Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): Development and validation

S. Walker; S. Brett; A. McKay; S. Lambden; C. Vincent; N. Sevdalis

doi:10.1016/j.resuscitation.2011.03.009

Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): Development and validation

S. Walker^*, S. Brett, A. McKay, S. Lambden, C. Vincent, N. Sevdalis

^*Corresponding author for this work

Health Service & Population Research

Univ London Imperial Coll Sci Technol & Med, Imperial College London, St Marys Hosp, Dept Surg & Canc, Clin Safety Res Unit
Imperial College Healthcare NHS Trust
Univ Coll London Hosp NHS Trust, University College London, University of London, Dept Anaesthet

Research output: Contribution to journal › Article › peer-review

75 Citations (Scopus)

Abstract

Aim: The aim of the study reported here was to address the need to assess and train teamwork and nontechnical skills in the context of Resuscitation. Specifically, we sought to develop a tool that is feasible to use and psychometrically sound to assess team behaviours during cardiac arrest resuscitation attempts.

Methods: To ensure validity, reliability, and feasibility, the Observational Skill based Clinical Assessment tool for Resuscitation (OSCAR) was developed in 3 phases. A review of the literature leading to initial tool development was followed by an assessment of face and content validity, and finally a thorough reliability assessment, using Cronbach's alpha to assess internal consistency and intraclass correlation to assess inter-rater reliability.

Results: OSCAR was developed methodically, and tested for face and content validity. Cronbach's alpha results ranged from 0.736 to 0.965 demonstrating high internal consistency, and intraclass correlation results ranged from 0.652 to 0.911, all of which are strongly significant and indicate good inter-rater reliability.

Conclusion: On the basis of our results, we conclude that OSCAR is psychometrically robust, scientifically sound, and clinically relevant. We have developed the Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR) for the assessment of non-technical skills in Resuscitation teams. We propose the use of this tool in simulation and real Cardiac Arrest Resuscitation attempts to assess, guide and train non-technical skills to team members, to improve patient safety and maximise the chances of successful resuscitation.

Original language	English
Pages (from-to)	835-844
Number of pages	10
Journal	Resuscitation
Volume	82
Issue number	7
DOIs	https://doi.org/10.1016/j.resuscitation.2011.03.009
Publication status	Published - Jul 2011

Keywords

Non-technical skills
Teamworking skills
Adverse events
Cardiac arrest teams
Resuscitation training
Assessment tool
INTENSIVE-CARE-UNIT
NONTECHNICAL SKILLS
TEAMWORK ASSESSMENT
ADVERSE EVENTS
PATIENT SAFETY
OPERATING-ROOM
SURGERY
RELIABILITY
REFINEMENT
SYSTEM

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10.1016/j.resuscitation.2011.03.009

Cite this

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title = "Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): Development and validation",

abstract = "Aim: The aim of the study reported here was to address the need to assess and train teamwork and nontechnical skills in the context of Resuscitation. Specifically, we sought to develop a tool that is feasible to use and psychometrically sound to assess team behaviours during cardiac arrest resuscitation attempts.Methods: To ensure validity, reliability, and feasibility, the Observational Skill based Clinical Assessment tool for Resuscitation (OSCAR) was developed in 3 phases. A review of the literature leading to initial tool development was followed by an assessment of face and content validity, and finally a thorough reliability assessment, using Cronbach's alpha to assess internal consistency and intraclass correlation to assess inter-rater reliability.Results: OSCAR was developed methodically, and tested for face and content validity. Cronbach's alpha results ranged from 0.736 to 0.965 demonstrating high internal consistency, and intraclass correlation results ranged from 0.652 to 0.911, all of which are strongly significant and indicate good inter-rater reliability.Conclusion: On the basis of our results, we conclude that OSCAR is psychometrically robust, scientifically sound, and clinically relevant. We have developed the Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR) for the assessment of non-technical skills in Resuscitation teams. We propose the use of this tool in simulation and real Cardiac Arrest Resuscitation attempts to assess, guide and train non-technical skills to team members, to improve patient safety and maximise the chances of successful resuscitation.",

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author = "S. Walker and S. Brett and A. McKay and S. Lambden and C. Vincent and N. Sevdalis",

year = "2011",

month = jul,

doi = "10.1016/j.resuscitation.2011.03.009",

language = "English",

volume = "82",

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AU - Walker, S.

AU - Brett, S.

AU - McKay, A.

AU - Lambden, S.

AU - Vincent, C.

AU - Sevdalis, N.

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N2 - Aim: The aim of the study reported here was to address the need to assess and train teamwork and nontechnical skills in the context of Resuscitation. Specifically, we sought to develop a tool that is feasible to use and psychometrically sound to assess team behaviours during cardiac arrest resuscitation attempts.Methods: To ensure validity, reliability, and feasibility, the Observational Skill based Clinical Assessment tool for Resuscitation (OSCAR) was developed in 3 phases. A review of the literature leading to initial tool development was followed by an assessment of face and content validity, and finally a thorough reliability assessment, using Cronbach's alpha to assess internal consistency and intraclass correlation to assess inter-rater reliability.Results: OSCAR was developed methodically, and tested for face and content validity. Cronbach's alpha results ranged from 0.736 to 0.965 demonstrating high internal consistency, and intraclass correlation results ranged from 0.652 to 0.911, all of which are strongly significant and indicate good inter-rater reliability.Conclusion: On the basis of our results, we conclude that OSCAR is psychometrically robust, scientifically sound, and clinically relevant. We have developed the Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR) for the assessment of non-technical skills in Resuscitation teams. We propose the use of this tool in simulation and real Cardiac Arrest Resuscitation attempts to assess, guide and train non-technical skills to team members, to improve patient safety and maximise the chances of successful resuscitation.

AB - Aim: The aim of the study reported here was to address the need to assess and train teamwork and nontechnical skills in the context of Resuscitation. Specifically, we sought to develop a tool that is feasible to use and psychometrically sound to assess team behaviours during cardiac arrest resuscitation attempts.Methods: To ensure validity, reliability, and feasibility, the Observational Skill based Clinical Assessment tool for Resuscitation (OSCAR) was developed in 3 phases. A review of the literature leading to initial tool development was followed by an assessment of face and content validity, and finally a thorough reliability assessment, using Cronbach's alpha to assess internal consistency and intraclass correlation to assess inter-rater reliability.Results: OSCAR was developed methodically, and tested for face and content validity. Cronbach's alpha results ranged from 0.736 to 0.965 demonstrating high internal consistency, and intraclass correlation results ranged from 0.652 to 0.911, all of which are strongly significant and indicate good inter-rater reliability.Conclusion: On the basis of our results, we conclude that OSCAR is psychometrically robust, scientifically sound, and clinically relevant. We have developed the Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR) for the assessment of non-technical skills in Resuscitation teams. We propose the use of this tool in simulation and real Cardiac Arrest Resuscitation attempts to assess, guide and train non-technical skills to team members, to improve patient safety and maximise the chances of successful resuscitation.

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KW - Teamworking skills

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KW - Cardiac arrest teams

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KW - TEAMWORK ASSESSMENT

KW - ADVERSE EVENTS

KW - PATIENT SAFETY

KW - OPERATING-ROOM

KW - SURGERY

KW - RELIABILITY

KW - REFINEMENT

KW - SYSTEM

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DO - 10.1016/j.resuscitation.2011.03.009

M3 - Article

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SP - 835

EP - 844

JO - Resuscitation

JF - Resuscitation

IS - 7

ER -

Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): Development and validation

Abstract

Keywords

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