Chika Tanimura, Reiko Okuda, Yasuko Tokushima, Yuka Matsumoto, Sayaka Katou, Masayuki Miyoshi, Asami Oshima, Junko Yoshimura, Mika Fukada, Kumiko Sasaki, Haruyo Matsuura, Masaru Ueki
Examining the reliability and validity of a self-regulated learning strategy scale for undergraduate nursing students and effective factors of self-regulated learning strategies
Nurse education today
objectives acute pulmonary embolism pe common disease necessitating risk stratification determine management right ventricle rv left ventricle lv diameter ratio 10 computed tomography pulmonary angiography ctpa suggests rv strain may indicate worse prognosis two prior studies showed residents brief training radiologist could accurately measure rvlv ratio assessed whether medical students could accurately measure rv dilatation methods conducted post hoc analysis retrospective cohort study adults undergoing management acute pe 21 community emergency departments across kaiser permanente northern california 2013 2015 created sample stratified contain equal number patients 5 pe severity index classes four medical students measured rv lv diameter ctpa training emergency medicine physician interventional radiologist used cohens kappa statistics blandaltman plots pearson correlation coefficients assess interrater reliability results 108 ctpas reviewed 79 73 showed rv dilatation 29 27 kappa statistic presence rv dilatation medical students compared radiologist showed moderate agreement 3 medical students kappa 95 ci 046 021070 049 031068 050 032068 fair agreement 1 medical student kappa 95 ci 029 010047 average interrater differences rvlv ratio radiologist 4 medical students 004 005 004 024 pearson correlation coefficients 087 080 074 078 respectively indicating moderate correlation p 001 conclusion medical students able identify rv dilatation ctpa moderate agreement radiologist study needed determine whether medical student accuracy could improve additional training