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Neonatal Intubation Competency Assessment Tool: Development and Validation.

Lindsay Johnston1, Taylor Sawyer2, Akira Nishisaki3

  • 1Department of Pediatrics (L Johnston,T Whitfill, C Bruno,O Levit, and M Auerbach), Yale University School of Medicine, New Haven, Conn.

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|August 14, 2018
PubMed
Summary
This summary is machine-generated.

A new Neonatal Tracheal Intubation (NTI) assessment tool was developed using multisource validity evidence. This validated tool can objectively assess NTI competency during simulation training.

Keywords:
entrustable professional activities assessmentglobal skills assessmentneonatal intubationprocedural skills checklistvalidity

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Area of Science:

  • Medical Education
  • Simulation-based training
  • Neonatal care

Background:

  • Neonatal tracheal intubation (NTI) is a critical skill, but suboptimal performance can lead to patient harm.
  • Simulation training is effective for improving NTI skills, but requires objective competency assessment.
  • Existing assessment tools need robust validity evidence for reliable evaluation.

Purpose of the Study:

  • To develop and validate a Neonatal Tracheal Intubation (NTI) competency assessment tool.
  • To gather multisource validity evidence for the NTI assessment tool.
  • To enable formative and summative assessment during simulation-based NTI training.

Main Methods:

  • Developed an NTI assessment tool incorporating a checklist, global skills assessment, and entrustable professional activity (EPA) level.
  • Refined the tool using a modified Delphi process with 12 subject-matter experts.
  • Assessed checklist validity by having blinded reviewers score 23 NTI simulation videos.

Main Results:

  • The NTI checklist demonstrated good internal consistency (α = 0.79).
  • Scores correlated significantly with provider experience, global skills, EPA levels, glottic exposure, and Cormack-Lehane scores.
  • The tool reliably discriminated performance based on experience and predicted EPA levels.

Conclusions:

  • An NTI competency assessment tool with multisource validity evidence was successfully developed.
  • The tool effectively differentiates NTI performance across experience levels.
  • This validated tool can support formative and summative assessments in NTI simulation training and inform entrustment decisions.