage of a metered dosage inhaler, and lobectomy postoperative care. Students were randomly assigned to a station
Results
There was a difference in the CPX scores according to stations. The agreement of scoring between trained faculty members and SPs was more than moderate (r=.647). The correlation between the CPX score and the average grade in the previous semester and between the CPX score and the average grade of a paper and pen test of the pulmonary system of adults was low (r=.276; r=.048).
Conclusion
Traditional CPX is generally recommended, however, modified CPX is appropriate for preclinical students in the current Korean Nursing school setting if there are additional scoring systems to balance the testing level at each station.
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Citations
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Jin Lee, Pok Ja Oh The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 427. CrossRef - Reliable Prognostic Cardiopulmonary Function Variables in 110 Patients With Acute Ischemic Heart Disease
Jeong Jae Lee, Chan-hee Park, Joshua (Sung) Hyun You Physical Therapy Korea.2022; 29(3): 200. CrossRef - A study on evaluator factors affecting physician-patient interaction scores in clinical performance examinations: a single medical school experience
Young Soon Park, Kyung Hee Chun, Kyeong Soo Lee, Young Hwan Lee Yeungnam University Journal of Medicine.2021; 38(2): 118. CrossRef - New Viewpoint of Surface Anatomy Using the Curved Sectional Planes of a Male Cadaver
Koojoo Kwon, Byeong-Seok Shin, Min Suk Chung, Beom Sun Chung Journal of Korean Medical Science.2019;[Epub] CrossRef - Comparison of Standardized Patient and Faculty Agreement in Evaluating Nursing Students’ Assessment and Communication Skills
Young Ju Kim Journal of Korean Academy of Fundamentals of Nursing.2017; 24(3): 189. CrossRef - The Effects of Preclinical Clinical Performance Examination on Nursing Students' Confidence in Nursing Skills and Critical Thinking Competence
Jeong Sook Park, Mi Jung Choi, Soon Yang Jang The Journal of Korean Academic Society of Nursing Education.2015; 21(1): 75. CrossRef - The effect of Simulation-based learning scenario using standardized repiratory patients on learning satisfaction, clinical skill competency and self-efficacy in Health-related department students
Hye-Young Cho Journal of the Korea Academia-Industrial cooperation Society.2015; 16(3): 2100. CrossRef - Empowerment on Clinical Nursing Skills Core Program
Hye-Suk Kim, Hae-Ryoung Park, Eun-Hee Park Journal of Digital Convergence.2014; 12(12): 589. CrossRef - The Effects of Simulation-Based Training, Underwent Before or After the Clinical Practice for the Nursing Students
Jung Ok Lee The Journal of Korean Academic Society of Nursing Education.2014; 20(2): 203. CrossRef - Clinical Competence and Self-confidence of New Graduate Nurses with an Integrated Nursing Curriculum of Simulation with Problem-Based Learning
Young Sook Roh, Sunghee Kim, Sun Hee Yang, Yoon Sook Kang Journal of the Korea Academia-Industrial cooperation Society.2013; 14(7): 3349. CrossRef - Systematic Review of Korean Studies on Simulation within Nursing Education
Jung-Hee Kim, In-Hee Park, Sujin Shin The Journal of Korean Academic Society of Nursing Education.2013; 19(3): 307. CrossRef - The Effects of Simulation Training With Hybrid Model for Nursing Students on Nursing Performance Ability and Self Confidence
Suk Jeong Lee, Young Mi Park, Sang Mi Noh Korean Journal of Adult Nursing.2013; 25(2): 170. CrossRef - Effects of using Standardized Patients on Nursing Competence, Communication Skills, and Learning Satisfaction in Health Assessment
Sun Ju Choi, Mal Suk Kwon, Seon Hwa Kim, Hyeon Mi Kim, Yang Sook Jung, Geum Yi Jo The Journal of Korean Academic Society of Nursing Education.2013; 19(1): 97. CrossRef - Effects and Adequacy of High-Fidelity Simulation-Based Training for Obstetrical Nursing
Woo Sook Lee, Miok Kim Journal of Korean Academy of Nursing.2011; 41(4): 433. CrossRef - Effects of Teaching Method using Standardized Patients on Nursing Competence in Subcutaneous Injection, Self-Directed Learning Readiness, and Problem Solving Ability
Mi-Ran Eom, Hyun-Sook Kim, Eun-Kyung Kim, Kayeon Seong Journal of Korean Academy of Nursing.2010; 40(2): 151. CrossRef - Development of a Multimedia Learning DM Diet Education Program using Standardized Patients and Analysis of Its Effects on Clinical Competency and Learning Satisfaction for Nursing Students
