Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States

Purpose This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods Interns in July 2015 (N=123, cohort 1)...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Ying Nagoshi [verfasserIn] Lou Ann Cooper [verfasserIn] Lynne Meyer [verfasserIn] Kartik Cherabuddi [verfasserIn] Julia Close [verfasserIn] Jamie Dow [verfasserIn] Merry Jennifer Markham [verfasserIn] Carolyn Stalvey [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	cohort studies hand hygiene personal protective equipment united states

Übergeordnetes Werk:	In: Journal of Educational Evaluation for Health Professions - Korea Health Personnel Licensing Examination Institute, 2009, 16(2019)
Übergeordnetes Werk:	volume:16 ; year:2019

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3352/jeehp.2019.16.31

Katalog-ID:	DOAJ050867172

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520			\|a Purpose This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods Interns in July 2015 (N=123, cohort 1) with no experience of OSCE-based contact precaution evaluation and teaching were evaluated in early 2016 using an OSCE for hand hygiene and PPE proficiency. They performed poorly. Therefore, the new interns entering in July 2016 (N=151, cohort 2) were immediately tested at the same OSCE stations as cohort 1, and were provided with feedback and teaching. Cohort 2 was then retested at the OSCE station in early 2017. The Mann-Whitney U-test was used to compare the performance of cohort 1 and cohort 2 on checklist items. In cohort 2, performance differences between the beginning and end of the intern year were compared using the McNemar chi-square test for paired nominal data. Results Checklist items were scored, summed, and reported as percent correct. In cohort 2, the mean percent correct was higher on the posttest than on the pretest (92% vs. 77%, P<0.0001), and the passing rate (100% correct) was also significantly higher on the posttest (55% vs. 16%). At the end of intern year, the mean percent correct was higher in cohort 2 than in cohort 1 (95% vs. 90%, P<0.0001), and 55% of cohort 2 passed (a perfect score) compared to 24% in cohort 1 (P<0.0001). Conclusion An OSCE can be utilized to evaluate and monitor hand hygiene and PPE proficiency among interns in the United States.
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allfields	10.3352/jeehp.2019.16.31 doi (DE-627)DOAJ050867172 (DE-599)DOAJb4e89547a3f64d50a9064fd107938170 DE-627 ger DE-627 rakwb eng LC8-6691 Ying Nagoshi verfasserin aut Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods Interns in July 2015 (N=123, cohort 1) with no experience of OSCE-based contact precaution evaluation and teaching were evaluated in early 2016 using an OSCE for hand hygiene and PPE proficiency. They performed poorly. Therefore, the new interns entering in July 2016 (N=151, cohort 2) were immediately tested at the same OSCE stations as cohort 1, and were provided with feedback and teaching. Cohort 2 was then retested at the OSCE station in early 2017. The Mann-Whitney U-test was used to compare the performance of cohort 1 and cohort 2 on checklist items. In cohort 2, performance differences between the beginning and end of the intern year were compared using the McNemar chi-square test for paired nominal data. Results Checklist items were scored, summed, and reported as percent correct. In cohort 2, the mean percent correct was higher on the posttest than on the pretest (92% vs. 77%, P<0.0001), and the passing rate (100% correct) was also significantly higher on the posttest (55% vs. 16%). At the end of intern year, the mean percent correct was higher in cohort 2 than in cohort 1 (95% vs. 90%, P<0.0001), and 55% of cohort 2 passed (a perfect score) compared to 24% in cohort 1 (P<0.0001). Conclusion An OSCE can be utilized to evaluate and monitor hand hygiene and PPE proficiency among interns in the United States. cohort studies hand hygiene personal protective equipment united states Special aspects of education Medicine R Lou Ann Cooper verfasserin aut Lynne Meyer verfasserin aut Kartik Cherabuddi verfasserin aut Julia Close verfasserin aut Jamie Dow verfasserin aut Merry Jennifer Markham verfasserin aut Carolyn Stalvey verfasserin aut In Journal of Educational Evaluation for Health Professions Korea Health Personnel Licensing Examination Institute, 2009 16(2019) (DE-627)642434891 (DE-600)2586380-0 19755937 nnns volume:16 year:2019 https://doi.org/10.3352/jeehp.2019.16.31 kostenfrei https://doaj.org/article/b4e89547a3f64d50a9064fd107938170 kostenfrei http://www.jeehp.org/upload/jeehp-16-31.pdf kostenfrei https://doaj.org/toc/1975-5937 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2044 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2019
