Development and validation of a questionnaire to assess healthcare personnel competence in cardiac arrest and resuscitation in pregnancy

Abstract

Background Cardiac arrest is rare in pregnancy, and up-to date competence can be difficult to assess and maintain. The objective of this study was to develop and validate a questionnaire to assess healthcare personnel experiences, self-assessed competence and perception of role and resposibility related to cardiac arrest and cardio-pulmonary resuscitation (CPR) in pregnancy Methods The study had a cross-sectional design, developing and validating a questionnaire: the Competence in cardiac arrest and CPR in pregnancy (ComCA-P). Development and validation of the ComCA-P was conducted in three stages: 1) Literature review and expert group panel inputs, 2) a pilot study and 3) a cross-sectional questionnaire study. In stage one, the ComCA-P was developed over several iterations between the researchers, including inputs from an expert group panel consisting of highly competent professionals (n = 11). In stage two, the questionnaire was piloted in a group of healthcare personnel with relevant competence (n = 16). The ComCA-P was then used in a baseline study including healthcare personnel potentially involved in CPR in pregnancy (n = 527) in six hospital wards. Based on these data, internal consistency, intra-class correlations, and confirmatory factor analysis were utilized to validate the questionnaire. Results The expert group and pilot study participants evaluated the appropriateness, relevance and accuracy to be high. Formulation of the items was considered appropriate, with no

Obstetric cardiopulmonary arrest: construction and validation of an instrument to assess nursing knowledge

“…The instrument's questions addressed three thematic axes: correct identification of pulmonary arrest in pregnant women, time to call for help and correct way of performing cardiopulmonary resuscitation in pregnant women. This finding is similar to that found in a study conducted in Norway, which developed and validated an instrument to assess the competence of health professionals in relation to obstetric CPA, and contemplated the same axes (5) . Thus, the relevance of the instrument is to contemplate the identification of the disease and the components of basic life support, which consist of decisive steps for the survival of the mother-child binomial and, therefore, need to be known by nursing.…”

“…The training of professionals on obstetric CPR should be performed in a way directed existing knowledge gap, thus, it is relevant that previous knowledge is verified and that self-assessment occurs, to contribute to the awareness about the need for training (5) . Studies on the effectiveness of pedagogical strategies for teaching CPR in pregnant women also need to take place, to support the choice of the best didactic resource to be used in the teaching-learning process.…”

Parada cardiorrespiratória obstétrica: construção e validação de instrumento para avaliar o conhecimento da enfermagem

“…As questões do instrumento abordaram três eixos temáticos: identificação correta da parada cardíaca na gestante, momento de chamar por ajuda e forma correta de realização de reanimação cardiopulmonar na gestante. Este achado é semelhante ao encontrado em pesquisa realizada na Noruega, que desenvolveu e validou instrumento para avaliar a competência dos profissionais de saúde frente a PCR obstétrica, e contemplou os mesmos eixos (5) . Assim, aponta-se relevância do instrumento contemplar a identificação do agravo e os componentes do suporte básico de vida, que consistem em etapas decisivas para sobrevida do binômio mãe-filho e, logo, precisam ser conhecidas pela enfermagem.…”

“…O treinamento dos profissionais sobre a PCR obstétrica deve ser realizado de forma direcionada à lacuna de conhecimento existente, assim, é relevante que o conhecimento prévio seja verificado e que ocorra autoavaliação, para contribuir com a conscientização acerca da necessidade de capacitação (5) . Estudos sobre a efetividade de estratégias pedagógicas para o ensino da RCP em gestantes também precisam ocorrer, para subsidiar a escolha do melhor recurso didático a ser utilizado no processo de ensino-aprendizagem.…”

Healthcare personnel self‐assessed competence and knowledge following implementation of a new guideline on maternal resuscitation in Norway. A repeated measure study

“…We utilized “The Competence in Cardiac Arrest in Pregnancy‐questionnaire” (ComCA‐P), which was developed and validated to assess healthcare personnel knowledge and self‐assessed competence in cardiac arrest in pregnancy and PMCS. 21 The questionnaire consists of 37 questions, referred to as “items,” distributed in five areas: (1) demographics (2) courses and training (3) self‐assessed competence (4) roles/responsibility and (5) theoretical knowledge about CPR and PMCS. Moreover, the postimplementation questionnaire included information about which learning activity the participant had attended: simulation, table‐top discussion or e‐learning course (or neither) For detailed overview of items, see supporting information 1.…”