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
Submitted: 18 November 2023
Accepted: 20 January 2024
Published: 24 January 2024
Accepted: 20 January 2024
Abstract Views: 473
PDF (Italiano): 201
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.
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
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.
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)
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.
Similar Articles
- Enrico Lucenti, Nicoletta Dasso, Gianluca Catania, Milko Zanini, Anna Maria Bagnasco, Loredana Sasso, La rilevazione della temperatura corporea nell’emergenza-urgenza pre-ospedaliera: Rapid Evidence Assessment , Scenario® - Il Nursing nella sopravvivenza: Vol. 36 No. 4 (2019): SCENARIO 4 2019
- Nicola Ramacciati, Stefano Bamby, Andrea Mezzetti, Enrico Lumini, Alessio Gili, Laura Rasero, Questionario per l’Indagine Nazionale 2016 sulla Violenza verso gli Infermieri di Pronto Soccorso: studio di validazione , Scenario® - Il Nursing nella sopravvivenza: Vol. 33 No. 3 (2016): Scenario 3 2016
- Fabio Tanini, Stefano Bambi, L’approccio dei sistemi di emergenza extraospeda- liera alla persona vittima di ustione grave: survey multicentrica sul territorio italiano del centro-sud , Scenario® - Il Nursing nella sopravvivenza: Vol. 27 No. 2 (2010): Scenario 2: 2010
- Davide Ausili, Simona Bertozzi, Candida Villa, Luca Pandolfi, Alessia Brognara, Valentina Spedale, Catharina Frank, Stefania Di Mauro, Valutare e promuovere la partecipazione attiva alle cure da parte delle persone che accedono al pronto soccorso: traduzione e validazione del Patient Participation in Emergency Department Questionnarie. , Scenario® - Il Nursing nella sopravvivenza: Vol. 33 No. 1 (2016): Scenario 1 2016
- Walter De Luca, Enrico Lucenti, Andrea Andreucci, Nicola Colamaria, Territorial emergency nurses, training and competencies: conceptual analysis , Scenario® - Il Nursing nella sopravvivenza: Vol. 38 No. 1 (2021): SCENARIO 1 2021
- Francesca De Matteis, Maria Chiara Ariotti, Luca Gastaldo, Antonio Urbino, L’accesso intraosseo: analisi dei bisogni formativi degli infermieri di un dipartimento d’emergenza pediatrico , Scenario® - Il Nursing nella sopravvivenza: Vol. 31 No. 3 (2014): Scenario 3 2014
- Laura Milani, Corinne Mannone, Claudia Guerra, Rosario Caruso, La scala Modified Early Warning Score “MEWS†applicata al triage può predire la necessità di ricovero? Studio pilota , Scenario® - Il Nursing nella sopravvivenza: Vol. 36 No. 4 (2019): SCENARIO 4 2019
- Marianeve Gallo, Roberta Lodini, Anne Destrebecq, Agostino D’Antuono, Stefano Terzoni, L’accesso intraosseo in emergenza/urgenza: revisione della letteratura , Scenario® - Il Nursing nella sopravvivenza: Vol. 31 No. 2 (2014): Scenario 2 2014
- Carlo Federico Spatola, Fabio D’Agostino, Rosaria Alvaro, Ercole Vellone, Gli effetti del Telemonitoraggio sulla riospedalizzazione e sulla mortalità nei pazienti con scompenso cardiaco: una revisione della letteratura , Scenario® - Il Nursing nella sopravvivenza: Vol. 31 No. 3 (2014): Scenario 3 2014
- Ilaria Giubbilo, Considerazioni in merito al parere del Comitato Nazionale di Bioetica. Covid-19: la decisione clinica in condizioni di carenza di risorse e il criterio del “triage in emergenza pandemica†, Scenario® - Il Nursing nella sopravvivenza: Vol. 37 No. 3 (2020): SCENARIO 3 2020
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.