Development of a comprehensive Percutaneous Dilatational Tracheostomy process model for procedural training: A Delphi-based experts consensus.
Acta Anaesthesiol Scand
; 65(2): 244-256, 2021 02.
Article
em En
| MEDLINE
| ID: mdl-32997799
ABSTRACT
BACKGROUND:
Deconstructing a complex procedure improves skills learning, but no model has covered all relevant Percutaneous Dilatational Tracheostomy (PDT) procedural aspects. Moreover, the heterogeneity of techniques described may hinder trainees' competency acquisition. Our objective was to develop a PDT model for procedural training that includes a comprehensive step-by-step design.METHODS:
Procedural descriptions were retrieved after a structured search in medical databases. Activities were extracted and the adherence to McKinley's dimensions of procedural competence was analyzed. We developed a comprehensive PDT model, which was further validated through a Delphi-based consensus of Spanish-speaking international experts.RESULTS:
The 14 descriptions retrieved for analysis presented a median [interquartile range] of 18 [11-22] steps, covering 3 [2-4] of McKinley's dimensions. The Delphi panel's first model included all McKinley's dimensions, and was answered by 25 experts from nine countries, ending in the second round. The final model included 59 activities divided into six stages (51 from the initial model and eight proposed by experts) and performed by two operators (bronchoscopy and tracheostomy).CONCLUSIONS:
We have presented a PDT model that includes necessary competence dimensions to be considered complete. The model was validated by an experts' consensus, allowing to improve procedural training to promote safer patient care.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Broncoscopia
/
Traqueostomia
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
En
Revista:
Acta Anaesthesiol Scand
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Chile