超声引导区域麻醉中基于模拟的能力评估工具:综合综述。

Q3 Medicine
AANA journal Pub Date : 2023-04-01
Gail L Beutler Crawford, Bill Johnson, Hallie Evans
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引用次数: 0

摘要

超声引导的区域麻醉(UGRA)需要技术技能,手工灵巧性和认知知识的相互作用,许多新手麻醉提供者发现具有挑战性。虽然模拟可以提高临床能力并增强患者安全,但在模拟环境中没有评估UGRA能力的标准工具。因此,这篇综合综述旨在确定在模拟环境中评估UGRA能力的最准确、可靠和可行的方法。本综述采用严格的纳入和排除标准,共纳入19篇文献。主要目标是评估用于评估提供者技能水平的工具的有效性和可靠性结果。次要目标是评估多方一致性、内部和外部可靠性以及可行性。手动分析和眼动追踪显示出很好的结果,然而,费用和培训要求限制了这些工具的广泛可及性。区域麻醉程序技能工具和McLeod检查表具有技能水平的区分能力、较高的一致性和评估模拟心理测量能力的可行性。奈克全球评定量表允许对非技术专业属性进行评估。根据本综述的证据,与其他综述的工具相比,这些工具的有效性和可靠性作为基于仿真的能力工具最有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment Tools for the Evaluation of Simulation-Based Competency In Ultrasound-Guided Regional Anesthesia: An Integrative Review.

Ultrasound-guided regional anesthesia (UGRA) requires the interaction of technical skills, manual dexterity, and cognitive knowledge which many novice anesthesia providers find challenging. Although simulation improves clinical competency and enhances patient safety, there is no standard tool for assessing UGRA competency in the simulation setting. Therefore, this integrative review aims to determine the most accurate, reliable, and feasible method of evaluating UGRA competency in a simulation environment. Strict inclusion and exclusion criteria were used to conduct this review, yielding 19 articles. The primary objective was the evaluation of validity and reliability outcomes of tools used to assess provider skill level. Secondary objectives were the evaluation of multirater agreement, internal and external reliability, and feasibility. Hand motion analysis and eye motion tracking demonstrated promising results, however, expense and training requirements limit widespread accessibility of those tools. The Regional Anesthesia Procedural Skills tool and McLeod checklist possessed discriminate ability of skill level, high interrater agreement, and feasibility in assessing psychometric competency in simulation. The Naik Global Rating Scale allows for assessment of nontechnical professional attributes. Based on the evidence of this review, the validity and reliability of these tools have the most utility as simulation-based competency tools compared with other tools reviewed.

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来源期刊
AANA journal
AANA journal Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
60
期刊介绍: Founded in 1931 and located in Park Ridge, Ill., the AANA is the professional organization for more than 90 percent of the nation’s nurse anesthetists. As advanced practice nurses, CRNAs administer approximately 32 million anesthetics in the United States each year. CRNAs practice in every setting where anesthesia is available and are the sole anesthesia providers in more than two-thirds of all rural hospitals. They administer every type of anesthetic, and provide care for every type of surgery or procedure, from open heart to cataract to pain management.
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