DEVELOPMENT OF THE CLINICAL JUDGEMENT TEST IN OBSTETRIC NURSING FOR NURSING STUDENTS

Abstract

           The purposes of this research were to develop and verify the quality of the test of clinical judgement in obstetric nursing for nursing students. The samples were 260 fourth year nursing students. The research instruments were clinical simulation problem and clinical skill in obstetric nursing opened-end questionnaires.

           The research findings were the clinical judgement test was developed having 3 situations included antepartum, peripartum and postpartum period. It consisted of 33 items. Each situation consisted of 11 items included multiple choices and rating scale items were used to assess 11 indicators of clinical judgement. The 27 multiple choice items assessed indicators number 1 to 9 including focused observation, recognizing deviations from expected patterns, information seeking, prioritizing data, summarizing the problem issue, well-planned intervention, being skillful, clear communication, and calm & confident manner. The 6 items of self-assessment rating scale were used to assess the indicators number 10 to 11 including self-analysis and self-evaluation and commitment to improvement. The result of the quality analysis of the test showed that 31 items had a good discrimination and a threshold parameter of each the list to be the arrange b₃ > b₂ > b₁. The 2 items which need to be adjusted were the item used to assess communication skill in dystocia situation and problem analysis in postpartum hemorrhage situation. The internal consistency of the test was .70 and there was a construct validity proved by second order confirmatory factor analysis, which had Chi-square (df = 41) = 39.35, p = .544, GFI = .97, AGFI = .96, RMR = .04, RMSEA = .000.