Collecting evidence of validity for an assessment tool for Norwegian medical students’ non-technical skills (NorMS-NTS): usability and reliability when used by novice raters
Abstract Background The NorMS-NTS tool is an assessment tool for assessing Norwegian medical students’ non-technical skills (NTS). The NorMS-NTS was designed to provide student feedback, training evaluations, and skill-level comparisons among students at different study sites. Rather than requiring...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-11-01
|
| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-023-04837-6 |
| _version_ | 1797558936830738432 |
|---|---|
| author | Katrine Prydz Peter Dieckmann Hans Fagertun David Musson Torben Wisborg |
| author_facet | Katrine Prydz Peter Dieckmann Hans Fagertun David Musson Torben Wisborg |
| author_sort | Katrine Prydz |
| collection | DOAJ |
| description | Abstract Background The NorMS-NTS tool is an assessment tool for assessing Norwegian medical students’ non-technical skills (NTS). The NorMS-NTS was designed to provide student feedback, training evaluations, and skill-level comparisons among students at different study sites. Rather than requiring extensive rater training, the tool should capably suit the needs of busy doctors as near-peer educators. The aim of this study was to examine the usability and preliminary assess validity of the NorMS-NTS tool when used by novice raters. Methods This study focused on the usability of the assessment tool and its internal structure. Three raters used the NorMS-NTS tool to individually rate the team leader, a medical student, in 20 video-recorded multi-professional simulation-based team trainings. Based on these ratings, we examined the tools’ internal structure by calculating the intraclass correlation coefficient (ICC) (version 3.1) interrater reliability, internal consistency, and observability. After the rating process was completed, the raters answered a questionnaire about the tool’s usability. Results The ICC agreement and the sum of the overall global scores for all raters were fair: ICC (3,1) = 0.53. The correlation coefficients for the pooled raters were in the range of 0.77–0.91. Cronbach’s alpha for elements, categories and global score were mostly above 0.90. The observability was high (95%-100%). All the raters found the tool easy to use, none of the elements were redundant, and the written instructions were helpful. The raters also found the tool easier to use once they had acclimated to it. All the raters stated that they could use the tool for both training and teaching. Conclusions The observed ICC agreement was 0.08 below the suggested ICC level for formative assessment (above 0.60). However, we know that the suggestion is based on the average ICC, which is always higher than a single-measure ICC. There are currently no suggested levels for single-measure ICC, but other validated NTS tools have single-measure ICC in the same range. We consider NorMS-NTS as a usable tool for formative assessment of Norwegian medical students’ non-technical skills during multi-professional team training by raters who are new to the tool. It is necessary to further examine validity and the consequences of the tool to fully validate it for formative assessments. |
| first_indexed | 2024-03-10T17:38:31Z |
| format | Article |
| id | doaj.art-567058608c0b41428abaefbaddd5faee |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-03-10T17:38:31Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-567058608c0b41428abaefbaddd5faee2023-11-20T09:46:59ZengBMCBMC Medical Education1472-69202023-11-0123111010.1186/s12909-023-04837-6Collecting evidence of validity for an assessment tool for Norwegian medical students’ non-technical skills (NorMS-NTS): usability and reliability when used by novice ratersKatrine Prydz0Peter Dieckmann1Hans Fagertun2David Musson3Torben Wisborg4Interprofessional Rural Research Team, Faculty of Health Sciences, Department of Clinical Medicine, University of Tromsø – the Arctic University of NorwayCopenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources and Education, Capital Region of DenmarkCapturo ASFaculty of Health Sciences, Department of Anesthesia, McMaster UniversityInterprofessional Rural Research Team, Faculty of Health Sciences, Department of Clinical Medicine, University of Tromsø – the Arctic University of NorwayAbstract Background The NorMS-NTS tool is an assessment tool for assessing Norwegian medical students’ non-technical skills (NTS). The NorMS-NTS was designed to provide student feedback, training evaluations, and skill-level comparisons among students at different study sites. Rather than requiring extensive rater training, the