NeoScore: a new tool to assess technical and non-technical skills during neonatal resuscitation.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY Journal of Perinatology Pub Date : 2025-01-17 DOI:10.1038/s41372-025-02210-7

Leonardo Meggiolaro, Gary Weiner, Alex Staffler, Fiorenzo Lupi, Tommaso Canesso, Daniele Trevisanuto

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Abstract

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.

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NeoScore：一种评估新生儿复苏过程中技术性和非技术性技能的新工具。

背景：使用高科技人体模型训练可以提高心肺复苏（CPR）技能的保留，但缺乏评估技术和非技术技能的检查表。本研究旨在制定一个标准化的检查表，以评估在模拟新生儿复苏计划（NRP）情景下医疗保健的表现。材料与方法：22名国际新生儿复苏专家参与了两步修正德尔菲法，对每个检查表项目进行1-5分的评分并提供反馈。对平均评分低于4或收到评论的项目进行审查。使用模拟场景的视频记录来评估最终工具的内部可靠性（IRR）。结果：经15位专家验证的最终检查表包含33个项目。所有题目的平均专家评分为4.35分。量表总体上显示中等的量表间信度（ICC = 0.67），其中技术技能的量表具有优异的信度（ICC = 0.8）。结论：该工具可有效评估技术技能，但非技术技能评估需进一步完善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.