Collating evidence to support the validation of a simulated laparotomy incision and closure-training model
It is essential to evaluate the functionality of surgical simulation models, in order to determine whether they perform as intended. In this study, we assessed the use of a simulated laparotomy incision and closure-training model by collating validity evidence to determine its utility as well as pre...
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Veröffentlicht in: | The American journal of surgery 2024-07, Vol.233, p.84-89 |
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creator | Roche, Adam F. Kavanagh, Dara McCawley, Niamh O'Riordan, J.M. Cahir, Caitriona Toale, Conor O'Keeffe, Dara Lawler, Tim Condron, Claire M. |
description | It is essential to evaluate the functionality of surgical simulation models, in order to determine whether they perform as intended. In this study, we assessed the use of a simulated laparotomy incision and closure-training model by collating validity evidence to determine its utility as well as pre and post-test interval data.
This was a quantitative study design, informed by Messick's unified validity framework. In total, 93 participants (surgical trainees = 80, experts = 13) participated in this study. Evaluation of content validity and the models' relationships with other variables was conducted, along with a pre and post-test confidence assessment.
The model was deemed realistic and useful as a teaching tool, providing strong content validity evidence. In assessment of relationships with other variables, the expert group out-performed the novice group conclusively. Pre and post-test evaluation reported a statistically significant increase in confidence levels.
We present strong validity evidence of a novel laparotomy incision and closure simulation-training model.
•Abdominal wall entry and closure are core skills junior surgical trainees are expected to perform early on in training.•Proficiency through simulation-based education is desirable where possible prior to real patient encounters.•Evaluating surgical simulation training models for validity is important to ensure the model performs as required.•Our research demonstrates strong validity evidence to support this training model as a reliable and effective tool in surgical simulation training. |
doi_str_mv | 10.1016/j.amjsurg.2024.02.020 |
format | Article |
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This was a quantitative study design, informed by Messick's unified validity framework. In total, 93 participants (surgical trainees = 80, experts = 13) participated in this study. Evaluation of content validity and the models' relationships with other variables was conducted, along with a pre and post-test confidence assessment.
The model was deemed realistic and useful as a teaching tool, providing strong content validity evidence. In assessment of relationships with other variables, the expert group out-performed the novice group conclusively. Pre and post-test evaluation reported a statistically significant increase in confidence levels.
We present strong validity evidence of a novel laparotomy incision and closure simulation-training model.
•Abdominal wall entry and closure are core skills junior surgical trainees are expected to perform early on in training.•Proficiency through simulation-based education is desirable where possible prior to real patient encounters.•Evaluating surgical simulation training models for validity is important to ensure the model performs as required.•Our research demonstrates strong validity evidence to support this training model as a reliable and effective tool in surgical simulation training.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2024.02.020</identifier><identifier>PMID: 38402084</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdomen ; Abdominal surgery ; Collating ; Confidence intervals ; Ethics ; Independent sample ; Laparotomy ; Patient safety ; Quantitative research ; Questionnaires ; Realism ; Simulation ; Simulation models ; Statistical analysis ; Surgical training ; Training ; Validity</subject><ispartof>The American journal of surgery, 2024-07, Vol.233, p.84-89</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.</rights><rights>2024. The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c388t-18ccb8f5183aa76355e65f276f29c62e7c5b19ccc28671e1df06202575986e1d3</cites><orcidid>0000-0002-2975-1719 ; 0000-0001-9535-0844 ; 0000-0001-7363-4731 ; 0009-0005-0808-5445</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/3065603167?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978,64366,64368,64370,72220</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38402084$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roche, Adam F.</creatorcontrib><creatorcontrib>Kavanagh, Dara</creatorcontrib><creatorcontrib>McCawley, Niamh</creatorcontrib><creatorcontrib>O'Riordan, J.M.</creatorcontrib><creatorcontrib>Cahir, Caitriona</creatorcontrib><creatorcontrib>Toale, Conor</creatorcontrib><creatorcontrib>O'Keeffe, Dara</creatorcontrib><creatorcontrib>Lawler, Tim</creatorcontrib><creatorcontrib>Condron, Claire M.</creatorcontrib><title>Collating evidence to support the validation of a simulated laparotomy incision and closure-training model</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>It is essential to evaluate the functionality of surgical simulation models, in order to determine whether they perform as intended. In this study, we assessed the use of a simulated laparotomy incision and closure-training model by collating validity evidence to determine its utility as well as pre and post-test interval data.
This was a quantitative study design, informed by Messick's unified validity framework. In total, 93 participants (surgical trainees = 80, experts = 13) participated in this study. Evaluation of content validity and the models' relationships with other variables was conducted, along with a pre and post-test confidence assessment.
The model was deemed realistic and useful as a teaching tool, providing strong content validity evidence. In assessment of relationships with other variables, the expert group out-performed the novice group conclusively. Pre and post-test evaluation reported a statistically significant increase in confidence levels.
We present strong validity evidence of a novel laparotomy incision and closure simulation-training model.
