Liverpool Hospital, Sydney, New South Wales, Australia.
Macquarie University, Sydney, New South Wales, Australia.
Anaesthesia. 2015 Dec;70(12):1401-11. doi: 10.1111/anae.13266.
The aim of this study was to create and evaluate the validity, reliability and feasibility of the Regional Anaesthesia Procedural Skills tool, designed for the assessment of all peripheral and neuraxial blocks using all nerve localisation techniques. The first phase was construction of a 25-item checklist by five regional anaesthesia experts using a Delphi process. This checklist was combined with a global rating scale to create the tool. In the second phase, initial validation by 10 independent anaesthetists using a test-retest methodology was successful (Cohen kappa ≥ 0.70 for inter-rater agreement, scores between test to retest, paired t-test, p > 0.12). In the third phase, 70 clinical videos of trainees were scored by three blinded international assessors. The RAPS tool exhibited face validity (p < 0.026), construct validity (p < 0.001), feasibility (mean time to score < 3.9 min), and overall reliability (intraclass correlation coefficient 0.80 (95% CI 0.67-0.88)). The Regional Anaesthesia Procedural Skills tool used in this study is a valid and reliable assessment tool to score the performance of trainees for regional anaesthesia.
本研究旨在创建和评估区域麻醉程序技能工具的有效性、可靠性和可行性，该工具旨在评估所有外周和神经轴阻滞，使用所有神经定位技术。第一阶段是由五位区域麻醉专家使用 Delphi 流程构建一个包含 25 个项目的检查表。该检查表与整体评分量表相结合，形成了该工具。在第二阶段，10 名独立麻醉师使用测试-重测方法进行了初步验证（组内一致性的 Cohen kappa 值≥0.70，测试-重测得分之间、配对 t 检验、p>0.12）。在第三阶段，三名盲评国际评估员对 70 名学员的临床视频进行了评分。RAPS 工具具有表面有效性（p<0.026）、结构有效性（p<0.001）、可行性（评分时间<3.9 分钟）和整体可靠性（组内相关系数 0.80（95%CI 0.67-0.88））。本研究中使用的区域麻醉程序技能工具是一种有效且可靠的评估工具，可用于评估学员的区域麻醉技能表现。
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