• Mathijs Binkhorst, Marije Hogeveen, Yvet Benthem, Eva M van de Pol, van HeijstArno F JAFJFrom the Departments of Neonatology., and DraaismaJos M ThJMTPediatrics, Radboud University Medical Center Amalia Children's Hospital, Nijmegen, the Netherlands..
• From the Departments of Neonatology.
• Pediatr Emerg Care. 2021 Dec 1; 37 (12): e1057e1064e1057-e1064.

ObjectivesTo develop a valid and reliable instrument for the assessment of pediatric basic life support (PBLS).MethodsAn assessment instrument for PBLS was developed, based on 3 existing scoring systems and the European Resuscitation Council PBLS guideline. We tested if experienced PBLS instructors performed better than medical students on a standard PBLS examination on a low-fidelity pediatric manikin (construct validity). To pass the examination, 15 penalty points or less were required. The examinations were videotaped. One researcher assessed all videos once, and approximately half of them twice (intrarater reliability). A second researcher independently assessed part of the videos (interrater reliability). The time needed to assess 1 examination was determined.ResultsFace and content validity were established, because PBLS experts reached consensus on the instrument and because the instrument incorporated all items of the European Resuscitation Council algorithm. Of the 157 medical students that were scored, 98 (62.4%) passed the examination. Fourteen PBLS instructors were scored; all passed (100%). Pass rate (62.4% vs 100%) and median penalty points (15 [interquartile range, 10-22.5] vs 7.5 [interquartile range, 1.25-10]) were significantly different between students and instructors (P = 0.005 and <0.001, respectively). Reassessment demonstrated a κ for intrarater reliability of 0.62 (95% confidence interval, 0.45-0.81) (substantial agreement); κ for interrater reliability was 0.51 (95% confidence interval, 0.09-0.93) (moderate agreement). It took approximately 3 minutes to assess 1 videotaped examination.ConclusionsOur instrument for the (video-based) assessment of PBLS is valid and sufficiently reliable. It is also designed to be practical, time-efficient, and applicable in various settings, including resource limited.Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

8 keywords...

hide…