Evaluating rescuer performance in response to opioid overdose in a community setting: Evidence for medically appropriate process measures

被引：3

作者：

Edwards III, G. Franklin ^{[1
]}

Mierisch, Cassandra ^{[2
]}

Strauss, Allison ^{[3
]}

Mutcheson, Brock ^{[4
]}

Coleman, Keel ^{[5
,6
]}

Horn, Kimberly ^{[7
,8
]}

Parker, Sarah Henrickson ^{[8
,9
]}

机构：

[1] Virginia Tech, Grad Program Translat Biol Med & Hlth, Blacksburg, VA 24061 USA

[2] Virginia Tech, Dept Basic Sci Educ, Caril Sch Med, Roanoke, VA USA

[3] Virginia Tech, Caril Sch Med, Roanoke, VA USA

[4] Virginia Tech, Off Assessment & Program Evaluat, Caril Sch Med, Roanoke, VA USA

[5] Virginia Tech, Dept Emergency Med, Caril Sch Med, Roanoke, VA USA

[6] Caril Clin, Dept Emergency Med, Roanoke, VA USA

[7] Virginia Tech, Virginia Maryland Coll Vet Med, Dept Populat Hlth Sci, Blacksburg, VA USA

[8] VTC, Fralin Biomed Res Inst, Roanoke, VA USA

[9] Virginia Tech, Dept Hlth Syst & Implementat Sci, Caril Sch Med, Roanoke, VA USA

来源：

PREVENTIVE MEDICINE REPORTS | 2023年 / 32卷

关键词：

Naloxone; Education; Respiratory depression; Cardiopulmonary arrest; CPR; AED; TAKE-HOME NALOXONE; QUALITATIVE INTERVIEWS; INTRANASAL NALOXONE; PREVENTION; SIMULATION; KNOWLEDGE; EDUCATION; HEROIN;

D O I：

10.1016/j.pmedr.2023.102145

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Overdose education and naloxone distribution (OEND) programs are widely accepted to reduce opioid overdose deaths. However, there is currently no validated instrument to evaluate the skills of learners completing these programs. Such an instrument could provide feedback to OEND instructors and allow researchers to compare different educational curricula. The aim of this study was to identify medically appropriate process measures with which to populate a simulation-based evaluation tool. Researchers conducted interviews with 17 content experts, including healthcare providers and OEND instructors from south-central Appalachia, to collect detailed descriptions of the skills taught in OEND programs. Researchers used three cycles of open coding, thematic analysis, and consulted currently available medical guidelines to identify thematic occurrences in qualitative data. There was consensus among content experts that the appropriate nature and sequence of potentially lifesaving actions during an opioid overdose is dependent on clinical presentation. Isolated respiratory depression requires a distinct response compared to opioid-associated cardiac arrest. To accommodate these different clinical presentations, raters populated an evaluation instrument with the detailed descriptions of overdose response skills, such as naloxone administration, rescue breathing, and chest compressions. Detailed descriptions of skills are essential to the development of an accurate and reliable scoring instrument. Furthermore, evaluation instruments, such as the one developed from this study, require a comprehensive validity argument. In future work, the authors will integrate the evaluation instrument in high-fidelity simulations, which are safe and controlled environments to study trainees' application of hands-on skills, and conduct formative assessments.

引用

页数：10