Design and validation of the Regional Anaesthesia Procedural Skills Assessment Tool

被引：25

作者：

Chuan, A. ^{[1
]}

Graham, P. L. ^{[2
]}

Wong, D. M. ^{[3
]}

Barrington, M. J. ^{[3
,4
]}

Auyong, D. B. ^{[5
]}

Cameron, A. J. D. ^{[6
]}

Lim, Y. C. ^{[7
]}

Pope, L. ^{[1
]}

Germanoska, B. ^{[1
]}

Forrest, K. ^{[2
]}

Royse, C. F. ^{[4
]}

机构：

[1] Liverpool Hosp, Sydney, NSW, Australia

[2] Macquarie Univ, Sydney, NSW 2109, Australia

[3] St Vincents Hosp, Melbourne, Vic, Australia

[4] Univ Melbourne, Melbourne, Vic, Australia

[5] Virginia Mason Med Ctr, Seattle, WA 98101 USA

[6] Middlemore Hosp, Auckland 6, New Zealand

[7] Changi Gen Hosp, Singapore, Singapore

来源：

ANAESTHESIA | 2015年 / 70卷 / 12期

基金：

英国医学研究理事会;

关键词：

OBJECTIVE ASSESSMENT; PERFORMANCE; EDUCATION; PAIN;

D O I：

10.1111/anae.13266

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The aim of this study was to create and evaluate the validity, reliability and feasibility of the Regional Anaesthesia Procedural Skills tool, designed for the assessment of all peripheral and neuraxial blocks using all nerve localisation techniques. The first phase was construction of a 25-item checklist by five regional anaesthesia experts using a Delphi process. This checklist was combined with a global rating scale to create the tool. In the second phase, initial validation by 10 independent anaesthetists using a test-retest methodology was successful (Cohen kappa >= 0.70 for inter-rater agreement, scores between test to retest, paired t-test, p > 0.12). In the third phase, 70 clinical videos of trainees were scored by three blinded international assessors. The RAPS tool exhibited face validity (p < 0.026), construct validity (p < 0.001), feasibility (mean time to score <3.9min), and overall reliability (intraclass correlation coefficient 0.80 (95% CI 0.67-0.88)). The Regional Anaesthesia Procedural Skills tool used in this study is a valid and reliable assessment tool to score the performance of trainees for regional anaesthesia.

引用

页码：1401 / 1411

页数：11

共 27 条

[1]

[Anonymous], CANMEDS 2005 FRAM

[2]

Association of Anaesthetists of Great Britain & Ireland Royal College of Anaesthetistis Intensive Care Society, ULTR AN INT CAR GUID

[3]

Australian and New Zealand College of Anaesthetists, PROF STAND

[4]

Australian and New Zealand College of Anaesthetists, ANZCA CURR FRAM