Related Experiment Video
Updated: Oct 3, 2025
07:31
Image Acquisition using Portable Sonography for Emergency Airway Management
Published on: September 28, 2022
2.6K
Validity Evidence for a Novel, Comprehensive Bag-Mask Ventilation Assessment Tool
Allison M Whalen1, Matthew H Merves2, Priyanka Kharayat3
1Division of Pediatric Critical Care Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, SC.
The Journal of Pediatrics
|February 19, 2022
Summary
A new tool effectively assesses pediatric bag-mask ventilation (pBMV) skills using checklists, global ratings, and entrustment assessments. This comprehensive approach provides valuable feedback for training and entrustment decisions.
Area of Science:
- Medical Education
- Pediatric Critical Care
- Simulation-Based Training
Background:
- Pediatric bag-mask ventilation (pBMV) is a critical skill for healthcare providers.
- Standardized and validated assessment tools are essential for ensuring competence in pBMV.
- Existing assessment methods may lack comprehensive validity evidence.
Purpose of the Study:
- To develop a novel, comprehensive competency assessment tool for pediatric bag-mask ventilation (pBMV).
- To gather multidimensional validity evidence for the developed pBMV assessment tool.
- To evaluate the tool's utility in differentiating skill levels across various training stages.
Main Methods:
- A 3-component assessment tool was created: a 22-item checklist, a 5-point global rating scale (GRS), and a 4-point entrustment assessment.
- Participants (n=58) performed a simulated pBMV scenario, with performances video-recorded and assessed by blinded raters.
- Validity evidence was collected for content, response process, internal structure, and relations to other variables, including training level.
Main Results:
- The pBMV tool demonstrated high internal consistency (Cronbach's α = 0.867) and acceptable inter-rater reliability for the checklist (r = 0.65).
- Checklist scores differentiated medical students from other providers, while GRS and entrustment scores significantly distinguished between all training levels.
- Moderate correlations between checklist, GRS, and entrustment scores suggested each component measures pBMV skills uniquely.
Conclusions:
- Multidimensional validity evidence supports the novel entrustment-based pBMV competence assessment tool.
- The tool effectively incorporates global and entrustment-based assessments for comprehensive evaluation.
- This tool can enhance learner feedback and inform entrustment decisions during pediatric training.
Related Concept Videos
01:29Assessment of Ventilation II: Respiratory Depth and Rhythm
1.9K
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
1.9K
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.2K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.2K
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
160
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
160
01:20Assessment of Ventilation I: Respiratory Rate
1.4K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
1.4K
01:23Assessment of Respiration
1.4K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.4K
01:19Respiratory Assessment: Purpose and Indications
1.3K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.3K