Kahabi Isangula, Eunice S Pallangyo, Eunice Ndirangu-Mugo
Nurses' and clients' perspectives after engagement in the co-designing of solutions to improve provider-client relationships in maternal and child healthcare: a human-centered design study in rural Tanzania
BMC nursing
narrative comments increasingly used assessment document trainees performance make important decisions academic progress however little known document quality narrative comments since traditional psychometric analysis cannot applied authors aimed generate list quality indicators narrative comments identify recommendations writing highquality narrative comments document factors influence quality narrative comments used assessments higher education authors conducted scoping review according arksey omalleys framework search strategy yielded 690 articles 6 databases team members screened abstracts inclusion exclusion extracted numerical qualitative data based predetermined categories numerical data used descriptive analysis authors completed thematic analysis qualitative data iterative discussions achieved consensus interpretation results fulltext review 213 selected articles 47 included thematic analysis authors identified 7 quality indicators 12 recommendations writing quality narratives 3 factors influence quality narrative comments used assessment 7 quality indicators 1 describes performance focus particular elements attitudes knowledge skills 2 provides balanced message positive elements elements needing improvement 3 provides recommendations learners improve performance 4 compares observed performance expected standard performance 5 provides justification markscore given 6 uses language clear easily understood 7 uses nonjudgmental style assessors use quality indicators recommendations write highquality narrative comments thus reinforcing appropriate documentation trainees performance facilitating solid decision making trainees progression enhancing impact narrative feedback learners programs