Mortera SLI, Barrera MJ, Benavides CT, Insfrán SM

Language: Spanish
References: 15
Page: 19-25
PDF size: 140.83 Kb.

ABSTRACT

Objectives: To design and to validate an instrument to evaluate the clinical aptitude in the handling of patient with chronic renal failure and to compare reaching of a promoter of the participation strategy with those of a traditional one in the first-degree residents.
Participants and methods: An instrument of 106 questions was built with two real clinical cases. Two medical internists and three nephrologists carried out the validation process in three cycles. According to the punctuations aptitude levels settled down: very high, high, middle, low, very low, and explained by chance. We accomplished a quasiexperimental study of 13 first-degree residents of internal medicine, assigned into two groups, in different hospitals. They carried out the educational participative strategy (n = 7) and the traditional one (n = 6), and applied the instrument at the beginning and the end of both.
Results: It was obtained an instrument consistency of 0.76 with the test of Kuder-Richardson. At the beginning of the strategies, it was not found a significant statistical difference between the groups with the U test of Mann-Whitney. After the participative strategy, the clinical aptitude increased from very low and lower levels to lower and medium ones. The results were statistically significant (p ‹0.025) with the test of Wilcoxon.
Conclusions: There was an evolution of the level of clinical aptitude after an educational intervention promoter of the participation. The kind of educational strategy was decisive in the development of the clinical aptitude.

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