CONSTRUCTION AND VALIDATION OF A CLINICAL SCENARIO AND CHECKLIST FOR ASSESSING CARDIOPULMONARY RESUSCITATION SKILLS

Dias, Amanda Aparecida; Costa, Yule Caroline Nunes da; Tony, Ana Carolina Carraro; Alvim, André Luiz Silva; Prado, Roberta Teixeira; Santos, Kelli Borges dos; Carbogim, Fábio da Costa

doi:10.1590/ce.v28i0.92049

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TECHNOLOGICA INNOVATION • Cogit. Enferm. 28 • 2023 • https://doi.org/10.1590/ce.v28i0.92049 copy

CONSTRUCTION AND VALIDATION OF A CLINICAL SCENARIO AND CHECKLIST FOR ASSESSING CARDIOPULMONARY RESUSCITATION SKILLS^* * Article extracted from the master’s/PhD thesis “Construção e validação de cenário clínico para a avaliação de habilidades na reanimação cardiopulmonar em adultos, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil, 2022.

Authorship SCIMAGO INSTITUTIONS RANKINGS

HIGHLIGHTS

Validation of the technology for assessing cardiopulmonary resuscitation skills.
Construction of simulated scenario and checklist for assessment of unstable patient.
The technology can be applied nationwide.

ABSTRACT

Objectives:

to build and validate a simulated scenario and checklist to assess skills in the care of hemodynamically unstable patients with evolution to Cardiorespiratory Arrest, and to test applicability to the target population, assessing skills and satisfaction/self-confidence with learning.

Method:

methodological study carried out in three stages (development of the scenario and checklist, validation by judges and pilot test) between April 2020 and September 2021, in the state of Minas Gerais, Brazil. Fourteen judges and 24 nursing students participated.

Results:

the scenario and checklist achieved a Content Validity Coefficient greater than 90. The skills were adequately developed, with a mean of 4.71 ± 0.24 on the satisfaction-self-confidence scale, and 4.83 ± 0.25 for simulation design.

Conclusion:

The scenario may contribute to improving educational activities in undergraduate and health education and subsidize future studies to increase the quality of care and assistance to hemodynamically unstable patients with evolution to cardiac arrest.

DESCRIPTORS:
Simulation Training; Nursing Education; Competency-Based Education; Cardiopulmonary Resuscitation; Employee Performance Appraisal

Items/domains	CVC 1 round	CVC 2 round
Previous components of the scenario	0.94	0.99
Contains learning objectives	1.00	1.00
Clear objectives	0.88	1.00
Coherent objectives	0.97	0.93
Adequate theoretical background	1.00	1.00
Prior knowledge	0.85	1.00
Setting the scene	0.96	1.00
Complexity	1.00	1.00
Logical sequence	1.00	1.00
Coherent case	1.00	1.00
Assists critical thinking and decision-making	0.97	1.00
Consistent interventions	1.00	1.00
Consistent outcomes	0.97	1.00
Fidelity	0.92	1.00
Appropriate case	1.00	1.00
Trainer information	0.85	1.00
Actor information	0.95	1.00
Accompanying actor information	0.97	1.00
Material resources	0.88	1.00
Realism	1.00	1.00
Physical space	0.97	1.00
Human resources	0.95	1.00
Final components of the scenario	0.97	1.00
Clues provided	0.97	1.00
Scenario provides knowledge	1.00	1.00
Debriefing	0.95	1.00
Evaluation:	0.97	1.00
Checklist (skills assessed)	0.99	1.00
Physical examination	1.00	1.00
Monitoring	1.00	1.00
Responsiveness	1.00	1.00
Pulse	1.00	1.00
Ventilation	1.00	1.00
Hard surface	1.00	1.00
DEA request	1.00	1.00
Position	1.00	1.00
Rhythm	1.00	1.00
Compression/ventilation	1.00	1.00
Airway opening	1.00	1.00
Positive ventilation	1.00	1.00
Ten second interval	0.97	1.00
Use of Defibrillator	1.00	1.00
Isolate shock	1.00	1.00
Restart compression	1.00	1.00
Compression rhythm	1.00	1.00
Need for shock	1.00	1.00
Route of administration	1.00	1.00
Drug	1.00	1.00
Complete instrument	0.97	0.99

Items/skills	Adequate n (%)	Inadequate n (%)
1. Perform targeted physical examination	16 (94.11)	1 (5.88)
2. Set up monitoring, oxygen, and vein	16 (94.11)	1 (5.88)
3. Check responsiveness	14 (82.35)	3 (16.64)
4. Check ventilation	13 (76.47)	4 (23.52)
5. Ask for help	16 (94.11)	1 (5.88)
6. Check carotid pulse	15 (88.23)	2 (11.76)
7. Position and place the victim on a hard surface	15 (88.23)	2 (11.76)
8. Position hands appropriately and compress with adequate depth	12 (70.58)	5 (29.41)
9. Perform rhythm of compressions	15 (88.23)	2 (11.76)
10. Perform compression/ventilation ratio 30:2	17 (100)	0
11. Perform airway opening	13 (76.47)	4 (23.52)
12. Administer ventilation maneuver	12 (70.58)	5 (29.41)
13. Restart compressions in less than 10 sec.	16 (94.11)	1 (5.88)
14. Install DEA, where available	16 (94.11)	1 (5.88)
15. Isolate the victim before delivering the shock	14 (82.35)	3 (16.64)
16. Restart compressions as soon as indicated	17 (100)	0
17. Assess and identify the cardiorespiratory arrest rhythm on the monitor	17 (100)	0
18. Identify need for electrical treatment	17 (100)	0
19. Know the routes of drug administration	15 (88.23)	2 (11.76)
20. Identify drugs required during cardiorespiratory arrest.	14 (82.35)	3 (16.64)
21. Assess the need for an advanced airway and intervene.	15 (88.23)	2 (11.76)
22. Assess blood pressure and intervene	10 (58.82)	7 (41.17)
23. Assess body temperature and guide care	17 (100)	0
24. Assess need for hemodynamic service	14 (82.35)	3 (16.64)
Complete instrument	356 (87.26)	52 (12.74)

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Corresponding author: André Luiz Silva Alvim Universidade Federal de Juiz de Fora Rua José Lourenço Kelmer, s/n, São Pedro, Juiz de Fora, MG, Brasil. E-mail: andrealvim1@ufjf.br