Thorne Christopher J, Jones Christopher M, Coffin Nicholas J, Hulme Jonathan, Owen Andrew
Resuscitation for Medical Disciplines Research Group, The Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom; Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham B9 5SS, United Kingdom.
Resuscitation for Medical Disciplines Research Group, The Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom; Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2WB, United Kingdom.
Resuscitation. 2015 Aug;93:58-62. doi: 10.1016/j.resuscitation.2015.05.028. Epub 2015 Jun 6.
Assessment skills are often neglected in resuscitation training and it has been shown that the ERC BLS/AED instructor course may be insufficient to prepare candidates for an assessment role. We have introduced an Assessment Training Programme (ATP) to improve assessors' decision making. In this article we present our ATP and an observational study of candidates' confidence levels upon completing both an ERC BLS/AED instructor course and our ATP.
Forty-seven candidates undertook the ERC instructor course and 20 qualified ERC BLS/AED instructors undertook the ATP. Pre- and post-course questionnaires were completed. Confidence was assessed on ten-point Visual Analogue Scales (VAS).
Overall confidence on the ERC BLS/AED instructor course rose from 5.9 (SD 1.8) to 8.7 (SD 1.4) (P < 0.001). A more modest improvement was witnessed on the ATP, rising from 8.2 (SD 1.4) to 9.6 (SD 0.5) (P < 0.001). Upon completion of their respective courses, assessors (mean 9.6, SD 0.5) were significantly more confident at assessing than instructors (mean 8.7, SD 0.5) (P<0.001). Confidence in assessing individual algorithm components was similar on both courses. On the post-course questionnaire those on the ATP remained significantly more confident at assessing borderline candidates compared to instructors (P < 0.001), with no difference for clear pass (P = 0.067) or clear fail (P = 0.060) candidates.
The ATP raises the confidence of assessing BLS/AED candidates to a level above that of the ERC instructor course alone. We advocate that resuscitation organisations consider integrating an ATP into their existing training structure.
评估技能在复苏培训中常常被忽视，并且有研究表明欧洲复苏委员会基础生命支持/自动体外除颤器（ERC BLS/AED）讲师课程可能不足以让学员胜任评估工作。我们引入了一个评估培训计划（ATP）来提高评估人员的决策能力。在本文中，我们介绍我们的ATP以及一项关于学员在完成ERC BLS/AED讲师课程和我们的ATP后信心水平的观察性研究。
47名学员参加了ERC讲师课程，20名合格的ERC BLS/AED讲师参加了ATP。课程前后均完成了问卷调查。信心通过十分制视觉模拟量表（VAS）进行评估。
在ERC BLS/AED讲师课程中，总体信心从5.9（标准差1.8）升至8.7（标准差1.4）（P < 0.001）。在ATP中信心提升较为适度，从8.2（标准差1.4）升至9.6（标准差0.5）（P < 0.001）。完成各自课程后，评估人员（平均9.6，标准差0.5）在评估方面比讲师（平均8.7，标准差0.5）明显更有信心（P<0.001）。在两门课程中，对评估各个算法组件的信心相似。在课程后的问卷调查中，与讲师相比，参加ATP的人员在评估临界学员时仍然明显更有信心（P < 0.001），对于明确通过（P = 0.067）或明确未通过（P = 0.060）的学员则没有差异。
ATP将评估BLS/AED学员的信心提升到了高于仅参加ERC讲师课程的水平。我们主张复苏组织考虑将ATP纳入其现有的培训结构中。
