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Development and validation of the first performance assessment scale for interdisciplinary chest tube insertion: a prospective multicenter study

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

Chest tube insertion requires interdisciplinary teamwork including an emergency surgeon or physician in conjunction with a nurse. The purpose of the study was to validate an interdisciplinary performance assessment scale for chest tube insertion developed from literature analysis.

Methods

This prospective study took place in the simulation center of the University of Paris. The participants included untrained emergency/intensivist residents and trained novice emergency/intensivist physicians with less than 2 years of clinical experience and 6 months following training in thoracostomy, and nursing students. Each interdisciplinary pair participated in a high-fidelity simulation session. Two independent observers (O1 and O2) evaluated 61 items. Internal coherence using the Cronbach’s α coefficient, intraclass correlation coefficient (ICC), and correlation of scores by regression analysis (R2) were analyzed. Comparison between O1 and O2 mean scores used a t test and F test for SDs. p Value < 0.05 was significant.

Results

From an initial selection of 11,277 articles, 19 were selected to create the initial scale. The final scale comprises 61 items scored out of 80, including 24 items for nursing items, 24 items for medical competence, and 13 mixed items for the competence of both. 40 simulations including 80 participants were evaluated. Cronbach’s α = 0.76, ICC = 0.92, R2 = 0.88. There was no difference between the observers’ assessments of means (p = 0.82) and SDs (p = 0.92). Score was 51.6 ± 5.9 in the group of untrained residents and nursing student, and 57.2 ± 2.8 in the trained group of novice physicians and nursing students (p = 0.0003).

Conclusions

This first performance assessment scale for interdisciplinary chest tube insertion is valid and reliable.

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Availability of data and materials

All data analyzed during this study are included in the manuscript and supplemental files. Materials described in the manuscript, including all relevant raw data, are freely available to any scientist wishing to use them for non-commercial purposes, without breaching participant confidentiality. For more details, please contact the corresponding author.

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Acknowledgements

The authors would like to thank Jeffrey Arsham, an American medical translator, for having reviewed the English-language text.

Funding

None declared. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

  1. Emergency Department and EMS, University Hospital of Amiens, 1 Rue du Professeur Christian Cabrol, 80000, Amiens, France

    Daniel Aiham Ghazali

  2. DREAMS, Department of Research in Emergency Medicine and Simulation, University Hospital and University of Amiens, 80000, Amiens, France

    Daniel Aiham Ghazali

  3. IAME “Infection, Antimicrobials, Modelling, Evolution” Research Center, UMR 1137-INSERM, University of Paris, 16 rue Henri Huchard, 75018, Paris, France

    Daniel Aiham Ghazali

  4. Department of Undergraduate and Graduate Nursing, Federal University of Santa Catarina, Florianópolis, Brazil

    Patricia Ilha-Schuelter, Sarah Soares Barbosa & Francis Solange Vieira Tourinho

  5. Emergency Department, University Hospital of Bichat, 75018, Paris, France

    Lou Barreyre & Olivia Stephan

  6. ABS Lab, Simulation Center of Poitiers University, 86000, Poitiers, France

    Denis Oriot

  7. Pediatric Emergency Department, University Hospital of Poitiers, 86000, Poitiers, France

    Denis Oriot

  8. Emergency Department, University Hospital of Lariboisière, 75010, Paris, France

    Patrick Plaisance

  9. Ilumens Simulation Center of Paris University, 75018, Paris, France

    Patrick Plaisance

  10. Simulation Center, University Paris, Paris, France

    Daniel Aiham Ghazali

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  1. Daniel Aiham Ghazali
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Contributions

Conceptualization: DAG: ideas; DAG, DO, and PP: formulation or evolution of overarching research goals and aims. Methodology: DAG: development or design of methodology; DAG and PIS: creation of models. Validation: DO, and PP: verification, whether as a part of the activity or separate, of the overall replication/reproducibility of results/experiments and other research outputs. Formal analysis: DAG: application of statistical, mathematical, computational, or other formal techniques to analyze or synthesize study data. Investigation: DAG: conducting a research and investigation process, specifically performing the experiments, or data/evidence collection. Resources: DO and PP: provision of study materials, reagents, materials, patients, laboratory samples, animals, instrumentation, computing resources, or other analysis tools. Data curation: PIS, LB, and SSB: management activities to annotate (produce metadata), scrub data and maintain research data (including software code, where it is necessary for interpreting the data itself) for initial use and later reuse. Writing—original draft: DAG, OS, and LB: preparation, creation and/or presentation of the published work, specifically writing the initial draft (including substantive translation). Writing—review and editing: DO, FSVT: preparation, creation, and/or presentation of the published work by those from the original research group, specifically critical review, commentary or revision—including pre- or postpublication stages. Supervision: FSVT and PP: oversight and leadership responsibility for the research activity planning and execution, including mentorship external to the core team. Project administration: DAG and PP: management and coordination responsibility for the research activity planning and execution.

Corresponding author

Correspondence to Daniel Aiham Ghazali.

Ethics declarations

Conflict of interest

To the author’s knowledge, no conflict of interest, financial or other, exists.

Ethics approval

Research was performed in accordance with the Declaration of Helsinki. According to the French ethics law of the public health code (article R1121-1), ethical approval by the national ethical committee (CPP, Comité de Protection des Personnes) was not required for this educational and observational study. The study protocol was approved by the local committee on research and ethics (IRB number SL-DG-2020-5.1).

Consent to participate

Participants consented to participate, and “informed consent” was obtained from all subjects.

Consent for publication

Participants consented to the publication of de-identified data and individual details. The manuscript does not contain individual images or videos.

Publication statement

The manuscript has not been previously published and is not under consideration in the same or substantially similar form in any other journal.

Appendix 1: Interdisciplinary performance assessment scale in the chest tube insertion

Appendix 1: Interdisciplinary performance assessment scale in the chest tube insertion

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Ghazali, D.A., Ilha-Schuelter, P., Barreyre, L. et al. Development and validation of the first performance assessment scale for interdisciplinary chest tube insertion: a prospective multicenter study. Eur J Trauma Emerg Surg 48, 4069–4078 (2022). https://doi.org/10.1007/s00068-022-01928-9

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  • DOI: https://doi.org/10.1007/s00068-022-01928-9

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