Document Detail


Assessment of neonatal resuscitation skills: a reliable and valid scoring system.
MedLine Citation:
PMID:  16987590     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Philine A van der Heide; Letty van Toledo-Eppinga; Maaike van der Heide; Johanna H van der Lee
Publication Detail:
Type:  Journal Article; Validation Studies     Date:  2006-09-20
Journal Detail:
Title:  Resuscitation     Volume:  71     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-27     Completed Date:  2007-02-05     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  212-21     Citation Subset:  IM    
Affiliation:
Department of Neonatology, Emma Children's Hospital, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Resuscitation / education*
Clinical Competence*
Educational Measurement / methods*
Feasibility Studies
Feedback, Psychological
Heart Arrest / therapy
Humans
Infant, Newborn
Internship and Residency
Manikins
Neonatology / education*
Reproducibility of Results
Videotape Recording

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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