Abstract:
BACKGROUND:Neonatal tracheal intubation (NTI) is an important clinical skill. Suboptimal performance is associated with patient harm. Simulation training can improve NTI performance. Improving performance requires an objective assessment of competency. Competency assessment tools need strong evidence of validity. We hypothesized that an NTI competency assessment tool with multisource validity evidence could be developed and be used for formative and summative assessment during simulation-based training. METHODS:An NTI assessment tool was developed based on a literature review. The tool was refined through 2 rounds of a modified Delphi process involving 12 subject-matter experts. The final tool included a 22-item checklist, a global skills assessment, and an entrustable professional activity (EPA) level. The validity of the checklist was assessed by having 4 blinded reviewers score 23 videos of health care providers intubating a neonatal simulator. RESULTS:The checklist items had good internal consistency (overall α = 0.79). Checklist scores were greater for providers at greater training levels and with more NTI experience. Checklist scores correlated with global skills assessment (ρ = 0.85; P < .05), EPA levels (ρ = 0.87; P < .05), percent glottic exposure (r = 0.59; P < .05), and Cormack-Lehane scores (ρ = 0.95; P < .05). Checklist scores reliably predicted EPA levels. CONCLUSIONS:We developed an NTI competency assessment tool with multisource validity evidence. The tool was able to discriminate NTI performance based on experience. The tool can be used during simulation-based NTI training to provide formative and summative assessment and can aid with entrustment decisions.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Johnston L,Sawyer T,Nishisaki A,Whitfill T,Ades A,French H,Glass K,Dadiz R,Bruno C,Levit O,Gangadharan S,Scherzer D,Moussa A,Auerbach M,INSPIRE Research Network.doi
10.1016/j.acap.2018.07.008subject
Has Abstractpub_date
2019-03-01 00:00:00pages
157-164issue
2eissn
1876-2859issn
1876-2867pii
S1876-2859(18)30473-Xjournal_volume
19pub_type
杂志文章abstract:OBJECTIVE:A cluster randomized trial was performed to evaluate an educational intervention to improve parental attitudes and vaccine uptake in vaccine-hesitant parents. METHODS:Two primary care sites were randomized to provide families with either usual care or an intervention (video and written information) for vacci...
journal_title:Academic pediatrics
pub_type: 杂志文章,随机对照试验
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journal_title:Academic pediatrics
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journal_title:Academic pediatrics
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journal_title:Academic pediatrics
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journal_title:Academic pediatrics
pub_type: 杂志文章
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更新日期:2014-09-01 00:00:00
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更新日期:2014-03-01 00:00:00
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journal_title:Academic pediatrics
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更新日期:2017-01-01 00:00:00
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journal_title:Academic pediatrics
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