Miller Erin, Brooks Dina, Mori Brenda
Rehabilitation Sciences Institute.
School of Rehabilitation Science, McMaster University, Hamilton, Ont.
Physiother Can. 2020 Spring;72(2):137-146. doi: 10.3138/ptc-2018-0101.
The aim of this study was to develop a tool to assess physical therapists' knowledge, skills, and judgement in performing airway suctioning with intubated and non-intubated adults. A modified Delphi methodology was used to develop the tool and to evaluate its sensibility (i.e., common-sense nature). Participants were experienced cardiorespiratory physical therapists who perform airway suctioning and physical therapists employed in academic positions related to cardiorespiratory physical therapy at Canadian universities. Round 1 focused on refining which items to include in the tool, Round 2 focused on finalizing the items, and Round 3 focused on evaluating a preliminary version of the tool. A total of 34 individuals participated in Round 1, 30 participated in Round 2, and 25 participated in Round 3. A literature review identified 11 relevant domains and 69 supporting competencies. In Round 1, consensus was achieved for all domains; however, it was borderline for the professionalism domain. Multiple participants suggested that it was redundant because it is a global requirement for all physical therapists. Consensus was also achieved for 64 of the 69 supporting competencies; however, it was borderline for 5 of these items, and 5 achieved no consensus. In Round 2, participants rated a series of recommendations related to items requiring further consideration, as well as 9 new items suggested by the participants in Round 1. In Round 3, the preliminary tool was found to be globally sensible, but concerns were expressed about the inclusion of redundant factors and the tool's length. The tool was revised, resulting in a tool with 4 domains, 6 sub-domains and 43 supporting competencies, as well as an item rating the individual's overall performance. The final-round sensibility questionnaire provided preliminary evidence of the tool's face and content validity. We will investigate the tool's measurement properties in a future study.
本研究的目的是开发一种工具，以评估物理治疗师在对插管和未插管的成年患者进行气道吸引时的知识、技能和判断力。采用改良的德尔菲法来开发该工具并评估其合理性（即常识性）。参与者为有经验的进行气道吸引的心肺物理治疗师以及加拿大大学中从事与心肺物理治疗相关学术职位的物理治疗师。第一轮聚焦于完善工具中应包含的项目，第二轮聚焦于确定项目，第三轮聚焦于评估工具的初步版本。共有34人参与第一轮，30人参与第二轮，25人参与第三轮。文献综述确定了11个相关领域和69项支持性能力。在第一轮中，所有领域都达成了共识；然而，专业精神领域的共识处于临界状态。多名参与者认为该领域多余，因为它是对所有物理治疗师的一项总体要求。69项支持性能力中的64项也达成了共识；然而，其中5项处于临界状态，5项未达成共识。在第二轮中，参与者对一系列与需要进一步考虑的项目相关的建议以及第一轮参与者提出的9项新项目进行了评分。在第三轮中，发现初步工具总体上是合理的，但有人对包含冗余因素和工具长度表示担忧。对工具进行了修订，最终形成了一个包含4个领域、6个子领域和43项支持性能力的工具，以及一个对个人整体表现进行评分的项目。最后一轮的合理性调查问卷为该工具的表面效度和内容效度提供了初步证据。我们将在未来的研究中调查该工具的测量属性。
