Shafiq Majid, Russo Stefani, Davis Joshua, Hall Ronald, Calhoun Jared, Jasper Edward, Berg Katherine, Berg Dale, O'Hagan Emma C, Riesenberg Lee Ann
Division of Pulmonary and Critical Care Medicine Brigham and Women's Hospital Boston Massachusetts USA.
Rector Clinical Skills and Simulation Center Thomas Jefferson University Philadelphia Pennsylvania USA.
AEM Educ Train. 2023 Mar 22;7(2):e10855. doi: 10.1002/aet2.10855. eCollection 2023 Apr.
Small-bore chest tube (SBCT) placement via modified Seldinger technique is a commonly performed invasive procedure for treatment of pleural effusion and pneumothorax. When performed suboptimally, it may lead to serious complications. Validated checklists are central to teaching and assessing procedural skills and may result in improved health care quality. In this paper, we describe the development and content validation of a SBCT placement checklist.
A literature review across multiple medical databases and seminal textbooks was performed to identify all publications describing procedural steps involved in SBCT placement. No studies were identified that involved systematic development of a checklist for this purpose. After the first iteration of a comprehensive checklist (CAPS) based on literature review was developed, the modified Delphi technique involving a panel of nine multidisciplinary experts was used to modify it and establish its content validity.
After four Delphi rounds, the mean expert-rated Likert score across all checklist items was 6.85 ± 0.68 (out of 7). The final, 31-item checklist had a high internal consistency (Cronbach's alpha = 0.846) with 95% of the responses (by nine experts across 31 checklist items) being a numerical score of 6 or 7.
This study reports the development and content validity of a comprehensive checklist for teaching and assessing SBCT placement. For purposes of demonstrating construct validity, this checklist should next be studied in the simulation and clinical setting.
经改良塞丁格技术放置细径胸管（SBCT）是治疗胸腔积液和气胸的一种常用侵入性操作。操作欠佳时可能导致严重并发症。经过验证的检查表对于教学和评估操作技能至关重要，可能会提高医疗质量。在本文中，我们描述了一份SBCT放置检查表的制定及内容验证过程。
对多个医学数据库和权威教科书进行文献综述，以找出所有描述SBCT放置所涉及操作步骤的出版物。未发现有为此目的而系统制定检查表的研究。在基于文献综述制定了一份综合检查表（CAPS）的第一版后，采用涉及9名多学科专家的改良德尔菲技术对其进行修改并确定其内容效度。
经过四轮德尔菲法，所有检查表项目的专家评定李克特平均分是6.85±0.68（满分7分）。最终的31项检查表具有较高的内部一致性（克朗巴哈系数=0.846），95%的回答（9名专家对31个检查表项目的回答）评分为6分或7分。
本研究报告了一份用于教学和评估SBCT放置的综合检查表的制定及内容效度。为了证明结构效度，接下来应在模拟和临床环境中对该检查表进行研究。
