Curriculum and assessment tool for less invasive surfactant administration: an international Delphi consensus study

Niklas Breindahl; Martin G Tolsgaard; Tine B Henriksen; Charles C Roehr; Tomasz Szczapa; Luigi Gagliardi; Maximo Vento; Ragnhild Støen; Kajsa Bohlin; Anton H van Kaam; Daniel Klotz; Xavier Durrmeyer; Tongyan Han; Anup C Katheria; Peter A Dargaville; Lise Aunsholt

doi:10.1038/s41390-023-02621-2

Curriculum and assessment tool for less invasive surfactant administration: an international Delphi consensus study

Niklas Breindahl^*, Martin G Tolsgaard, Tine B Henriksen, Charles C Roehr, Tomasz Szczapa, Luigi Gagliardi, Maximo Vento, Ragnhild Støen, Kajsa Bohlin, Anton H van Kaam, Daniel Klotz, Xavier Durrmeyer, Tongyan Han, Anup C Katheria, Peter A Dargaville, Lise Aunsholt

^*Corresponding author af dette arbejde

Abstract

BACKGROUND: Training and assessment of operator competence for the less invasive surfactant administration (LISA) procedure vary. This study aimed to obtain international expert consensus on LISA training (LISA curriculum (LISA-CUR)) and assessment (LISA assessment tool (LISA-AT)).

METHODS: From February to July 2022, an international three-round Delphi process gathered opinions from LISA experts (researchers, curriculum developers, and clinical educators) on a list of items to be included in a LISA-CUR and LISA-AT (Round 1). The experts rated the importance of each item (Round 2). Items supported by more than 80% consensus were included. All experts were asked to approve or reject the final LISA-CUR and LISA-AT (Round 3).

RESULTS: A total of 153 experts from 14 countries participated in Round 1, and the response rate for Rounds 2 and 3 was >80%. Round 1 identified 44 items for LISA-CUR and 22 for LISA-AT. Round 2 excluded 15 items for the LISA-CUR and 7 items for the LISA-AT. Round 3 resulted in a strong consensus (99-100%) for the final 29 items for the LISA-CUR and 15 items for the LISA-AT.

CONCLUSIONS: This Delphi process established an international consensus on a training curriculum and content evidence for the assessment of LISA competence.

IMPACT: This international consensus-based expert statement provides content on a curriculum for the less invasive surfactant administration procedure (LISA-CUR) that may be partnered with existing evidence-based strategies to optimize and standardize LISA training in the future. This international consensus-based expert statement also provides content on an assessment tool for the LISA procedure (LISA-AT) that can help to evaluate competence in LISA operators. The proposed LISA-AT enables standardized, continuous feedback and assessment until achieving proficiency.

Originalsprog	Engelsk
Tidsskrift	Pediatric Research
Vol/bind	94
Udgave nummer	3
Sider (fra-til)	1216-1224
Antal sider	9
ISSN	0031-3998
DOI	https://doi.org/10.1038/s41390-023-02621-2
Status	Udgivet - sep. 2023

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10.1038/s41390-023-02621-2

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Breindahl, N., Tolsgaard, M. G., Henriksen, T. B., Roehr, C. C., Szczapa, T., Gagliardi, L., Vento, M., Støen, R., Bohlin, K., van Kaam, A. H., Klotz, D., Durrmeyer, X., Han, T., Katheria, A. C., Dargaville, P. A., & Aunsholt, L. (2023). Curriculum and assessment tool for less invasive surfactant administration: an international Delphi consensus study. Pediatric Research, 94(3), 1216-1224. https://doi.org/10.1038/s41390-023-02621-2

Breindahl, N , Tolsgaard, MG, Henriksen, TB, Roehr, CC, Szczapa, T, Gagliardi, L, Vento, M, Støen, R, Bohlin, K, van Kaam, AH, Klotz, D, Durrmeyer, X, Han, T, Katheria, AC, Dargaville, PA & Aunsholt, L 2023, 'Curriculum and assessment tool for less invasive surfactant administration: an international Delphi consensus study', Pediatric Research, bind 94, nr. 3, s. 1216-1224. https://doi.org/10.1038/s41390-023-02621-2

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title = "Curriculum and assessment tool for less invasive surfactant administration: an international Delphi consensus study",

abstract = "BACKGROUND: Training and assessment of operator competence for the less invasive surfactant administration (LISA) procedure vary. This study aimed to obtain international expert consensus on LISA training (LISA curriculum (LISA-CUR)) and assessment (LISA assessment tool (LISA-AT)).METHODS: From February to July 2022, an international three-round Delphi process gathered opinions from LISA experts (researchers, curriculum developers, and clinical educators) on a list of items to be included in a LISA-CUR and LISA-AT (Round 1). The experts rated the importance of each item (Round 2). Items supported by more than 80% consensus were included. All experts were asked to approve or reject the final LISA-CUR and LISA-AT (Round 3).RESULTS: A total of 153 experts from 14 countries participated in Round 1, and the response rate for Rounds 2 and 3 was >80%. Round 1 identified 44 items for LISA-CUR and 22 for LISA-AT. Round 2 excluded 15 items for the LISA-CUR and 7 items for the LISA-AT. Round 3 resulted in a strong consensus (99-100%) for the final 29 items for the LISA-CUR and 15 items for the LISA-AT.CONCLUSIONS: This Delphi process established an international consensus on a training curriculum and content evidence for the assessment of LISA competence.IMPACT: This international consensus-based expert statement provides content on a curriculum for the less invasive surfactant administration procedure (LISA-CUR) that may be partnered with existing evidence-based strategies to optimize and standardize LISA training in the future. This international consensus-based expert statement also provides content on an assessment tool for the LISA procedure (LISA-AT) that can help to evaluate competence in LISA operators. The proposed LISA-AT enables standardized, continuous feedback and assessment until achieving proficiency.",