spelling	10.3352/jeehp.2019.16.31 doi (DE-627)DOAJ050867172 (DE-599)DOAJb4e89547a3f64d50a9064fd107938170 DE-627 ger DE-627 rakwb eng LC8-6691 Ying Nagoshi verfasserin aut Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods Interns in July 2015 (N=123, cohort 1) with no experience of OSCE-based contact precaution evaluation and teaching were evaluated in early 2016 using an OSCE for hand hygiene and PPE proficiency. They performed poorly. Therefore, the new interns entering in July 2016 (N=151, cohort 2) were immediately tested at the same OSCE stations as cohort 1, and were provided with feedback and teaching. Cohort 2 was then retested at the OSCE station in early 2017. The Mann-Whitney U-test was used to compare the performance of cohort 1 and cohort 2 on checklist items. In cohort 2, performance differences between the beginning and end of the intern year were compared using the McNemar chi-square test for paired nominal data. Results Checklist items were scored, summed, and reported as percent correct. In cohort 2, the mean percent correct was higher on the posttest than on the pretest (92% vs. 77%, P<0.0001), and the passing rate (100% correct) was also significantly higher on the posttest (55% vs. 16%). At the end of intern year, the mean percent correct was higher in cohort 2 than in cohort 1 (95% vs. 90%, P<0.0001), and 55% of cohort 2 passed (a perfect score) compared to 24% in cohort 1 (P<0.0001). Conclusion An OSCE can be utilized to evaluate and monitor hand hygiene and PPE proficiency among interns in the United States. cohort studies hand hygiene personal protective equipment united states Special aspects of education Medicine R Lou Ann Cooper verfasserin aut Lynne Meyer verfasserin aut Kartik Cherabuddi verfasserin aut Julia Close verfasserin aut Jamie Dow verfasserin aut Merry Jennifer Markham verfasserin aut Carolyn Stalvey verfasserin aut In Journal of Educational Evaluation for Health Professions Korea Health Personnel Licensing Examination Institute, 2009 16(2019) (DE-627)642434891 (DE-600)2586380-0 19755937 nnns volume:16 year:2019 https://doi.org/10.3352/jeehp.2019.16.31 kostenfrei https://doaj.org/article/b4e89547a3f64d50a9064fd107938170 kostenfrei http://www.jeehp.org/upload/jeehp-16-31.pdf kostenfrei https://doaj.org/toc/1975-5937 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2044 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2019
allfields_unstemmed	10.3352/jeehp.2019.16.31 doi (DE-627)DOAJ050867172 (DE-599)DOAJb4e89547a3f64d50a9064fd107938170 DE-627 ger DE-627 rakwb eng LC8-6691 Ying Nagoshi verfasserin aut Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods Interns in July 2015 (N=123, cohort 1) with no experience of OSCE-based contact precaution evaluation and teaching were evaluated in early 2016 using an OSCE for hand hygiene and PPE proficiency. They performed poorly. Therefore, the new interns entering in July 2016 (N=151, cohort 2) were immediately tested at the same OSCE stations as cohort 1, and were provided with feedback and teaching. Cohort 2 was then retested at the OSCE station in early 2017. The Mann-Whitney U-test was used to compare the performance of cohort 1 and cohort 2 on checklist items. In cohort 2, performance differences between the beginning and end of the intern year were compared using the McNemar chi-square test for paired nominal data. Results Checklist items were scored, summed, and reported as percent correct. In cohort 2, the mean percent correct was higher on the posttest than on the pretest (92% vs. 77%, P<0.0001), and the passing rate (100% correct) was also significantly higher on the posttest (55% vs. 16%). At the end of intern year, the mean percent correct was higher in cohort 2 than in cohort 1 (95% vs. 90%, P<0.0001), and 55% of cohort 2 passed (a perfect score) compared to 24% in cohort 1 (P<0.0001). Conclusion An OSCE can be utilized to evaluate and monitor hand hygiene and PPE proficiency among interns in the United States. cohort studies hand hygiene personal protective equipment