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Creation of a rating scale to teach Less Invasive Surfactant Administration (LISA) in simulation
Hélène Rostoker1, Bernard Guillois2,3, Amaya Caradec4
1Sorbonne Université, Department of Neonatal Paediatrics, Trousseau Hospital, APHP, F-75012, Paris, France.
BMC Medical Education
|February 14, 2024
Summary
This study developed and validated a new rating scale for Less Invasive Surfactant Administration (LISA) training in neonatology. The scale effectively evaluates pediatrician performance in simulation, distinguishing experienced from novice learners.
Area of Science:
- Medical Education
- Neonatology
- Simulation Training
Background:
- Simulation-based training is increasingly vital in neonatology.
- The Less Invasive Surfactant Administration (LISA) method is now part of simulation curricula.
- There is a need for validated tools to teach and assess LISA proficiency.
Purpose of the Study:
- To develop a performance-rating scale for Less Invasive Surfactant Administration (LISA) simulation training.
- To validate the reliability and efficacy of this novel rating scale.
Main Methods:
- The Downing framework guided scale development.
- A modified Delphi method involved 12 expert reviews.
- 40 pediatricians' performance was assessed on a manikin by two independent observers using video recordings.
Main Results:
- The rating scale demonstrated good reliability (Cronbach alpha = 0.72, ICC = 0.91).
- Inter-rater agreement was high, with no significant differences between observers.
- The scale effectively differentiated between experienced and inexperienced learners (p < 0.01).
Conclusions:
- This is one of the first validated rating scales for evaluating and teaching the LISA method via simulation.
- The developed tool shows significant potential for assessing surfactant administration performance in clinical neonatology.