•Abdominal wall entry and closure are core skills junior surgical trainees are expected to perform early on in training.•Proficiency through simulation-based education is desirable where possible prior to real patient encounters.•Evaluating surgical simulation training models for validity is important to ensure the model performs as required.•Our research demonstrates strong validity evidence to support this training model as a reliable and effective tool in surgical simulation training.</description><subject>Abdomen</subject><subject>Abdominal surgery</subject><subject>Collating</subject><subject>Confidence intervals</subject><subject>Ethics</subject><subject>Independent sample</subject><subject>Laparotomy</subject><subject>Patient safety</subject><subject>Quantitative research</subject><subject>Questionnaires</subject><subject>Realism</subject><subject>Simulation</subject><subject>Simulation models</subject><subject>Statistical analysis</subject><subject>Surgical training</subject><subject>Training</subject><subject>Validity</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU2LFDEQhoMo7rj6E5SAFy895mOSTp9EBr9gwYueQyapXtN0d9okPbD_fquZ0YMXoSAUPPWm6n0Jec3ZnjOu3w97Nw1lzfd7wcRhzwQWe0J23LRdw42RT8mOMSaaTnN2Q16UMmDL-UE-JzfSHJA2hx0ZjmkcXY3zPYVzDDB7oDXRsi5LypXWX0DPbowBkTTT1FNHS5xWHIFAR7e4nGqaHmicfSwb4uZA_ZhwM2hqdnHepKcUYHxJnvVuLPDq-t6Sn58__Th-be6-f_l2_HjXeGlMxd29P5lecSOda7VUCrTqRat70XktoPXqxDvvvTC65cBDzzRaoFrVGY2tvCXvLrpLTr9XKNVOsXjAM2dIa7GSad12XEqB6Nt_0CGtecbtNkppJrlukVIXyudUSobeLjlOLj9YzuwWhh3sNQy7hWGZwGI49-aqvp4mCH-n_riPwIcLAGjHOUK2xcctghAz-GpDiv_54hHK954n</recordid><startdate>20240701</startdate><enddate>20240701</enddate><creator>Roche, Adam F.</creator><creator>Kavanagh, Dara</creator><creator>McCawley, Niamh</creator><creator>O'Riordan, J.M.</creator><creator>Cahir, Caitriona</creator><creator>Toale, Conor</creator><creator>O'Keeffe, Dara</creator><creator>Lawler, Tim</creator><creator>Condron, Claire M.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2975-1719</orcidid><orcidid>https://orcid.org/0000-0001-9535-0844</orcidid><orcidid>https://orcid.org/0000-0001-7363-4731</orcidid><orcidid>https://orcid.org/0009-0005-0808-5445</orcidid></search><sort><creationdate>20240701</creationdate><title>Collating evidence to support the validation of a simulated laparotomy incision and closure-training model</title><author>Roche, Adam F. ; Kavanagh, Dara ; McCawley, Niamh ; O'Riordan, J.M. ; Cahir, Caitriona ; Toale, Conor ; O'Keeffe, Dara ; Lawler, Tim ; Condron, Claire M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c388t-18ccb8f5183aa76355e65f276f29c62e7c5b19ccc28671e1df06202575986e1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdomen</topic><topic>Abdominal surgery</topic><topic>Collating</topic><topic>Confidence intervals</topic><topic>Ethics</topic><topic>Independent sample</topic><topic>Laparotomy</topic><topic>Patient safety</topic><topic>Quantitative research</topic><topic>Questionnaires</topic><topic>Realism</topic><topic>Simulation</topic><topic>Simulation models</topic><topic>Statistical analysis</topic><topic>Surgical training</topic><topic>Training</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roche, Adam F.</creatorcontrib><creatorcontrib>Kavanagh, Dara</creatorcontrib><creatorcontrib>McCawley, Niamh</creatorcontrib><creatorcontrib>O'Riordan, J.M.</creatorcontrib><creatorcontrib>Cahir, Caitriona</creatorcontrib><creatorcontrib>Toale, Conor</creatorcontrib><creatorcontrib>O'Keeffe, Dara</creatorcontrib><creatorcontrib>Lawler, Tim</creatorcontrib><creatorcontrib>Condron, Claire M.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roche, Adam F.</au><au>Kavanagh, Dara</au><au>McCawley, Niamh</au><au>O'Riordan, J.M.</au><au>Cahir, Caitriona</au><au>Toale, Conor</au><au>O'Keeffe, Dara</au><au>Lawler, Tim</au><au>Condron, Claire M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Collating evidence to support the validation of a simulated laparotomy incision and closure-training model</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2024-07-01</date><risdate>2024</risdate><volume>233</volume><spage>84</spage><epage>89</epage><pages>84-89</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>It is essential to evaluate the functionality of surgical simulation models, in order to determine whether they perform as intended. In this study, we assessed the use of a simulated laparotomy incision and closure-training model by collating validity evidence to determine its utility as well as pre and post-test interval data.
This was a quantitative study design, informed by Messick's unified validity framework. In total, 93 participants (surgical trainees = 80, experts = 13) participated in this study. Evaluation of content validity and the models' relationships with other variables was conducted, along with a pre and post-test confidence assessment.
The model was deemed realistic and useful as a teaching tool, providing strong content validity evidence. In assessment of relationships with other variables, the expert group out-performed the novice group conclusively. Pre and post-test evaluation reported a statistically significant increase in confidence levels.
We present strong validity evidence of a novel laparotomy incision and closure simulation-training model.
•Abdominal wall entry and closure are core skills junior surgical trainees are expected to perform early on in training.•Proficiency through simulation-based education is desirable where possible prior to real patient encounters.•Evaluating surgical simulation training models for validity is important to ensure the model performs as required.•Our research demonstrates strong validity evidence to support this training model as a reliable and effective tool in surgical simulation training.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38402084</pmid><doi>10.1016/j.amjsurg.2024.02.020</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2975-1719</orcidid><orcidid>https://orcid.org/0000-0001-9535-0844</orcidid><orcidid>https://orcid.org/0000-0001-7363-4731</orcidid><orcidid>https://orcid.org/0009-0005-0808-5445</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Abdominal surgery Collating Confidence intervals Ethics Independent sample Laparotomy Patient safety Quantitative research Questionnaires Realism Simulation Simulation models Statistical analysis Surgical training Training Validity |
title | Collating evidence to support the validation of a simulated laparotomy incision and closure-training model |
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