Kyung Sun Hyun, Hyun Sook Kang, Won Ock Kim, Sunhee Park, Jia Lee, Sohyune Sok Journal of Korean Academy of Nursing.2009; 39(2): 249. CrossRef
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Sensitivity and validity Test of Pain Rating Scale Using Pain Behavior of Adult Patients with chronic pain
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Eun Ok Lee, Sun Ock Lee, Nan Young Lim, Soon Hee Choi, Dal Sook Kim, Soon Ja Kim, Yoon Bok Hahn, Joo Hee Kim, Kwang Joo Kim, Jum Hee Park
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Journal of Nurses Academic Society 1992;22(1):5-16. Published online March 31, 2017
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DOI: https://doi.org/10.4040/jnas.1992.22.1.5
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Abstract
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The Purposes of this study were :
1) to evaluate validity of a pain rating scale using the level of correlation between the Korean Pain Rating Scale(KPRS), Short-From KPRS(SKPRS) and the Graphic Rating Scale(GRS).
2) to identify sensitivity of the scale using pain behavior of patients with chronic pain
Of the 2025 patients with chronic pain who visited the orthopedic and neurosurgical out-patients departments of 11 university hospital in various districts of Korea, 520 subjects wee selected through convenient sampling and responded to the questionnaires by mail.
The results of the study can be summarized as follows ;
1. The mean pain score measured by the KPRS was 444.85 : the mean sensory score was 209.47, the mean affective score, 147.63 and the mean miscellaneus score. 87.85.
The mean pain score measured by the GRS was 20.11 : the mean sensory intensity score, 10.54. and the mean distress score, 9.57.
2. The average number of hours of rest during the day was 3.3, the average score of discomfort in carrying out ADL was 99, the average frequency of pain relieving practices was 3.0 the average number of pain sites was 3.6.
3. The most sensitive scale to differentiate each group was the GRS, the KPRS and SKPRS were less sensitive than the GRS.
4. The intercorrelation between the KPRS total score and the GRS score(.500) as well as that of the SKPRS score were highly correlated(.652), but intercorrelation between the SKPRS score and the GRS score(.172) was not high.
Based on the above results, it was found that the SKPRS must be studied further to obtain validity.
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Citations
Citations to this article as recorded by 
- Effects of Breathing Exercise of Pilates on Dysfunction and Lumbar Flexibility in Patients with Chronic Non-Specific Low Back Pain
Sooyong Lee, Yusik Choi Physical Therapy Rehabilitation Science.2023; 12(3): 268. CrossRef
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The Pain Behavior of Patients with Joint Pain
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Eun Ok Lee, Yoon Bok Hahn, Soon Ja Kim, Sun Ok Lee, Dal Sook Kim, Jo Ja Kim, Kwang Joo Kim, Joo Hee Kim, Ran Young Lim, Jum Hee Park, Soon Hee Choi
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Journal of Nurses Academic Society 1988;18(2):197-210. Published online March 31, 2017
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DOI: https://doi.org/10.4040/jnas.1988.18.2.197
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Abstract
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The purposes of this study were ; 1) to assess the level of pain and to identity the varieties and the degree of pain-related behavior, 2) to measure the level of correlation between the level of pain and the degree of pain?related behavior, 3) to test the correlation between the Korean Pain Rating Scale (KPRS) and Graphic Rating Scale(GRS), and 4) to gather data relevant to the Socio-demqgraphic status of the subjects. The level of pain was measured by KPRS and GRS developed by the researchers. The KPRS consists of three dimensions ; the sensory, the affective and the miscel laneous and the GRS of two separate scales ; the intensity scale and the unpleasantness scale. Of the 2,025 who had visited orthopedic and neurosur-gical out-patients department of 11 university hospitals in various districts of Korea with the episode of joint pain, 405 subjects were self-selected by responding to the data gathering tools and questionaires mailed. The results are summaried as follows; 1. Maale(217, 53.6%) exceeded female patients( 188, 46. 