united states Special aspects of education Medicine R Lou Ann Cooper verfasserin aut Lynne Meyer verfasserin aut Kartik Cherabuddi verfasserin aut Julia Close verfasserin aut Jamie Dow verfasserin aut Merry Jennifer Markham verfasserin aut Carolyn Stalvey verfasserin aut In Journal of Educational Evaluation for Health Professions Korea Health Personnel Licensing Examination Institute, 2009 16(2019) (DE-627)642434891 (DE-600)2586380-0 19755937 nnns volume:16 year:2019 https://doi.org/10.3352/jeehp.2019.16.31 kostenfrei https://doaj.org/article/b4e89547a3f64d50a9064fd107938170 kostenfrei http://www.jeehp.org/upload/jeehp-16-31.pdf kostenfrei https://doaj.org/toc/1975-5937 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2044 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2019
allfieldsGer	10.3352/jeehp.2019.16.31 doi (DE-627)DOAJ050867172 (DE-599)DOAJb4e89547a3f64d50a9064fd107938170 DE-627 ger DE-627 rakwb eng LC8-6691 Ying Nagoshi verfasserin aut Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods Interns in July 2015 (N=123, cohort 1) with no experience of OSCE-based contact precaution evaluation and teaching were evaluated in early 2016 using an OSCE for hand hygiene and PPE proficiency. They performed poorly. Therefore, the new interns entering in July 2016 (N=151, cohort 2) were immediately tested at the same OSCE stations as cohort 1, and were provided with feedback and teaching. Cohort 2 was then retested at the OSCE station in early 2017. The Mann-Whitney U-test was used to compare the performance of cohort 1 and cohort 2 on checklist items. In cohort 2, performance differences between the beginning and end of the intern year were compared using the McNemar chi-square test for paired nominal data. Results Checklist items were scored, summed, and reported as percent correct. In cohort 2, the mean percent correct was higher on the posttest than on the pretest (92% vs. 77%, P<0.0001), and the passing rate (100% correct) was also significantly higher on the posttest (55% vs. 16%). At the end of intern year, the mean percent correct was higher in cohort 2 than in cohort 1 (95% vs. 90%, P<0.0001), and 55% of cohort 2 passed (a perfect score) compared to 24% in cohort 1 (P<0.0001). Conclusion An OSCE can be utilized to evaluate and monitor hand hygiene and PPE proficiency among interns in the United States. cohort studies hand hygiene personal protective equipment united states Special aspects of education Medicine R Lou Ann Cooper verfasserin aut Lynne Meyer verfasserin aut Kartik Cherabuddi verfasserin aut Julia Close verfasserin aut Jamie Dow verfasserin aut Merry Jennifer Markham verfasserin aut Carolyn Stalvey verfasserin aut In Journal of Educational Evaluation for Health Professions Korea Health Personnel Licensing Examination Institute, 2009 16(2019) (DE-627)642434891 (DE-600)2586380-0 19755937 nnns volume:16 year:2019 https://doi.org/10.3352/jeehp.2019.16.31 kostenfrei https://doaj.org/article/b4e89547a3f64d50a9064fd107938170 kostenfrei http://www.jeehp.org/upload/jeehp-16-31.pdf kostenfrei https://doaj.org/toc/1975-5937 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2044 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2019
allfieldsSound	10.3352/jeehp.2019.16.31 doi (DE-627)DOAJ050867172 (DE-599)DOAJb4e89547a3f64d50a9064fd107938170 DE-627 ger DE-627 rakwb eng LC8-6691 Ying Nagoshi verfasserin aut Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods Interns in July 2015 (N=123, cohort 1) with no experience of OSCE-based contact precaution evaluation and teaching were evaluated in early 2016 using an OSCE for hand hygiene and PPE proficiency. They performed poorly. Therefore, the new interns entering in July 2016 (N=151, cohort 2) were immediately tested at the same OSCE stations as cohort 1, and were provided with feedback and teaching. Cohort 2 was then retested at the OSCE station in early 2017. The Mann-Whitney U-test was used to compare the performance of cohort 1 and cohort 2 on checklist items. In cohort 2, performance differences between the beginning and end of the intern year were compared using the McNemar chi-square test for paired nominal data. Results Checklist items were scored, summed, and reported as percent correct. In cohort 2, the mean percent correct was higher on the posttest than on the pretest (92% vs. 77%, P<0.0001), and the passing rate (100% correct) was also significantly higher on the