Validity and Reliability of Direct Observation of Procedural Skills in Evaluating Clinical Skills of midwifery Students of Kashan Nursing and Midwifery School

Direct observation is a method for objective assessment of practical skills and giving feedback to the students. This study investigated the reliability and validity testing direct observation of practical skills in the assessment of midwifery students’ clinical skills. In this cross-sectional study، participants included 44 midwifery students Internship of Kashan University Medical Sciences selected through census sampling method. Based on faculty members of Guilan، Kashan and Zahedan universities’ opinions foure midwifery skills choosed among the basice clinical skills and prepared related check list. Students were obzerved over the procedure in a real work environment by the experimenter and recorded the results according to the check list and objective feedback was given to the students. Content validity - criterion validity (correlation between mean score of clinical and theoretical courses of midwifery and dops - Each item relationship with dops each skill) - validity (internal structure)، reliability (internal consistency determination - rater reliability) was analyzed using the SPSS software. Dops test content validity index and content validity ratio were reported over 0. 75% and 0. 50%، respectively. Dops scores correlated with theoretical، 0. 071 (p =0. 647) and clinical 0. 093 (p =0. 548). The dops significantly correlated with the total score of each skill expressing the desired internal validity (p<0/001). Reliability test was measured using Cronbach''s alpha coefficient (0. 814). the Minimum and maximum values of the correlation coefficient of inter-rater reliability were 0. 97 and 0. 99، respectivelywhich were significant in all cases (p<0. 001). Students’ satisfaction was rated from satisfay to very satisfy with 78. 2 percent. According to the results of tha study، dops has suitable validity and reliability to use for objective evaluation of onstetrical skills.