4%) in number and the onset of joint pain was more prevalent in the age groups of the 20s and the 30s. 160(39.5%) had been hospitalized for the treatment of, and 87 (21.5%) had retired because of the joint pain. 2. Mean pain score measured by KPRS was 128.31 (ran ge; 0 1.344.8); mean sensory score was 43.23(range: 0-645.88%), mean affective score was 46.09(range; 0 356.72), and mean miscellaneous score was 39.99 (range; 0-341.68). Mean pain scores measured by GRS were; sensory intensity score; 109l(range: 0-200) and distress score; 99.1 (range: 0 200). 3. The prevalent sites of joint pain revealed to be the right knee joint(203: 50.1%), left knee joint(181(44. 7%), left ilium ( 147,36.3%). lumbar regir,n(106: 26. 2%), hip joint(92: 22.7%) and the ankle(84; 20.7%). 4. The average sleep hour was 6.8hours per day and the average rest hour during the day hours was 3.3hours (range 0-20).
5. The average duration of suffering from bint pain was 49.1 months. 6. Most of the subjects(298; 73.6%) used some sorts.
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The Pain Behavior of Patients with Back Pain by
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Bun Ok Lee, Ran Young Lim, Dal Sook Kim, Soon Ja Kim, Yoon Bok Hahn, Joo Hee Kim, Kwang Joo Kim, Jum Hee Park, Sun Ok Lee, Soon Hee Choi
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Journal of Nurses Academic Society 1987;17(3):184-194. Published online March 31, 2017
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DOI: https://doi.org/10.4040/jnas.1987.17.3.184
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Abstract
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The purposes of this study were; 1) to gather data relevant to demographic features, major main management practices, and the level of impairment of the activities of daily living (ADL) of patients with back pain, 2) to test the sensitivity of the Korean Pain Rating Scale and the Graphic Rating Scales, and 3) to identify indirect indicators of back pain by analysing pain related-bebaviors.
The level of pain was measured by Korean Pain Rating Scale(KPRS) and Graphic Rating Scales(GRS) developed by the reserchers. The GRS consists of two dimensions; the pain intensity (sensory) and unpleasantness (affective) measures. Of the 1,650 diagnosed back pain patients, from January 4 through June 30, 1987 by visiting outpatients' clinics of orthopedic and neurosurgical departments at 11 university hospitals in different districts of Korea, 330 men and women patients were self-selected by responding to the mailed questionnaires. The results were summarised as follows;
Male exceeded female patients in number and onset of back pain were more prevalent in the age groups of 20s and the 30s. The average duration of suffering from the pain were 11 months, sixty three (19.1%) of the subjects retired from their jobs, one third(36.7%) have been hospitalized for the treatment of back pain. In two thirds(64.8%) of the cases pain was characterized as lower back pain. The average sleep hour was 6.8 hours per 24 hours and the average rest hour during the day was 3.3 hours. The mean percentage of pain measured by GRS was higher than that of KPRS. The level of sensory intensity as well as the affective level of pain measured by KPRS and GRS were not highly correlated (sensory intensity r=0.4986, affective r=0.5029) which indicated low discriminative power. On the other hand, intercorrelation between sensory and affective dimension measured by KPRS and GRS showed moderate interrelation(r=0.7247; r=0.7899). One-third(32.5%) of the subjects complied with the hospital prescribed treatment while the other one-third(31.5%) depended on self-remedy and traditional practices, and the last one-third did not imply any pain management
practices. The following 6 pain-related behaviors such as length of hospitalization, rest hour during day hours, varieties of pain management practice implied, number of pain sites, need for ADL and discomfort accompanied by ADL revealed to be important indicators of back pain. An investigation of sociodemographic features of patients with back pain in a larger context, i.e. with bigger number
of respondents is recommended.Tests for construct validity of KPRS, i.e. factor analysis is further recommended.
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