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Assessment of Ventilation II: Respiratory Depth and Rhythm

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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.
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Assessment of Ventilation I: Respiratory Rate

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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.
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Following these guidelines can help nurses accurately measure vital signs, assess changes in patient conditions, and provide timely treatment when necessary. Adhering closely to the guidelines ensures the accuracy and reliability of the results.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.

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Updated: Apr 23, 2026

Mechanical Ventilation Boot Camp Curriculum

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The Vital Anaesthesia Simulation Training Facilitation Observation and Rating Method (VAST FORM).

Adam I Mossenson, Janie A Brown, Michael Moneypenny

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare

|April 21, 2026

Summary

This summary is machine-generated.

The Vital Anaesthesia Simulation Training Facilitation Observation and Rating Method (VAST FORM) is a valid tool for assessing simulation facilitation in low-resource settings. It offers good to excellent reliability and supports faculty development.

Keywords:

assessment facilitation low-resource settings meta-debriefing simulation

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Area of Science:

Medical Education
Simulation-Based Training
Healthcare Professional Development

Background:

The Vital Anaesthesia Simulation Training Facilitation Observation and Rating Method (VAST FORM) is a 5-part tool designed for healthcare simulation facilitation assessment.
It is particularly suitable for low-resource settings.
This study aimed to establish validity evidence for the VAST FORM's use.

Purpose of the Study:

To build validity evidence for the Vital Anaesthesia Simulation Training Facilitation Observation and Rating Method (VAST FORM).
To assess the practicality, utility for learning, and ease of use of the VAST FORM.
To evaluate the reliability and correlation of VAST FORM scores with facilitation experience.

Main Methods:

Participants facilitated simulation cases and used the VAST FORM for self-assessment and discussion.
Facilitation performance was rated by observers using Parts 4 and 5 of the VAST FORM.
Inter-rater reliability was calculated using intraclass correlations (ICC), and Spearman correlation was used to compare scores and prior experience.

Main Results:

Participants found the VAST FORM valuable.
Part 4 showed good to excellent inter-rater reliability (ICC2=0.76, ICC2k=0.90) and excellent internal consistency (α=0.95).
Part 5 demonstrated good reliability when averaged across raters (ICC2=0.59, ICC2k=0.85), with strong correlation between Parts 4 and 5 (r=0.91). Higher scores correlated with more facilitation experience.

Conclusions:

The study provides validity evidence supporting the use of the VAST FORM.
The VAST FORM serves as a valuable resource for simulation faculty development.
It is a contextually appropriate tool for low-resource settings.