[Test to measure basic life support and defibrillation skills in primary care doctors and nurses].
OBJECTIVE
To prepare and validate a tool to measure Basic Life Support (BLS) and semi-automatic defibrillator (SAD) skills adapted for use by health professionals in Primary Care Teams (PCT). To propose an updated version and demonstrate self-sufficiency of the team to use it in a training evaluation.


METHODS
Validation of measurement tools. Study of reliability with repeated measurements after a training course.


METHODS
Drassanes Primary Care Centre. Raval Sud Basic Health Area. Barcelona. Spain.


METHODS
A total of 37 voluntary resuscitators (all doctors/nurses), professional camera, medical controller, computerised mannequin, 6 evaluators.


METHODS
Test preparation methodology. Cardiff Model 3.1.


METHODS
2 filmed series (professional+domestic), of 26-25 "station type" simulations, separated by 1 month. A training workshop between series. Retrospective evaluation of DVD recordings (5 evaluators). 2nd series scored again at 3 weeks with a blind and random order filmed version.


METHODS



METHODS
performances classified from worse to best execution. Psychometric analysis: Validity (content/apparent). Test-retest reliability, between-observer and sensitivity to change.


RESULTS
Compared to the Cardiff test (46 items) our 83 item test contained 38(46%) new, 34(41%) modified and 11(13%) similar. Between-evaluator reliability, excellent/good in 51/62 items analysed; Within-evaluator and between-filming reliability, excellent/good in all except 1 item; the test score doubled after the training course. A version of the test according to BLS-SAD recommendations is proposed.


CONCLUSIONS
On there not being useful tools available for Primary Care doctors and nurses, one has been prepared with adequate psychometric guarantees and proven self-sufficient evaluation. We propose the immediate application of the updated version for training evaluation purposes.
Casabella Abril
Bartomeu
B
CAP Drassanes. Equipo de Atención Primaria Raval Sud (SAP Litoral-Institut Català de la Salut), Spain.
Lacasta Tintorer
David
D
Clusa Gironella
Thais
T
Perelló Bratescu
Aina
A
García Ortega
M A Dolores
MA
Albiach Pla
Antoni
A
Larrea Tárrega
Salomé
S
D000328:Adult; D002983:Clinical Competence; D004554:Electric Countershock / Q000592:standards*; D005260:Female; D006801:Humans; D008020:Life Support Care / Q000592:standards*; D008297:Male; D008875:Middle Aged; D009726:Nurses; D010820:Physicians; D011320:Primary Health Care