Neonatal Intubation Competency Assessment Tool: Development and Validation

Johnston, Lindsay; Sawyer, Taylor; Nishisaki, Akira; Whitfill, Travis; Ades, Anne; French, Heather; Glass, Kristen; Dadiz, Rita; Bruno, Christie J.; Levit, Orly; Gangadharan, Sandeep; Scherzer, Daniel; Moussa, Ahmed; Auerbach, Marc

doi:10.1016/j.acap.2018.07.008

Cited by 33 publications

(29 citation statements)

References 32 publications

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“…Choosing the right equipment quickly and needle cricothyroidotomy Intubation trainers (e.g., Syndaver Child and Infant) Laryngoscope handles Laryngoscope blades–Wis-Hipple 00, Miller 0, 1, 2; Macintosh 1, 2, 3 Video laryngoscope blades and handles Cuffed endotracheal tubes sizes 3.0, 3.5, 4.0, 4.5, 5.0, 5.5, 6.0, 6.5 Laryngeal mask airway (LMA) sizes 1, 1.5, 2, 2.5, 3, 4, 5 Cognitive aids (e.g., Broselow tape; Patient Advice and Liaison Service, PALS, cards; PediStat app; e-Broselow app) Stopwatch Needle cricothyrotomy trainer Needle cricothyrotomy cognitive aid ( Appendix C ) 14g IV 3mL syringes Top of a 7.0 endotracheal adapter Pediatric self-inflatable bag valve mask Intubation teaching rubrics ( Appendix D ) 29 , 31 …”

Section: Methodsmentioning

confidence: 99%

“…Examples of previously published and validated intubation teaching rubrics were provided to facilitators to promote standardization of teaching scripts and to ensure key procedural techniques were covered (Appendix D). 29,31 In this station, an additional preceptor worked with learners on needle cricothyrotomy. There learners reviewed indications, demonstrated the proper technique, and received direct observation and feedback on their approach.…”

Section: Personnelmentioning

confidence: 99%

“…Laryngeal mask airway (LMA) sizes 1, 1.5, 2, 2.5, 3, 4, 5 r Cognitive aids (e.g., Broselow tape; Patient Advice and Liaison Service, PALS, cards; PediStat app; e-Broselow app) r Stopwatch r Needle cricothyrotomy trainer r Needle cricothyrotomy cognitive aid (Appendix C) • 14g IV • 3mL syringes • Top of a 7.0 endotracheal adapter • Pediatric self-inflatable bag valve maskr Intubation teaching rubrics (Appendix D)29,31 …”

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confidence: 99%

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Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

et al. 2020

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Introduction: Advanced airway management in pediatrics is a rare, high stakes skillset. Developing proficiency in these skills is paramount, albeit challenging. Providers require innovative approaches to address initial training and maintenance of procedural competency. To address this, we developed a multimodality curriculum. Methods: Through an interactive problem-based learning session utilizing real intubation videos, hands-on skill stations, and two simulation-based scenarios, participants advanced through educational objectives towards the goal of improving perceived comfort, knowledge, skills, and attitudes in emergency pediatric advanced airway management. Content was developed by integrating varied learning modalities under the learn, see, practice, prove, do, maintain construct. Please note the specialized equipment needed for this curriculum included pediatric airway trainers and a video laryngoscope. Results: We have conducted the curriculum in its entirety four times, reaching 131 interdisciplinary participants. Forty-nine physicians of varying training backgrounds and clinical working environments completed postparticipation evaluations. On a Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree), a significant improvement in perception of comfort with managing the emergent pediatric airway was noted (2.7 to 4.6, p < .0001). Further, 94% of participants reported they strongly agreed (71%) or agreed (23%) that each station added to their perceived knowledge, skills, and attitudes of pediatric airway management. Discussion: After participating in our curriculum, participants self-reported improved comfort in managing the emergent pediatric airway. This curriculum provides educators with resources to navigate the paradigm of obtaining and maintaining competency of a rare but critical skillset.

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Section: Methodsmentioning

confidence: 99%

Section: Personnelmentioning

confidence: 99%

mentioning

confidence: 99%

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Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

et al. 2020

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“…There are a number of recent publications using a form of the Delphi method including but not limited to teamwork and communication in trauma management situations, neonatal intubation, and assessment of milestones for emergency medicine residents [17][18][19]. These efforts speak to the generalizability of the modified Delphi process.…”

Section: Discussionmentioning

confidence: 99%

The Process of Developing an Assessment Checklist for Simulated Infant Respiratory Distress Using a Modified Delphi Method: A Mixed Methods Study

Jeffers¹,

Golden²,

Pahwa³

et al. 2020

Cureus

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Introduction Assessing clinical performance, such as managing respiratory distress, in clinical trainees is challenging yet important. Our objective was to describe and evaluate an integrative and iterative approach to developing a checklist measuring simulated clinical performance for infant respiratory distress. Methods We implemented a five-step modified Delphi process with an embedded qualitative component. An implementation period occurred followed by a second qualitative data collection. Validity evidence was collected throughout the process. Results A 19-item assessment checklist was developed for managing infant respiratory distress by medical student learners in a simulation-based setting. The iterative process provided content validity while the qualitative data provided response process validity. Cohen kappa was 0.82 indicating strong rater agreement. The assessment checklist was found to be easy to use and measure what was intended. Conclusion We developed an accurate and reliable assessment checklist for medical student learners in a simulation-based learning setting with high interrater reliability and validity evidence. Given its ease of use, we encourage medical educators and researchers to utilize this method to develop and implement assessment checklists for their interventions.

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“…Their validation study showed that the checklist had good internal consistency, and the tool was able to discriminate NTI performance based on experience. The tool can be used during simulation‐based NTI training assessment and can aid with entrustment decisions …”

Section: Airway Skillsmentioning

confidence: 99%

Pediatric airway management education and training

Hunyady

Polaner

2020

Pediatric Anesthesia

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Education in medicine, informed by research findings, is moving away from the traditional apprenticeship model and increasingly embraces new, active learning methodologies. In this article, we will review these methodologies along with adult learning theories; we explore the available evidence on acquisition and maintenance of pediatric airway management skills, including technical and nontechnical skills. We recall the elements of a competency‐based curriculum and how they can be applied in pediatric airway skill training and suggest mapping strategies based on research evidence. We propose future directions in education and educational research in the field.

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Neonatal Intubation Competency Assessment Tool: Development and Validation

Cited by 33 publications

References 32 publications

Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

The Process of Developing an Assessment Checklist for Simulated Infant Respiratory Distress Using a Modified Delphi Method: A Mixed Methods Study

Pediatric airway management education and training

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