Test to measure basic life support and defribillation skills in primary care doctors and nurses

Bartomeu Casabella Abril, David Lacasta Tintorer, Thais Clusa Gironella, Aina Perelló Bratescu, Ma Dolores García Ortega, Antoni Albiach Pla, Salomé Larrea Tárrega

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Objective: To prepare and validate a tool to measure Basic Life Support (BLS) and semi-automatic defibrillator (SAD) skills adapted for use by health professionals in Primary Care Teams (PCT). To propose an updated version and demonstrate self-sufficiency of the team to use it in a training evaluation. Design: Validation of measurement tools. Study of reliability with repeated measurements after a training course. Setting: Drassanes Primary Care Centre. Raval Sud Basic Health Area. Barcelona. Spain. Participants: A total of 37 voluntary resuscitators (all doctors/nurses), professional camera, medical controller, computerised mannequin, 6 evaluators. Interventions: Test preparation methodology. Cardiff Model 3.1. Implementation: 2 filmed series (professional+domestic), of 26-25 "station type" simulations, separated by 1 month. A training workshop between series. Retrospective evaluation of DVD recordings (5 evaluators). 2nd series scored again at 3 weeks with a blind and random order filmed version. Main measurements: Variables: performances classified from worse to best execution. Psychometric analysis: Validity (content/apparent). Test-retest reliability, between-observer and sensitivity to change. Results: Compared to the Cardiff test (46 items) our 83 item test contained 38(46%) new, 34(41%) modified and 11(13%) similar. Between-evaluator reliability, excellent/good in 51/62 items analysed; Within-evaluator and between-filming reliability, excellent/good in all except 1 item; the test score doubled after the training course. A version of the test according to BLS-SAD recommendations is proposed. Conclusions: On there not being useful tools available for Primary Care doctors and nurses, one has been prepared with adequate psychometric guarantees and proven self-sufficient evaluation. We propose the immediate application of the updated version for training evaluation purposes. © 2008 Elsevier España, S.L. All rights reserved.
Original languageEnglish
Pages (from-to)7-13
JournalAtencion Primaria
Volume42
Issue number1
DOIs
Publication statusPublished - 1 Jan 2010

Keywords

  • Basic life support
  • Primary care
  • Reliability
  • Validity

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