El Nursing OPT for learning and assessment of palliative care in Nursing. From assessment for passing to assessment for learning

Abstract

Assesment is the process by which one person observes the performance of another. The characteristics of an ideal evaluation are validity, reliability, acceptability, profitability and educational impact (Schuwirth et al., 2017); Fulfilling these characteristics is a challenge for the evaluation designer, hence the need to combine strategies that allow the subject to be evaluated comprehensively. Currently, the Outcome Present State Test -OPT model is a tool that establishes a structure for the clinical reasoning of problems, focusing them on the expected results in nursing practice. It raises the importance of reorienting the teaching and learning of the nursing process by thinking about it in reflective terms, facilitating the development of clinical reasoning skills. The objective was to measure the relative learning increase (RAI) of clinical reasoning in palliative nursing through the use of the OPT Model as a pedagogical and evaluation strategy in the fifth semester of nursing at the Fundación Universitaria Juan N. Corpas. This is an observational study, which measured the relative increase in learning clinical reasoning in palliative nursing through the use of the OPT Model, with a programmatic evaluation system, which evaluated clinical reasoning in palliative nursing with a clinical case in two moments. The first day of the module as diagnostic evaluation and the last day as exit evaluation. The two results were compared with the AKI measure, as follows; The calculation of the IRA was carried out by virtue of the following function: ((Score in the EDS - Score in the EDI) / Score in the EDI)). (EDI, Diagnostic Evaluation of Admission, EDS, exit evaluation). Regarding the results, learning was 230% for the overall course. The average yield increase was up 1.3 times. There were no significant differences by gender. We conclude that evaluation is a learning tool (Cano et. al, 2017) when we manage to design objective, transparent instruments that allow us to identify the process and where both the teacher and the student recognize the objective of their learning by providing feedback in time. real. The assessment of clinical reasoning in palliative nursing through the use of OPT as a pedagogical strategy and evaluation instrument is innovative and provides substantial elements for curricular alignment (Biggs, 2011). and systematic, progressive and a fair assesment