Evaluating Rescuer Performance in Response to Opioid Overdose in a Community Setting: Evidence for Medically Appropriate Process Measures

Simple item page
dc.contributor.authorEdwards, G. Franklin IIIen
dc.contributor.authorMierisch, Cassandraen
dc.contributor.authorStrauss, Allisonen
dc.contributor.authorMutcheson, Brocken
dc.contributor.authorColeman, Keelen
dc.contributor.authorHorn, Kimberlyen
dc.contributor.authorParker, Sarah H.en
dc.date.accessioned2023-03-02T20:37:43Zen
dc.date.available2023-03-02T20:37:43Zen
dc.date.issued2023-02en
dc.date.updated2023-03-02T20:33:40Zen
dc.description.abstractOverdose education and naloxone distribution (OEND) programs are widely accepted to reduce opioid overdose deaths. However, there is currently no validated instrument to evaluate the skills of learners completing these programs. Such an instrument could provide feedback to OEND instructors and allow researchers to compare different educational curricula. The aim of this study was to identify medically appropriate process measures with which to populate a simulation-based evaluation tool. Researchers conducted interviews with 17 content experts, including healthcare providers and OEND instructors from south-central Appalachia, to collect detailed descriptions of the skills taught in OEND programs. Researchers used three cycles of open coding, thematic analysis, and consulted currently available medical guidelines to identify thematic occurrences in qualitative data. There was consensus among content experts that the appropriate nature and sequence of potentially lifesaving actions during an opioid overdose is dependent on clinical presentation. Isolated respiratory depression requires a distinct response compared to opioid-associated cardiac arrest. To accommodate these different clinical presentations, raters populated an evaluation instrument with the detailed descriptions of overdose response skills, such as naloxone administration, rescue breathing, and chest compressions. Detailed descriptions of skills are essential to the development of an accurate and reliable scoring instrument. Furthermore, evaluation instruments, such as the one developed from this study, require a comprehensive validity argument. In future work, the authors will integrate the evaluation instrument in high-fidelity simulations, which are safe and controlled environments to study trainees’ application of hands-on skills, and conduct formative assessments.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.issn2211-3355en
dc.identifier.orcidParker, Sarah [0000-0001-6333-1315]en
dc.identifier.urihttp://hdl.handle.net/10919/114028en
dc.language.isoenen
dc.publisherElsevieren
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.titleEvaluating Rescuer Performance in Response to Opioid Overdose in a Community Setting: Evidence for Medically Appropriate Process Measuresen
dc.title.serialPreventive Medicine Reportsen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Emergency Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/VTC Healthcare Scienceen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Emergency Medicine/Emergency Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/TEACH Membersen

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
1-s2.0-S2211335523000360-main.pdf
Size:
516.24 KB
Format:
Adobe Portable Document Format
Description:
Published version
Download

Collections

All Faculty Deposits
Scholarly Works, Fralin Biomedical Research Institute at VTC
Scholarly Works, Population Health Sciences
Scholarly Works, Virginia Tech Carilion School of Medicine (VTCSOM)