Assessing Chest Tube Insertion Skills Using a Porcine Rib Model-A Validity Study.

Autor:	De Mol L; From the Department of Human Structure and Repair (L.D.M., A.L., N.D.P., I.V.H., L.D., W.W.), Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Department of Gastrointestinal Surgery (H.V., W.W.), Ghent University Hospital, Ghent, Belgium; Department of Thoracic and Vascular Surgery (I.V.H., L.D.), Ghent University Hospital, Ghent, Belgium; Department of Basic and Applied Medical Sciences (P.V.d.V.), Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Department of Emergency Medicine (P.V.d.V.), Ghent University Hospital, Ghent, Belgium; Faculty of Health and Medical Sciences, (L.K.) University of Copenhagen, Copenhagen, Denmark; and Copenhagen Academy for Medical Education and Simulation (CAMES) (L.K.), Copenhagen, Denmark., Lievens A, De Pauw N, Vanommeslaeghe H, Van Herzeele I, Van de Voorde P, Konge L, Desender L, Willaert W
Jazyk:	angličtina
Zdroj:	Simulation in healthcare : journal of the Society for Simulation in Healthcare [Simul Healthc] 2024 Oct 01; Vol. 19 (5), pp. 287-293. Date of Electronic Publication: 2023 Sep 26.
DOI:	10.1097/SIH.0000000000000750
Abstrakt:	Introduction: Assessments require sufficient validity evidence before their use. The Assessment for Competence in Chest Tube Insertion (ACTION) tool evaluates proficiency in chest tube insertion (CTI), combining a rating scale and an error checklist. The aim of this study was to collect validity evidence for the ACTION tool on a porcine rib model according to the Messick framework. Methods: A rib model, consisting of a porcine hemithorax that was placed in a wooden frame, was used as simulator. Participants were recruited from the departments of surgery, pulmonology, and emergency medicine. After familiarization with the rib model and the equipment, standardized instructions and clinical context were provided. They performed 2 CTIs while being scored with the ACTION tool. All performances were assessed live by 1 rater and by 3 blinded raters using video recordings. Generalizability-analysis was performed and mean scores and errors of both groups on the first performance were compared. A pass/fail score was established using the contrasting groups' method. Results: Nine novice and 8 experienced participants completed the study. Generalizability coefficients where high for the rating scale (0.92) and the error checklist (0.87). In the first CTI, novices scored lower than the experienced group (38.1/68 vs. 47.1/68, P = 0.042), but no difference was observed on the error checklist. A pass/fail score of 44/68 was established. Conclusion: A solid validity argument for the ACTION tool's rating scale on a porcine rib model is presented, allowing formative and summative assessment of procedural skills during training before patient contact. Competing Interests: The authors declare no conflict of interest. (Copyright © 2023 Society for Simulation in Healthcare.)
Databáze:	MEDLINE
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