新检查 (NeoCheck):一个新的检查清单来评估新生儿生命支持期间的表现 - - 一项验证研究
Katharina Bibl1, Felix Eibensteiner2, Valentin Ritschl3
1Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, 1090 Vienna, Austria.
Children (Basel, Switzerland)
|June 28, 2023
概括
开发了一个新的检查清单和情景来评估新生儿生命支持 (NLS) 技能. 这种经过验证的工具确保可靠的评估提供者在新生儿复苏中的表现.
科学领域:
- 新生儿复苏新生儿的复苏
- 医学教育 医学教育
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 评估新生儿生命支持 (NLS) 的提供者表现对于新生儿结局至关重要.
- 现有的评估工具可能缺乏标准化或全面验证.
- 需要一种可靠和有效的方法来评估NLS技能.
研究的目的:
- 设计和验证一个新的检查清单和标准化场景,用于评估新生儿生命支持期间的提供者表现.
- 通过专家共识和统计分析来确定新评估工具的可靠性和有效性.
主要方法:
- 采用了涉及十二名新生儿学专家的三步德尔菲过程.
- 专家们在1-5级别上对检查清单项目进行了评分,平均评分低于4的项目被删除.
- 计算了Interrater可靠性,以评估检查清单的一致性.
主要成果:
- 在专家审查后,完成了涵盖所有基本NLS步骤的38项检查清单.
- 最终的检查清单获得了4.40的平均专家评分.
- 证实了实质性的评分器间可靠性 (草案为κ = 0.80,最终为k = 0.73).
结论:
- 开发了一种可行且经过验证的新生儿生命支持性能评估工具.
- 该检查列表被认为是有效和可靠的,用于评估NLS的提供者能力.
- 德尔菲过程和interrater可靠性分析支持该工具的实用性.
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