000			03044nam a22003497a 4500
003			OSt
005			20240305193741.0
008			221130b |||||||| |||| 00| 0 eng d
028			_bPhone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
040			_bEnglish _cDLC
041			_aEnglish
100			_aElaine L Sigalet _946263
222			_a health services research, resuscitation
245			_aRater training for standardised assessment of Objective Structured Clinical Examinations in rural Tanzania
260			_aMwanza, Tanzania: _b Publisher BMJ Publishing Group & _bCatholic University of Health and Allied Sciences [CUHAS – Bugando] _c2020
490			_vBMJ paediatrics open Volume 4 Issue 1
520			_aAbstract: Objectives: To describe a simulation-based rater training curriculum for Objective Structured Clinical Examinations (OSCEs) for clinician-based training for frontline staff caring for mothers and babies in rural Tanzania. Background: Rater training for OSCE evaluation is widely embraced in high-income countries but not well described in low-income and middle-income countries. Helping Babies Breathe, Essential Care for Every Baby and Bleeding after Birth are standardised training programmes that encourage OSCE evaluations. Studies examining the reliability of assessments are rare. Methods: Training of raters occurred over 3 days. Raters scored selected OSCEs role-played using standardised learners and low-fidelity mannikins, assigning proficiency levels a priori. Researchers used Zabar’s criteria to critique rater agreement and mitigate measurement error during score review. Descriptive statistics, Fleiss’ kappa and field notes were used to describe results. Results: Six healthcare providers scored 42 training scenarios. There was moderate rater agreement across all OSCEs (κ=0.508). Kappa values increased with Helping Babies Breathe (κ=0.28–0.48) and Essential Care for Every Baby (κ=0.42–0.77) by day 3 of training, but not with Bleeding after Birth (κ=0.58–0.33). Raters identified average proficiency 50% of the time. Conclusion: Our study shows that the in-country raters in this study had a hard time identifying average performance despite moderate rater agreement. Rater training is critical to ensure that the potential of training programmes translates to improved outcomes for mothers and babies; more research into the concepts and training for discernment of competence in this setting is necessary.
700			_aDismas Matovelo _922780
700			_a Nalini Singhal _946232
700			_aJaelene Mannerfeldt _946264
700			_a Julieth Kabirigi _923170
700			_a Girles Shabani _923172
700			_aJennifer L Brenner _946096
700			_a Lusako Mwaikasu _920738
700			_aMaendeleo Boniphace _921039
700			_a Edgar Ndaboine _919605
856			_uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7722831/
942			_2ddc _cVM
999			_c19803 _d19803