posttest (55% vs. 16%). At the end of intern year, the mean percent correct was higher in cohort 2 than in cohort 1 (95% vs. 90%, P<0.0001), and 55% of cohort 2 passed (a perfect score) compared to 24% in cohort 1 (P<0.0001). Conclusion An OSCE can be utilized to evaluate and monitor hand hygiene and PPE proficiency among interns in the United States. cohort studies hand hygiene personal protective equipment united states Special aspects of education Medicine R Lou Ann Cooper verfasserin aut Lynne Meyer verfasserin aut Kartik Cherabuddi verfasserin aut Julia Close verfasserin aut Jamie Dow verfasserin aut Merry Jennifer Markham verfasserin aut Carolyn Stalvey verfasserin aut In Journal of Educational Evaluation for Health Professions Korea Health Personnel Licensing Examination Institute, 2009 16(2019) (DE-627)642434891 (DE-600)2586380-0 19755937 nnns volume:16 year:2019 https://doi.org/10.3352/jeehp.2019.16.31 kostenfrei https://doaj.org/article/b4e89547a3f64d50a9064fd107938170 kostenfrei http://www.jeehp.org/upload/jeehp-16-31.pdf kostenfrei https://doaj.org/toc/1975-5937 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2044 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2019
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authorswithroles_txt_mv	Ying Nagoshi @@aut@@ Lou Ann Cooper @@aut@@ Lynne Meyer @@aut@@ Kartik Cherabuddi @@aut@@ Julia Close @@aut@@ Jamie Dow @@aut@@ Merry Jennifer Markham @@aut@@ Carolyn Stalvey @@aut@@
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topic_title	LC8-6691 Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States cohort studies hand hygiene personal protective equipment united states
topic	misc LC8-6691 misc cohort studies misc hand hygiene misc personal protective equipment misc united states misc Special aspects of education misc Medicine misc R
topic_unstemmed	misc LC8-6691 misc cohort studies misc hand hygiene misc personal protective equipment misc united states misc Special aspects of education misc Medicine misc R
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title	Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States
ctrlnum	(DE-627)DOAJ050867172 (DE-599)DOAJb4e89547a3f64d50a9064fd107938170
title_full	Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States
author_sort	Ying Nagoshi
journal	Journal of Educational Evaluation for Health Professions
journalStr	Journal of Educational Evaluation for Health Professions
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author_browse	Ying Nagoshi Lou Ann Cooper Lynne Meyer Kartik Cherabuddi Julia Close Jamie Dow Merry Jennifer Markham Carolyn Stalvey
container_volume	16
class	LC8-6691
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author-letter	Ying Nagoshi
doi_str_mv	10.3352/jeehp.2019.16.31
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title_sort	application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the united states
callnumber	LC8-6691
title_auth	Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States
abstract	Purpose This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods Interns in July 2015 (N=123, cohort 1) with no experience of OSCE-based contact precaution evaluation and teaching were evaluated in early 2016 using an OSCE for hand hygiene and PPE proficiency. They performed poorly. Therefore, the new interns entering in July 2016 (N=151, cohort 2) were immediately tested at the same OSCE stations as cohort 1, and were provided with feedback and teaching. Cohort 2 was then retested at the OSCE station in early 2017. The Mann-Whitney U-test was used to compare the performance of cohort 1 and cohort 2 on checklist items. In cohort 2, performance differences between the beginning and end of the intern year were compared using the McNemar chi-square test for paired nominal data. Results Checklist items were scored, summed, and reported as percent correct. In cohort 2, the mean percent correct was higher on the posttest than on the pretest (92% vs. 77%, P<0.0001), and the passing rate (100% correct) was also significantly higher on the posttest (55% vs. 16%). At the end of intern year, the mean percent correct was higher in cohort 2 than in cohort 1 (95% vs. 90%, P<0.0001), and 55% of cohort 2 passed (a perfect score) compared to 24% in cohort 1 (P<0.0001). Conclusion An OSCE can be utilized to evaluate and monitor hand hygiene and PPE proficiency among interns in the United States.