tool should capably suit the needs of busy doctors as near-peer educators. The aim of this study was to examine the usability and preliminary assess validity of the NorMS-NTS tool when used by novice raters. Methods This study focused on the usability of the assessment tool and its internal structure. Three raters used the NorMS-NTS tool to individually rate the team leader, a medical student, in 20 video-recorded multi-professional simulation-based team trainings. Based on these ratings, we examined the tools’ internal structure by calculating the intraclass correlation coefficient (ICC) (version 3.1) interrater reliability, internal consistency, and observability. After the rating process was completed, the raters answered a questionnaire about the tool’s usability. Results The ICC agreement and the sum of the overall global scores for all raters were fair: ICC (3,1) = 0.53. The correlation coefficients for the pooled raters were in the range of 0.77–0.91. Cronbach’s alpha for elements, categories and global score were mostly above 0.90. The observability was high (95%-100%). All the raters found the tool easy to use, none of the elements were redundant, and the written instructions were helpful. The raters also found the tool easier to use once they had acclimated to it. All the raters stated that they could use the tool for both training and teaching. Conclusions The observed ICC agreement was 0.08 below the suggested ICC level for formative assessment (above 0.60). However, we know that the suggestion is based on the average ICC, which is always higher than a single-measure ICC. There are currently no suggested levels for single-measure ICC, but other validated NTS tools have single-measure ICC in the same range. We consider NorMS-NTS as a usable tool for formative assessment of Norwegian medical students’ non-technical skills during multi-professional team training by raters who are new to the tool. It is necessary to further examine validity and the consequences of the tool to fully validate it for formative assessments.https://doi.org/10.1186/s12909-023-04837-6NorMS-NTSNontechnical skillsMedical studentsAssessmentSimulation-based trainingValidation |
| spellingShingle | Katrine Prydz Peter Dieckmann Hans Fagertun David Musson Torben Wisborg Collecting evidence of validity for an assessment tool for Norwegian medical students’ non-technical skills (NorMS-NTS): usability and reliability when used by novice raters BMC Medical Education NorMS-NTS Nontechnical skills Medical students Assessment Simulation-based training Validation |
| title | Collecting evidence of validity for an assessment tool for Norwegian medical students’ non-technical skills (NorMS-NTS): usability and reliability when used by novice raters |
| title_full | Collecting evidence of validity for an assessment tool for Norwegian medical students’ non-technical skills (NorMS-NTS): usability and reliability when used by novice raters |
| title_fullStr | Collecting evidence of validity for an assessment tool for Norwegian medical students’ non-technical skills (NorMS-NTS): usability and reliability when used by novice raters |
| title_full_unstemmed | Collecting evidence of validity for an assessment tool for Norwegian medical students’ non-technical skills (NorMS-NTS): usability and reliability when used by novice raters |
| title_short | Collecting evidence of validity for an assessment tool for Norwegian medical students’ non-technical skills (NorMS-NTS): usability and reliability when used by novice raters |
| title_sort | collecting evidence of validity for an assessment tool for norwegian medical students non technical skills norms nts usability and reliability when used by novice raters |
| topic | NorMS-NTS Nontechnical skills Medical students Assessment Simulation-based training Validation |
| url | https://doi.org/10.1186/s12909-023-04837-6 |
| work_keys_str_mv | AT katrineprydz collectingevidenceofvalidityforanassessmenttoolfornorwegianmedicalstudentsnontechnicalskillsnormsntsusabilityandreliabilitywhenusedbynoviceraters AT peterdieckmann collectingevidenceofvalidityforanassessmenttoolfornorwegianmedicalstudentsnontechnicalskillsnormsntsusabilityandreliabilitywhenusedbynoviceraters AT hansfagertun collectingevidenceofvalidityforanassessmenttoolfornorwegianmedicalstudentsnontechnicalskillsnormsntsusabilityandreliabilitywhenusedbynoviceraters AT davidmusson collectingevidenceofvalidityforanassessmenttoolfornorwegianmedicalstudentsnontechnicalskillsnormsntsusabilityandreliabilitywhenusedbynoviceraters AT torbenwisborg collectingevidenceofvalidityforanassessmenttoolfornorwegianmedicalstudentsnontechnicalskillsnormsntsusabilityandreliabilitywhenusedbynoviceraters |