Interrater reliability and agreement of the NEUMOBACT checklist about infection-prevention performance of intensive care nurses in simulation-based scenarios
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View abstract on PubMed
Summary
This summary is machine-generated.The NEUMOBACT checklist demonstrates strong interrater reliability among ICU nurses for assessing skills in preventing ventilator-associated pneumonia (VAP) and catheter-related bacteraemia (CRB). This validated tool aids in skill assessment and reinforces evidence-based practices post-training.
Area Of Science
- Healthcare Quality and Safety
- Nursing Education and Practice
- Infection Prevention and Control
Background
- Ventilator-associated pneumonia (VAP) and catheter-related bacteraemia (CRB) are significant ICU-acquired infections.
- Effective prevention strategies require consistent application of evidence-based practices by nurses.
- Assessing the reliability of tools used to evaluate these practices is crucial for quality improvement.
Purpose Of The Study
- To analyze the interrater reliability of the NEUMOBACT checklist.
- To verify the reproducibility of consistent results using the NEUMOBACT checklist.
- To validate the NEUMOBACT checklist for assessing VAP and CRB prevention skills.
Main Methods
- A cross-sectional validation study using the GRRAS checklist.
- Involved ICU nurses attending a SIMULAZERO course with Objective Structured Clinical Evaluation simulations.
- Interrater agreement was assessed using Gwet's AC1 statistic for NEUMOBACT checklist items and totals.
Main Results
- High interrater reliability was found for the NEUMOBACT checklist across three stations: Central Venous Catheter insertion (AC1=0.934), Patient Care (AC1=0.911), and Endotracheal Suctioning (AC1=0.869).
- Most items across all checklists demonstrated substantial agreement (AC1 > 0.9 or > 0.8).
- A total of 95 pairs of checklists were completed by 190 raters.
Conclusions
- The NEUMOBACT checklist exhibits substantial interrater agreement and is validated for use with ICU nurses.
- The checklist is valuable for assessing skills before and after training in VAP and CRB prevention.
- It can be utilized during debriefing to reinforce correct practices and address performance gaps, consolidating training.
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