abstractGer	Purpose This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods Interns in July 2015 (N=123, cohort 1) with no experience of OSCE-based contact precaution evaluation and teaching were evaluated in early 2016 using an OSCE for hand hygiene and PPE proficiency. They performed poorly. Therefore, the new interns entering in July 2016 (N=151, cohort 2) were immediately tested at the same OSCE stations as cohort 1, and were provided with feedback and teaching. Cohort 2 was then retested at the OSCE station in early 2017. The Mann-Whitney U-test was used to compare the performance of cohort 1 and cohort 2 on checklist items. In cohort 2, performance differences between the beginning and end of the intern year were compared using the McNemar chi-square test for paired nominal data. Results Checklist items were scored, summed, and reported as percent correct. In cohort 2, the mean percent correct was higher on the posttest than on the pretest (92% vs. 77%, P<0.0001), and the passing rate (100% correct) was also significantly higher on the posttest (55% vs. 16%). At the end of intern year, the mean percent correct was higher in cohort 2 than in cohort 1 (95% vs. 90%, P<0.0001), and 55% of cohort 2 passed (a perfect score) compared to 24% in cohort 1 (P<0.0001). Conclusion An OSCE can be utilized to evaluate and monitor hand hygiene and PPE proficiency among interns in the United States.
abstract_unstemmed	Purpose This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods Interns in July 2015 (N=123, cohort 1) with no experience of OSCE-based contact precaution evaluation and teaching were evaluated in early 2016 using an OSCE for hand hygiene and PPE proficiency. They performed poorly. Therefore, the new interns entering in July 2016 (N=151, cohort 2) were immediately tested at the same OSCE stations as cohort 1, and were provided with feedback and teaching. Cohort 2 was then retested at the OSCE station in early 2017. The Mann-Whitney U-test was used to compare the performance of cohort 1 and cohort 2 on checklist items. In cohort 2, performance differences between the beginning and end of the intern year were compared using the McNemar chi-square test for paired nominal data. Results Checklist items were scored, summed, and reported as percent correct. In cohort 2, the mean percent correct was higher on the posttest than on the pretest (92% vs. 77%, P<0.0001), and the passing rate (100% correct) was also significantly higher on the posttest (55% vs. 16%). At the end of intern year, the mean percent correct was higher in cohort 2 than in cohort 1 (95% vs. 90%, P<0.0001), and 55% of cohort 2 passed (a perfect score) compared to 24% in cohort 1 (P<0.0001). Conclusion An OSCE can be utilized to evaluate and monitor hand hygiene and PPE proficiency among interns in the United States.
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title_short	Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States
url	https://doi.org/10.3352/jeehp.2019.16.31 https://doaj.org/article/b4e89547a3f64d50a9064fd107938170 http://www.jeehp.org/upload/jeehp-16-31.pdf https://doaj.org/toc/1975-5937
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up_date	2024-07-03T17:10:46.102Z
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