Development, implementation, and evaluation of structured Performa in the initial assessment of sick children at the emergency department: A third level Kirkpatrick’s evaluation model
Background & Objective: At emergency department (ED) at different point of time different teams are involved in management of patients as per their posting/duty roster. So, a robust system should be in place to avoid major mishaps. The current study was an attempt to improve pediatric care at ou...
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| Format: | Article |
| Language: | English |
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Zanjan University of Medical Sciences and Health Services
2024-03-01
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| Series: | Journal of Medical Education Development |
| Subjects: | |
| Online Access: | http://zums.ac.ir/edujournal/article-1-1899-en.pdf |
| _version_ | 1797375290649870336 |
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| author | Tanvi Mehta Shradha Patel Amit Kumar Bhadra Trivedi Jaishree Ganjiwale Manoj Chaudhary Krutika Tandon |
| author_facet | Tanvi Mehta Shradha Patel Amit Kumar Bhadra Trivedi Jaishree Ganjiwale Manoj Chaudhary Krutika Tandon |
| author_sort | Tanvi Mehta |
| collection | DOAJ |
| description | Background & Objective: At emergency department (ED) at different point of time different teams are involved in management of patients as per their posting/duty roster. So, a robust system should be in place to avoid major mishaps. The current study was an attempt to improve pediatric care at our Emergency Department through third-level Kirkpatrick’s evaluation model after training of pediatric resident doctors to use newly developed structured proforma while doing initial assessment of sick children at ED.
Materials & Methods: This Quasi-experimental study included all departmental pediatric resident doctors and as per sample size calculation, 36 (pre-intervention) and 36 (post-intervention) computer-generated random selection records were reviewed from the total of serially arranged admissions of pediatric patients. The intervention was the implementation of a Structured proforma, and training of all departmental residents. All raters scored the records of patients on 47 & 51 items of documentation pre-and post-intervention periods respectively on a scale 0-2, 0 meaning ‘no mention’, 1-incomplete/improper mention and 2-complete/proper mention. Mean, standard deviation (SD) of scores were calculated item-wise, raters-wise and overall. Bland Altman analysis was done to find agreement in scoring among raters both in pre-and post-intervention.
Results: The mean (SD) and percentage of mean score were 32.93 (4.50) and 35.03% before intervention whereas 89.64 (4.35) and 87.88% post-intervention. This indicated 53.5% improvement post-intervention. Bland Altman analysis found good agreement post-intervention.
Conclusion: The introduction of Educational tool along with the training of pediatric resident doctors to implement it, has improved documentation process significantly. |
| first_indexed | 2024-03-08T19:22:09Z |
| format | Article |
| id | doaj.art-14a31fb85e5246fa9691595483ff056d |
| institution | Directory Open Access Journal |
| issn | 2251-9521 2980-7670 |
| language | English |
| last_indexed | 2024-03-08T19:22:09Z |
| publishDate | 2024-03-01 |
| publisher | Zanjan University of Medical Sciences and Health Services |
| record_format | Article |
| series | Journal of Medical Education Development |
| spelling | doaj.art-14a31fb85e5246fa9691595483ff056d2023-12-26T16:44:13ZengZanjan University of Medical Sciences and Health ServicesJournal of Medical Education Development2251-95212980-76702024-03-0116522736Development, implementation, and evaluation of structured Performa in the initial assessment of sick children at the emergency department: A third level Kirkpatrick’s evaluation modelTanvi Mehta0Shradha Patel1Amit Kumar2Bhadra Trivedi3Jaishree Ganjiwale4Manoj Chaudhary5Krutika Tandon6 Sumandeep ,Vaghodia PSMC, Bhaikaka University, Karamsad PSMC, Bhaikaka University,Karamsad Cardiac center, PSMC, Bhaikaka University, Karamsad Community Medicine, PSMC, Bhaikaka University Ex PICU felloe, PSMC, Karamsad Professor and Head, Department of Pediatrics, Pramukhswami Medical college, Bhaikaka university, Karamsad, Gujarat Background & Objective: At emergency department (ED) at different point of time different teams are involved in management of patients as per their posting/duty roster. So, a robust system should be in place to avoid major mishaps. The current study was an attempt to improve pediatric care at our Emergency Department through third-level Kirkpatrick’s evaluation model after training of pediatric resident doctors to use newly developed structured proforma while doing initial assessment of sick children at ED. Materials & Methods: This Quasi-experimental study included all departmental pediatric resident doctors and as per sample size calculation, 36 (pre-intervention) and 36 (post-intervention) computer-generated random selection records were reviewed from the total of serially arranged admissions of pediatric patients. The intervention was the implementation of a Structured proforma, and training of all departmental residents. All raters scored the records of patients on 47 & 51 items of documentation pre-and post-intervention periods respectively on a scale 0-2, 0 meaning ‘no mention’, 1-incomplete/improper mention and 2-complete/proper mention. Mean, standard deviation (SD) of scores were calculated item-wise, raters-wise and overall. Bland Altman analysis was done to find agreement in scoring among raters both in pre-and post-intervention. Results: The mean (SD) and percentage of mean score were 32.93 (4.50) and 35.03% before intervention whereas 89.64 (4.35) and 87.88% post-intervention. This indicated 53.5% improvement post-intervention. Bland Altman analysis found good agreement post-intervention. Conclusion: The introduction of Educational tool along with the training of pediatric resident doctors to implement it, has improved documentation process significantly.http://zums.ac.ir/edujournal/article-1-1899-en.pdfeducational toolinitial assessmentpediatric acute carepediatrics resident doctors |
| spellingShingle | Tanvi Mehta Shradha Patel Amit Kumar Bhadra Trivedi Jaishree Ganjiwale Manoj Chaudhary Krutika Tandon Development, implementation, and evaluation of structured Performa in the initial assessment of sick children at the emergency department: A third level Kirkpatrick’s evaluation model Journal of Medical Education Development educational tool initial assessment pediatric acute care pediatrics resident doctors |
| title | Development, implementation, and evaluation of structured Performa in the initial assessment of sick children at the emergency department: A third level Kirkpatrick’s evaluation model |
| title_full | Development, implementation, and evaluation of structured Performa in the initial assessment of sick children at the emergency department: A third level Kirkpatrick’s evaluation model |
| title_fullStr | Development, implementation, and evaluation of structured Performa in the initial assessment of sick children at the emergency department: A third level Kirkpatrick’s evaluation model |
| title_full_unstemmed | Development, implementation, and evaluation of structured Performa in the initial assessment of sick children at the emergency department: A third level Kirkpatrick’s evaluation model |
| title_short | Development, implementation, and evaluation of structured Performa in the initial assessment of sick children at the emergency department: A third level Kirkpatrick’s evaluation model |
| title_sort | development implementation and evaluation of structured performa in the initial assessment of sick children at the emergency department a third level kirkpatrick s evaluation model |
| topic | educational tool initial assessment pediatric acute care pediatrics resident doctors |
| url | http://zums.ac.ir/edujournal/article-1-1899-en.pdf |
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