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The development of the Australian Basic Intensive Care Knowledge Test

M Boyle, C Kenney, R Butcher

    Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
    |September 1, 1995
    PubMed
    Summary
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    The Basic knowledge Assessment Tool (BKAT) was adapted for Australian intensive care (IC) nurses. The modified BKAT is a reliable and valid measure of essential IC nursing knowledge.

    Area of Science:

    • Nursing Education
    • Critical Care Medicine

    Background:

    • The Basic knowledge Assessment Tool (BKAT) is a validated instrument for assessing foundational knowledge in critical care nursing in the United States.
    • Adaptation of the BKAT for the Australian intensive care (IC) context was necessary to ensure its relevance and applicability.

    Purpose of the Study:

    • To determine the content validity, reliability, and decision validity of a modified BKAT for Australian intensive care nurses.
    • To evaluate the BKAT's effectiveness in differentiating nurses based on their intensive care experience.

    Main Methods:

    • The Delphi technique, involving eleven experts, was employed to establish content validity and modify the BKAT.
    • A criterion group design was utilized, with the modified test administered to registered nurses across three experience levels (novice, intermediate, specialist).

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  • Item analysis, including difficulty and discrimination indexes, and Cronbach's Alpha were used to assess reliability and validity.

    • Main Results:

    • The Delphi process resulted in a 105-question modified BKAT.
    • Significant differences in mean scores were observed between the novice (41±9), intermediate (69±9), and specialist (86±7) IC nurse groups (p < 0.001).
    • The modified BKAT demonstrated high reliability, with a Cronbach's Alpha coefficient of .96.

    Conclusions:

    • The modified BKAT is a reliable and valid instrument for assessing basic knowledge in Australian intensive care nurses.
    • The test effectively distinguishes between nurses with varying levels of IC experience.
    • The modified BKAT can serve as a valuable tool in the assessment of intensive care orientation programs.