https://doi.org/10.4081/scenario.2023.572

Development and validation of a comprehensive tool for assessing emergency medical dispatch centres' organizational structure regarding pre-arrival instructions

Vol. 40 No. 4 (2023)
Submitted: 18 November 2023
Accepted: 20 January 2024
Published: 24 January 2024
Prehospital emergency, cardiac arrest, pre-arrival instructions, survey, validation study
Abstract Views: 466
PDF (Italiano): 196
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Guglielmo Imbriaco
guglielmo.imbriaco.work@gmail.com
https://orcid.org/0000-0003-2385-989X
Coordinatore, Centrale Operativa 118 Emilia Est, AUSL di Bologna, Bologna; Dottorando di ricerca, Dipartimento di Biomedicina e Prevenzione, Università di Roma “Tor Vergata”, Roma, Italy.
Giorgia Di Mario
Infermiera, Azienda Regionale Emergenza Sanitaria 118, Roma, Italy.
Sara Tararan
https://orcid.org/0009-0005-0740-9428
Incarico di Funzione Organizzativa, Piattaforma Cure in Emergenza, Azienda Sanitaria Friuli Occidentale, Pordenone, Italy.
Nicola Ramacciati
https://orcid.org/0000-0002-1176-8133
Ricercatore MED/45 Scienze Infermieristiche generali, cliniche e pediatriche, Dipartimento di Farmacia e Scienze della Salute e della Nutrizione (DFSSN), Università della Calabria, Rende, Italy.

Introduction: pre-arrival instructions provided by emergency medical dispatch personnel have the potential to reduce outof- hospital cardiac arrest mortality and improve various outcomes. Despite international guidelines and existing regulations endorsing these interventions, tools for detecting and monitoring the organizational structure of emergency medical dispatch centres concerning pre-arrival instructions are currently unavailable.

Materials and Methods: a validation study of a questionnaire was conducted in three phases: i) identification of domains and specific questions, ii) content validation, and iii) face validation, involving expert nurses.

Results: the initial instrument, consisting of 30 questions across six domains, was modified based on experts’ feedback, resulting in a final set of 38 questions. The content validity of individual questions (I-CVI) ranged from 0.83 to 1, and the overall questionnaire validity (S-CVI) was 0.96. Face validation of the questions in the final version of the questionnaire yielded an average score of 3.71 (±0.53) on a scale from 1 to 4.

