Berden H J, Pijls N H, Willems F F, Hendrick J M, Crul J F
Department of Cardiology, St. Radboud Hospital, The Netherlands.
Resuscitation. 1992 Feb;23(1):21-31. doi: 10.1016/0300-9572(92)90159-a.
A valid and reproducible system for determining basic cardiac life support (BCLS) skills can help to evaluate the effect of instruction courses and to estimate the results of educational activities. The aim of this study was to develop and test such a system in accordance with the Standards and Guidelines of the American Heart Association (AHA). Five criteria were defined in advance towards such a system (1) Inadequate techniques must be reflected by a fail score. (2) Skilled persons should achieve a pass score. (3) The effect of training must be reflected by an improvement of the score. (4) Inter- and intra-observer variability must be negligible. (5) The system should be simple to apply. The system was developed, and in order to test the system, the BCLS skills of 40 ambulance nurses were tested once and those of 148 lay people twice. All cardiopulmonary resuscitation (CPR) attempts were performed on a mannequin. The relevant parameters of the attempt were continuously recorded and printed. Penalty points were assigned in a predefined way for aberrations of the techniques advised in the Standards and Guidelines. The system satisfied the five criteria mentioned above. It therefore offers a reliable and reproducible evaluation of BCLS skills.
一个用于确定基本心脏生命支持（BCLS）技能的有效且可重复的系统，有助于评估培训课程的效果并预估教育活动的成果。本研究的目的是根据美国心脏协会（AHA）的标准和指南开发并测试这样一个系统。针对该系统预先定义了五条标准：（1）不充分的技术操作必须以不及格分数体现。（2）熟练人员应获得及格分数。（3）培训效果必须通过分数提高来体现。（4）观察者间和观察者内的变异性必须可忽略不计。（5）该系统应易于应用。该系统得以开发，为测试该系统，对40名急救护士的BCLS技能进行了一次测试，对148名非专业人员的BCLS技能进行了两次测试。所有心肺复苏（CPR）操作均在模拟人上进行。操作的相关参数被持续记录并打印出来。对于标准和指南中建议的技术偏差，以预先定义的方式给予罚分。该系统满足上述五条标准。因此，它能对BCLS技能提供可靠且可重复的评估。
