NeoScore：一种评估新生儿复苏期间技术和非技术技能的新工具。
NeoScore: a new tool to assess technical and non-technical skills during neonatal resuscitation.
作者信息
Meggiolaro Leonardo, Weiner Gary, Staffler Alex, Lupi Fiorenzo, Canesso Tommaso, Trevisanuto Daniele
机构信息
Department of Women's and Children's Health, Maternal-Fetal Medicine Unit, University of Padua School of Medicine, Padua, Italy.
Department of Pediatrics, Neonatal-Perinatal Medicine, University of Michigan, Ann Arbor, MI, USA.
出版信息
J Perinatol. 2025 Jan 17. doi: 10.1038/s41372-025-02210-7.
BACKGROUND
Training with high-technology manikins improves cardio-pulmonary resuscitation (CPR) skill retention, but a checklist to assess both technical and non-technical skills is lacking. This study aimed to develop a standardized checklist to evaluate healthcare's performance during simulated Neonatal Resuscitation Program (NRP) scenarios.
MATERIALS AND METHODS
Twenty-two international neonatal resuscitation experts participated in a two-step modified Delphi process, rating each checklist item on a scale of 1-5 and providing feedback. Items with a mean rating below 4 or receiving comments were reviewed. Inter-rater reliability (IRR) of the final tool was assessed using video-recordings of simulated scenarios.
RESULTS
The final checklist, validated by 15 experts, includes 33 items. Mean expert rating of all items was 4.35. The checklist showed moderate inter-rater reliability (ICC = 0.67) overall, with excellent reliability (ICC = 0.8) for technical skills.
CONCLUSION
The tool effectively evaluates technical skills but requires further refinement for non-technical skills assessment.
背景
使用高科技人体模型进行培训可提高心肺复苏（CPR）技能的保持率，但缺乏用于评估技术和非技术技能的检查表。本研究旨在制定一份标准化检查表，以评估在模拟新生儿复苏计划（NRP）场景中医护人员的表现。
材料与方法
22名国际新生儿复苏专家参与了两步改良德尔菲法，对每个检查表项目进行1至5分的评分并提供反馈。对平均评分低于4分或收到评论的项目进行审查。使用模拟场景的视频记录评估最终工具的评分者间信度（IRR）。
结果
经15名专家验证的最终检查表包含33个项目。所有项目的专家平均评分为4.35。该检查表总体显示出中等评分者间信度（ICC = 0.67），技术技能方面具有出色的信度（ICC = 0.8）。
结论
该工具能有效评估技术技能，但在非技术技能评估方面需要进一步完善。
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