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

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Listed:
  • Ann-Chatrin L Leonardsen
  • Edel J Svendsen
  • Grethe B Heitmann
  • Adam Dhayyat
  • Ann Morris
  • Katrine D Sjøborg
  • Richard M Olsen
  • Camilla Hardeland

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 difficulties identified related to content- or face validity. Cronbach’s alpha was 0.8 on the thematic area self-assessment, and 0.73 on the theoretical knowledge area of the ComCA-P. On both the self-assessed competence items and the teoretical knowledge items, Kaiser-Meyer-Olkin was 0.8. Moreover, the Bertletts’ test of sphericity was greater than the critical value for chi-square, and significant (p

Suggested Citation

  • Ann-Chatrin L Leonardsen & Edel J Svendsen & Grethe B Heitmann & Adam Dhayyat & Ann Morris & Katrine D Sjøborg & Richard M Olsen & Camilla Hardeland, 2020. "Development and validation of a questionnaire to assess healthcare personnel competence in cardiac arrest and resuscitation in pregnancy," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-12, May.
    • Handle: RePEc:plo:pone00:0232984
    DOI: 10.1371/journal.pone.0232984
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    References listed on IDEAS

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    1. Lee Cronbach, 1951. "Coefficient alpha and the internal structure of tests," Psychometrika, Springer;The Psychometric Society, vol. 16(3), pages 297-334, September.
    2. Henry Kaiser, 1974. "An index of factorial simplicity," Psychometrika, Springer;The Psychometric Society, vol. 39(1), pages 31-36, March.
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