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author = "Niklas Breindahl and Tolsgaard, {Martin G} and Henriksen, {Tine B} and Roehr, {Charles C} and Tomasz Szczapa and Luigi Gagliardi and Maximo Vento and Ragnhild St{\o}en and Kajsa Bohlin and {van Kaam}, {Anton H} and Daniel Klotz and Xavier Durrmeyer and Tongyan Han and Katheria, {Anup C} and Dargaville, {Peter A} and Lise Aunsholt",

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year = "2023",

month = sep,

doi = "10.1038/s41390-023-02621-2",

language = "English",

volume = "94",

pages = "1216--1224",

journal = "Pediatric Research",

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T1 - Curriculum and assessment tool for less invasive surfactant administration

T2 - an international Delphi consensus study

AU - Breindahl, Niklas

AU - Tolsgaard, Martin G

AU - Henriksen, Tine B

AU - Roehr, Charles C

AU - Szczapa, Tomasz

AU - Gagliardi, Luigi

AU - Vento, Maximo

AU - Støen, Ragnhild

AU - Bohlin, Kajsa

AU - van Kaam, Anton H

AU - Klotz, Daniel

AU - Durrmeyer, Xavier

AU - Han, Tongyan

AU - Katheria, Anup C

AU - Dargaville, Peter A

AU - Aunsholt, Lise

PY - 2023/9

Y1 - 2023/9

N2 - BACKGROUND: Training and assessment of operator competence for the less invasive surfactant administration (LISA) procedure vary. This study aimed to obtain international expert consensus on LISA training (LISA curriculum (LISA-CUR)) and assessment (LISA assessment tool (LISA-AT)).METHODS: From February to July 2022, an international three-round Delphi process gathered opinions from LISA experts (researchers, curriculum developers, and clinical educators) on a list of items to be included in a LISA-CUR and LISA-AT (Round 1). The experts rated the importance of each item (Round 2). Items supported by more than 80% consensus were included. All experts were asked to approve or reject the final LISA-CUR and LISA-AT (Round 3).RESULTS: A total of 153 experts from 14 countries participated in Round 1, and the response rate for Rounds 2 and 3 was >80%. Round 1 identified 44 items for LISA-CUR and 22 for LISA-AT. Round 2 excluded 15 items for the LISA-CUR and 7 items for the LISA-AT. Round 3 resulted in a strong consensus (99-100%) for the final 29 items for the LISA-CUR and 15 items for the LISA-AT.CONCLUSIONS: This Delphi process established an international consensus on a training curriculum and content evidence for the assessment of LISA competence.IMPACT: This international consensus-based expert statement provides content on a curriculum for the less invasive surfactant administration procedure (LISA-CUR) that may be partnered with existing evidence-based strategies to optimize and standardize LISA training in the future. This international consensus-based expert statement also provides content on an assessment tool for the LISA procedure (LISA-AT) that can help to evaluate competence in LISA operators. The proposed LISA-AT enables standardized, continuous feedback and assessment until achieving proficiency.

AB - BACKGROUND: Training and assessment of operator competence for the less invasive surfactant administration (LISA) procedure vary. This study aimed to obtain international expert consensus on LISA training (LISA curriculum (LISA-CUR)) and assessment (LISA assessment tool (LISA-AT)).METHODS: From February to July 2022, an international three-round Delphi process gathered opinions from LISA experts (researchers, curriculum developers, and clinical educators) on a list of items to be included in a LISA-CUR and LISA-AT (Round 1). The experts rated the importance of each item (Round 2). Items supported by more than 80% consensus were included. All experts were asked to approve or reject the final LISA-CUR and LISA-AT (Round 3).RESULTS: A total of 153 experts from 14 countries participated in Round 1, and the response rate for Rounds 2 and 3 was >80%. Round 1 identified 44 items for LISA-CUR and 22 for LISA-AT. Round 2 excluded 15 items for the LISA-CUR and 7 items for the LISA-AT. Round 3 resulted in a strong consensus (99-100%) for the final 29 items for the LISA-CUR and 15 items for the LISA-AT.CONCLUSIONS: This Delphi process established an international consensus on a training curriculum and content evidence for the assessment of LISA competence.IMPACT: This international consensus-based expert statement provides content on a curriculum for the less invasive surfactant administration procedure (LISA-CUR) that may be partnered with existing evidence-based strategies to optimize and standardize LISA training in the future. This international consensus-based expert statement also provides content on an assessment tool for the LISA procedure (LISA-AT) that can help to evaluate competence in LISA operators. The proposed LISA-AT enables standardized, continuous feedback and assessment until achieving proficiency.

KW - Clinical Competence

KW - Consensus

KW - Curriculum

KW - Delphi Technique

KW - Surface-Active Agents

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U2 - 10.1038/s41390-023-02621-2

DO - 10.1038/s41390-023-02621-2

M3 - Journal article

C2 - 37142651

SN - 0031-3998

VL - 94

SP - 1216

EP - 1224

JO - Pediatric Research

JF - Pediatric Research

IS - 3

ER -

Curriculum and assessment tool for less invasive surfactant administration: an international Delphi consensus study

Abstract

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