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. 2024 Feb 14;24(1):146.
doi: 10.1186/s12909-024-05118-6.

Creation of a rating scale to teach Less Invasive Surfactant Administration (LISA) in simulation

Hélène Rostoker  1 , Bernard Guillois  2   3 , Amaya Caradec  4 , François Lecomte  5 , Denis Oriot  6 , Clément Chollat  7   8
Affiliations

Creation of a rating scale to teach Less Invasive Surfactant Administration (LISA) in simulation

Hélène Rostoker et al. BMC Med Educ. .

Abstract

Background: Simulation-based training is gaining increasing prominence in neonatology training. The Less Invasive Surfactant Administration (LISA) method is starting to be taught in simulation. The aim of this educational study was to develop and validate a rating scale for teaching the LISA method in simulation.

Methods: The Downing framework was used to create this performance-rating scale. A first version of the scale was submitted to 12 French and Belgian experts to obtain their opinions. Consensus was reached using a modified Delphi method. The performance of 40 pediatricians was then evaluated with this scale on a preterm neonate manikin simulating a neonatal respiratory distress syndrome. Each run was evaluated using the scale by two independent observers based on video recordings.

Results: The Cronbach alpha score of the rating scale was 0.72. The intraclass correlation coefficient (ICC) was 0.91 and the scores between raters were not significantly different. Finally, this rating scale correctly distinguished the experienced from the inexperienced learners (p < 0.01).

Conclusions: This rating scale is one of the first rating scales for the evaluation and teaching of the LISA method in simulation. This tool has ample potential for use in clinical practice to evaluate the performance of surfactant administration in preterm neonates.

Keywords: LISA; Neonatology; Rating scale; Respiratory distress syndrome; Simulation.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Rating scale for the LISA procedure
Fig. 2
Fig. 2
Linear regression of the scores between the two assessors
See this image and copyright information in PMC

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References

    1. Schmölzer GM, Kumar M, Pichler G, Aziz K, O’Reilly M, Cheung P-Y. Non-invasive versus invasive respiratory support in preterm infants at birth: systematic review and meta-analysis. BMJ. 2013;347:f5980. doi: 10.1136/bmj.f5980. - DOI - PMC - PubMed
    1. Petrillo F, Gizzi C, Maffei G, Matassa PG, Ventura ML, Ricci C, et al. Neonatal respiratory support strategies for the management of extremely low gestational age infants: an Italian survey. Ital J Pediatr. 2019;45:44. doi: 10.1186/s13052-019-0639-5. - DOI - PMC - PubMed
    1. Kann IC, Solevåg AL. Economic and health consequences of non-invasive respiratory support in newborn infants: a difference-in-difference analysis using data from the Norwegian patient registry. BMC Health Serv Res. 2014;14:494. doi: 10.1186/s12913-014-0494-4. - DOI - PMC - PubMed
    1. Shim G-H. Update of minimally invasive surfactant therapy. Korean J Pediatr. 2017;60:273–281. doi: 10.3345/kjp.2017.60.9.273. - DOI - PMC - PubMed
    1. Herting E. Less invasive surfactant administration (LISA) - ways to deliver surfactant in spontaneously breathing infants. Early Hum Dev. 2013;89:875–880. doi: 10.1016/j.earlhumdev.2013.08.023. - DOI - PubMed

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