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Assessment of neonatal resuscitation skills: a reliable and valid scoring system.

Abstract：

OBJECTIVE:To study the reliability and validity of a scoring instrument for the assessment of neonatal resuscitation skills in a training setting. METHODS:Fourteen paediatric residents performed a neonatal resuscitation on a manikin, while being recorded with a video camera. The videotapes were analysed using an existing scoring instrument with an established face and content validity, adjusted for use in a training setting. Intra- and inter-rater reliability were assessed by comparing the ratings of the videotapes of three raters, one of who rated the videotapes twice. Intra-class coefficients (ICC) were calculated for the sum score, percentages of agreement and kappa coefficients for the individual items. To study construct validity, the performance of a second resuscitation of by residents was assessed after they had received feedback on their first performance. RESULTS:The ICC were 0.95 and 0.77 for intra- and inter-rater reliability, respectively. The median percentage of intra-rater agreement was 100%; inter-rater agreement 78.6-84.0%. The median kappa was 0.85 for intra-rater reliability, and 0.42-0.59 for inter-rater reliability. Residents showed a 10% improvement (95% confidence interval -4; 23%) on performance of a second resuscitation, which supports the instrument's construct validity. CONCLUSION:A useful and valid instrument with good intra-rater and reasonable inter-rater reliability is now available for the assessment of neonatal resuscitation skills in a training setting. Its reliability can be improved by using a more advanced manikin and by training of the raters.

journal_name

Resuscitation

journal_title

Resuscitation

authors

van der Heide PA,van Toledo-Eppinga L,van der Heide M,van der Lee JH

doi

10.1016/j.resuscitation.2006.04.009

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

212-21

issue

2

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(06)00182-1

journal_volume

71

pub_type

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