Conclusions: this validation study has led to the development of a comprehensive instrument, relevant in content and clear in form. The authors believe it could provide valuable informational support for implementing improvement projects and standardizing the delivery of pre-arrival instructions by emergency medical dispatch centres, not only for cardiac arrest victims, following Law 116/2021.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Krafft T, García Castrillo-Riesgo L, Edwards S, et al. European Emergency Data Project (EED Project): EMS data-based health surveillance system. Eur J Public Health 2003;13:85-90.
Gräsner JT, Lefering R, Koster RW, et al. EuReCa ONE - 27 Nations, ONE Europe, ONE Registry. Resuscitation 2016;105:188–95.
Gräsner JT, Wnent J, Herlitz J, et al. Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study. Resuscitation 2020;148:218–26.
Scquizzato T, Gamberini L, D’Arrigo S, et al. Incidence, characteristics, and outcome of out-of-hospital cardiac arrest in Italy: A systematic review and meta-analysis. Resusc Plus 2022;12:100329.
Semeraro F, Greif R, Böttiger BW, et al. European Resuscitation Council Guidelines 2021: Systems saving lives. Resuscitation 2021;161:80–97.
Olasveengen TM, Semeraro F. Basic life support and systems saving lives. Curr Opin Crit Care 2021;27:617–22.
Salhi RA, Fouche S, Mendel P, et al. Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC) study: sequential mixed-methods study protocol in Michigan, USA. BMJ Open 2020;10:e041277.
Siman-Tov M, Strugo R, Podolsky T, et al. Impact of dispatcher assisted CPR on ROSC rates: A National Cohort Study. Am J Emerg Med 2021;44:333–8.
Eberhard KE, Linderoth G, Gregers MCT, et al. Impact of dispatcher-assisted cardiopulmonary resuscitation on neurologically intact survival in out-of-hospital cardiac arrest: a systematic review. Scand J Trauma Resusc Emerg Med 2021;29:70.
Barham F, Bailey S, Graham B. Does dispatcher-assisted bystander CPR improve outcomes from adult out-of-hospital cardiac arrest? Br Paramed J 2019;3:23–6.
Wang J, Zhang H, Zhao Z, et al. Impact of dispatcher-assisted bystander cardiopulmonary resuscitation with out-of-hospital cardiac arrest: a systemic review and meta-analysis. Prehospital Disaster Med 2020;35:372–81.
Scapigliati A, Semeraro F, Di Marco S, et al. The new Italian law “A systems saving lives” the first European former application of ERC 2021 guidelines. Resuscitation 2021;167:47–8.
Kurz MC, Bobrow BJ, Buckingham J, et al. Telecommunicator cardiopulmonary resuscitation: a policy statement from the American Heart Association. Circulation 2020;141:e686-e700
Dowker SR, Smith G, O'Leary M, et al. Assessment of telecommunicator cardiopulmonary resuscitation performance during out-of-hospital cardiac arrest using a standardized tool for audio review. Resuscitation 2022;178:102-8.
Sutter J, Panczyk M, Spaite DW, et al. Telephone CPR Instructions in Emergency Dispatch Systems: Qualitative Survey of 911 Call Centers. West J Emerg Med 2015;16:736–42.
Beck B, Bray JE, Smith K, et al. Description of the ambulance services participating in the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest Epistry. Emerg Med Australas EMA 2016;28:673–83.
Di Marco S, Petacco M, Semeraro F, et al. Telephone dispatcher-assisted cardiopulmonary resuscitation in Italy. A picture from a nationwide survey. Resuscitation 2017;111:e9–10.
Di Marco S, Tucci R, Tonelli G, et al. Preparedness for telephone dispatch-assisted cardiopulmonary resuscitation in Italy. A National survey. Resuscitation 2020;149:87–8.
Shrotryia VK, Dhanda U. Content Validity of Assessment Instrument for Employee Engagement. SAGE Open 2019;9:215824401882175.
Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Educ Med J 2019;11:49–54.
Polit DF, Beck CT. The content validity index: Are you sure you know what’s being reported? critique and recommendations. Res Nurs Health 2006;29:489–97.
Elangovan N, Sundaravel E. Method of preparing a document for survey instrument validation by experts. MethodsX 2021;8:101326.
Riou M, Ball S, Williams TA, et al. 'She's sort of breathing': What linguistic factors determine call-taker recognition of agonal breathing in emergency calls for cardiac arrest?. Resuscitation 2018;122:92-98.
Bradley SM, Fahrenbruch CE, Meischke H, et al. Bystander CPR in out-of-hospital cardiac arrest: the role of limited English proficiency. Resuscitation 2011;82:680–4.
VIVA! La settimana per la rianimazione cardiopolmonare, www.settimanaviva.it, ottobre 2023, accesso 7 novembre 2023.
Schroeder DC, Semeraro F, Greif R, et al. KIDS SAVE LIVES: Basic life support education for schoolchildren. A narrative review and scientific statement from the International Liaison Committee on Resuscitation. Resuscitation 2023;188:109772.

How to Cite

Imbriaco, G., Di Mario, G., Tararan, S., & Ramacciati, N. (2024). Development and validation of a comprehensive tool for assessing emergency medical dispatch centres’ organizational structure regarding pre-arrival instructions. Scenario® - Il Nursing Nella Sopravvivenza, 40(4). https://doi.org/10.4081/scenario.2023.572
Copyright (c) 2024 The Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Aniarti has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.