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dc.contributor.authorWhittaker, Becky*
dc.contributor.authorParry, Ruth*
dc.contributor.authorBird, Lydia*
dc.contributor.authorWatson, Sharan*
dc.contributor.authorFaull, Christina*
dc.date.accessioned2017-02-16T13:03:59Z
dc.date.available2017-02-16T13:03:59Z
dc.date.issued2017-02-02
dc.identifier.citationWhittaker B., Parry R., and Bird L., on behalf of the EMET project team, et al (2018) ‘Development, validity and reliability testing of the East Midlands Evaluation Tool (EMET) for measuring impacts on trainees’ Confidence and Competence following end of life care training’, BMJ Supportive & Palliative Care, DOI: 10.1136/bmjspcare-2016-001100en
dc.identifier.issn2045435X
dc.identifier.doi10.1136/bmjspcare-2016-001100
dc.identifier.urihttp://hdl.handle.net/10545/621396
dc.description.abstractAbstract Objectives To develop, test and validate a versatile questionnaire, the East Midlands Evaluation Tool (EMET), for measuring effects of end of life care training events on trainees’ self-reported confidence and competence. Methods A paper-based questionnaire was designed on the basis of the English Department of Health's core competences for end of life care, with sections for completion pretraining, immediately post-training and also for longer term follow-up. Preliminary versions were field tested at 55 training events delivered by 13 organisations to 1793 trainees working in diverse health and social care backgrounds. Iterative rounds of development aimed to maximise relevance to events and trainees. Internal consistency was assessed by calculating interitem correlations on questionnaire responses during field testing. Content validity was assessed via qualitative content analysis of (1) responses to questionnaires completed by field tester trainers and (2) field notes from a workshop with a separate cohort of experienced trainers. Test–retest reliability was assessed via repeat administration to a cohort of student nurses. Results The EMET comprises 27 items with Likert-scaled responses supplemented with questions seeking free-text responses. It measures changes in self-assessed confidence and competence on 5 subscales: communication skills; assessment and care planning; symptom management; advance care planning; overarching values and knowledge. Test–retest reliability was found to be good, as was internal consistency: the questions successfully assess different aspects of the same underlying concept. Conclusions The EMET provides a time-efficient, reliable and flexible means of evaluating effects of training on self-reported confidence and competence in the key elements of end of life care
dc.description.sponsorshipStrategic Health Authorityen
dc.language.isoenen
dc.publisherBMJ Publishing Group Ltd.en
dc.relation.urlhttp://spcare.bmj.com/lookup/doi/10.1136/bmjspcare-2016-001100en
dc.rightsArchived with thanks to BMJ Supportive & Palliative Careen
dc.subjectEnd of life care trainingen
dc.subjectCompetenceen
dc.subjectEvaluationen
dc.subjectQuestionnaireen
dc.subjectSelf-assessmenten
dc.titleDevelopment, validity and reliability testing of the East Midlands Evaluation Tool (EMET) for measuring impacts on trainees’ confidence and competence following end of life care trainingen
dc.typeArticleen
dc.identifier.eissn20454368
dc.contributor.departmentUniversity of Derbyen
dc.contributor.departmentUniversity of Nottinghamen
dc.identifier.journalBMJ Supportive & Palliative Careen
refterms.dateFOA2019-02-28T15:28:00Z
html.description.abstractAbstract Objectives To develop, test and validate a versatile questionnaire, the East Midlands Evaluation Tool (EMET), for measuring effects of end of life care training events on trainees’ self-reported confidence and competence. Methods A paper-based questionnaire was designed on the basis of the English Department of Health's core competences for end of life care, with sections for completion pretraining, immediately post-training and also for longer term follow-up. Preliminary versions were field tested at 55 training events delivered by 13 organisations to 1793 trainees working in diverse health and social care backgrounds. Iterative rounds of development aimed to maximise relevance to events and trainees. Internal consistency was assessed by calculating interitem correlations on questionnaire responses during field testing. Content validity was assessed via qualitative content analysis of (1) responses to questionnaires completed by field tester trainers and (2) field notes from a workshop with a separate cohort of experienced trainers. Test–retest reliability was assessed via repeat administration to a cohort of student nurses. Results The EMET comprises 27 items with Likert-scaled responses supplemented with questions seeking free-text responses. It measures changes in self-assessed confidence and competence on 5 subscales: communication skills; assessment and care planning; symptom management; advance care planning; overarching values and knowledge. Test–retest reliability was found to be good, as was internal consistency: the questions successfully assess different aspects of the same underlying concept. Conclusions The EMET provides a time-efficient, reliable and flexible means of evaluating effects of training on self-reported confidence and competence in the key elements of end of life care


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