Assessment of Residents Readiness to Perform Lumbar Puncture: A Validation Study

Henriksen, Mikael Johannes Vuokko; Wienecke, Troels; Thagesen, Helle; Jacobsen, Rikke Vita Borre; Subhi, Yousif; Ringsted, Charlotte; Konge, Lars

doi:10.1007/s11606-016-3981-y

Cited by 20 publications

(26 citation statements)

References 38 publications

(52 reference statements)

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“…This is in strong contrast to a recently established expert opinion, which stated that “When an LP is performed correctly, the procedure is well tolerated and accepted with a low complication rate” (Engelborghs et al, ). Although we did not directly ask about the reasons for the negative appraisal of our students, recent research by Henriksen et al () provides insight into some of the thoughts experienced by physicians before they perform a LP, for example, fear of injuring the medulla due to puncturing the wrong area, or anxiety about the proximity of the meninges before and during the LP. To make matters worse, they also seem to worry about hurting the patient because of the “blind” deep insertion of a long needle into the back.…”

Section: Discussionmentioning

confidence: 99%

Medical students' attitudes toward lumbar puncture—And how to change

2019

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Objective To survey medical students on the lumbar puncture (LP) procedure in terms of their existing knowledge, practical experience and attitudes, and to determine whether the completion of a single standardized seminar that includes practical training on phantoms can alter these parameters. Methods The survey was completed by medical students undertaking the curricular neurology course. Students were asked to describe their practical experience in different bedside procedures, and document how they perceive LP in terms of their own knowledge, confidence and attitude. Students then participated in a newly designed 90‐min seminar that included practical training on phantoms and placed special emphasis both on the patients' point of view during the procedure and the benefits of an atraumatic approach. All students who completed the seminar were required to complete the survey for a second time. Results Among the 153 participants, LP was associated with the lowest baseline levels of experience and confidence compared to other bedside procedures. Attitudes, knowledge, and confidence related to the various aspects of LP all showed significant improvement after the seminar. Conclusion A single standardized LP seminar with simulation training alters medical students' attitudes toward LP through improving their level of knowledge and confidence. This may have important implications in doctors‐to‐be on their stance toward LP and resultant advice to future patients regarding this important procedure.

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Section: Discussionmentioning

confidence: 99%

Medical students' attitudes toward lumbar puncture—And how to change

2019

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“…Pre-performance stress in novices may be attributable to uncertainty about the procedure and a lack of competence, 3,25,26 combined with a fear of causing patient harm. 4 According to the cognitive activation theory of stress, such situations could easily give rise to a stress response 1 that could explain residents' tendency to avoid performing the procedure. 27 Furthermore, the results indicate that intermediate performers also experience a considerable increase in stress during the procedure, which could be attributed to the absence of a supervisor.…”

Section: Discussionmentioning

confidence: 99%

“…1 For the LP procedure, a stress sensation among novice residents might arise because the LP is a complex procedure 2 with both technical and nontechnical aspects, combined with residents' uncertainties for procedural performance 3 and fear of doing harm. 4 The consequences of being in a state of acute mental stress are reduced working memory, decreased psychomotor performance, 5 and impaired performance. 6 These negative effects of acute stress might therefore compromise patient safety.…”

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confidence: 99%

Opinion and Special Articles: Stress when performing the first lumbar puncture may compromise patient safety

et al. 2018

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“…A total of 11 questions were scored, each with a score from 1 to 5. A pass/fail standard of 44/55 was imposed as this score has been validated to be consistent with trained medical observers' global judgments of pass/fail (18).…”

Section: Video Assessmentmentioning

confidence: 99%

Assessment of the educational quality of lumbar puncture instruction videos on YouTube.

Busser

Groffi

Hoffbauer

et al. 2019

Preprint

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Background YouTube has become an important educational platform. For biomedical students the site is a primary information source for informational and instructional videos on a variety of medical topics.This study examined the educational quality of instructional lumbar puncture procedure videos on YouTube.Methods The search strings “lumbar puncture medical procedure” and “spinal tap medical procedure” were used. The first 100 videos for each search string were assessed for eligibility. Video characteristics were documented. To evaluate the popularity of the videos the Video Power Index was calculated. Four validated checklists were used for video assessment: Lumbar Puncture Assessment Tool, reliability score, Global Quality Score, Attractiveness and Understandability score.Results Lumbar puncture videos had a median ratio of 8,90 views/day, 0,04 likes/day and a video power index of 14,44, which was lower compared to other categories of instructional videos (CPR and cake baking). The mean LumPAT score was 34/55, with only three videos scoring at least 44/55, the pass ratio of this assessment. The median reliability score was 3/4, the median GQS 3/5 (moderate quality) and the median AU score 6,5/8. Significant correlations were found between the LumPAT score and the video length (p = 0,003), the GQS (p < 0,001) and the AU score (p = 0,01).Conclusions In this study, only three out of the 23 videos passed the LumPAT score. The majority of the instructional videos are not suitable for the training of health care professionals and students in performing a lumbar puncture procedure.

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Assessment of Residents Readiness to Perform Lumbar Puncture: A Validation Study

Abstract: We developed and demonstrated strong validity evidence for the lumbar puncture assessment tool. The tool can be used to assess readiness for practice.

Cited by 20 publications

References 38 publications

Medical students' attitudes toward lumbar puncture—And how to change

Medical students' attitudes toward lumbar puncture—And how to change

Opinion and Special Articles: Stress when performing the first lumbar puncture may compromise patient safety

Assessment of the educational quality of lumbar puncture instruction videos on YouTube.

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