Valid and Reliable Assessment of Upper Respiratory Tract Specimen Collection Skills during the COVID-19 Pandemic

Proper specimen collection is the most important step to ensure accurate testing for the coronavirus disease 2019 (COVID-19) and other infectious diseases. Assessment of healthcare workers’ upper respiratory tract specimen collection skills is needed to ensure samples of high-quality clinical specim...

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Autores principales: Tobias Todsen, Anne Bohr, Lisette Hvid Hovgaard, Rebekka Consuelo Eið, Thomas Benfield, Morten B. S. Svendsen, Nikolai Kirkby, Lars Konge, Christian von Buchwald, Jacob Melchiors, Martin Tolsgaard
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/3845598c75dc4385814cb54ca279bcd8
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spelling oai:doaj.org-article:3845598c75dc4385814cb54ca279bcd82021-11-25T17:20:30ZValid and Reliable Assessment of Upper Respiratory Tract Specimen Collection Skills during the COVID-19 Pandemic10.3390/diagnostics111119872075-4418https://doaj.org/article/3845598c75dc4385814cb54ca279bcd82021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/1987https://doaj.org/toc/2075-4418Proper specimen collection is the most important step to ensure accurate testing for the coronavirus disease 2019 (COVID-19) and other infectious diseases. Assessment of healthcare workers’ upper respiratory tract specimen collection skills is needed to ensure samples of high-quality clinical specimens for COVID-19 testing. This study explored the validity evidence for a theoretical MCQ-test and checklists developed for nasopharyngeal (NPS) and oropharyngeal (OPS) specimen collection skills assessment. We found good inter-item reliability (Cronbach’s alpha = 0.76) for the items of the MCQ-test and high inter-rater reliability using the checklist for the assessment of OPS and NPS skills on 0.86 and 0.87, respectively. The MCQ scores were significantly different between experts (mean 98%) and novices (mean 66%), <i>p</i> < 0.001, and a pass/fail score of 91% was established. We found a significant discrimination between checklist scores of experts (mean 95% score for OPS and 89% for NPS) and novices (mean 50% score for OPS and 36% for NPS), <i>p</i> < 0.001, and a pass/fail score was established of 76% for OPS and 61% for NPS. Further, the results also demonstrated that a group of non-healthcare educated workers can perform upper respiratory tract specimen collection comparably to experts after a short and focused simulation-based training session. This study, therefore, provides validity evidence for the use of a theoretical and practical test for upper respiratory specimens’ collection skills that can be used for competency-based training of the workers in the COVID-19 test centers.Tobias TodsenAnne BohrLisette Hvid HovgaardRebekka Consuelo EiðThomas BenfieldMorten B. S. SvendsenNikolai KirkbyLars KongeChristian von BuchwaldJacob MelchiorsMartin TolsgaardMDPI AGarticleCOVID-19 testingSARS-CoV-2 sampleupper respiratory tract specimensskills assessmentvalidationMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 1987, p 1987 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19 testing
SARS-CoV-2 sample
upper respiratory tract specimens
skills assessment
validation
Medicine (General)
R5-920
spellingShingle COVID-19 testing
SARS-CoV-2 sample
upper respiratory tract specimens
skills assessment
validation
Medicine (General)
R5-920
Tobias Todsen
Anne Bohr
Lisette Hvid Hovgaard
Rebekka Consuelo Eið
Thomas Benfield
Morten B. S. Svendsen
Nikolai Kirkby
Lars Konge
Christian von Buchwald
Jacob Melchiors
Martin Tolsgaard
Valid and Reliable Assessment of Upper Respiratory Tract Specimen Collection Skills during the COVID-19 Pandemic
description Proper specimen collection is the most important step to ensure accurate testing for the coronavirus disease 2019 (COVID-19) and other infectious diseases. Assessment of healthcare workers’ upper respiratory tract specimen collection skills is needed to ensure samples of high-quality clinical specimens for COVID-19 testing. This study explored the validity evidence for a theoretical MCQ-test and checklists developed for nasopharyngeal (NPS) and oropharyngeal (OPS) specimen collection skills assessment. We found good inter-item reliability (Cronbach’s alpha = 0.76) for the items of the MCQ-test and high inter-rater reliability using the checklist for the assessment of OPS and NPS skills on 0.86 and 0.87, respectively. The MCQ scores were significantly different between experts (mean 98%) and novices (mean 66%), <i>p</i> < 0.001, and a pass/fail score of 91% was established. We found a significant discrimination between checklist scores of experts (mean 95% score for OPS and 89% for NPS) and novices (mean 50% score for OPS and 36% for NPS), <i>p</i> < 0.001, and a pass/fail score was established of 76% for OPS and 61% for NPS. Further, the results also demonstrated that a group of non-healthcare educated workers can perform upper respiratory tract specimen collection comparably to experts after a short and focused simulation-based training session. This study, therefore, provides validity evidence for the use of a theoretical and practical test for upper respiratory specimens’ collection skills that can be used for competency-based training of the workers in the COVID-19 test centers.
format article
author Tobias Todsen
Anne Bohr
Lisette Hvid Hovgaard
Rebekka Consuelo Eið
Thomas Benfield
Morten B. S. Svendsen
Nikolai Kirkby
Lars Konge
Christian von Buchwald
Jacob Melchiors
Martin Tolsgaard
author_facet Tobias Todsen
Anne Bohr
Lisette Hvid Hovgaard
Rebekka Consuelo Eið
Thomas Benfield
Morten B. S. Svendsen
Nikolai Kirkby
Lars Konge
Christian von Buchwald
Jacob Melchiors
Martin Tolsgaard
author_sort Tobias Todsen
title Valid and Reliable Assessment of Upper Respiratory Tract Specimen Collection Skills during the COVID-19 Pandemic
title_short Valid and Reliable Assessment of Upper Respiratory Tract Specimen Collection Skills during the COVID-19 Pandemic
title_full Valid and Reliable Assessment of Upper Respiratory Tract Specimen Collection Skills during the COVID-19 Pandemic
title_fullStr Valid and Reliable Assessment of Upper Respiratory Tract Specimen Collection Skills during the COVID-19 Pandemic
title_full_unstemmed Valid and Reliable Assessment of Upper Respiratory Tract Specimen Collection Skills during the COVID-19 Pandemic
title_sort valid and reliable assessment of upper respiratory tract specimen collection skills during the covid-19 pandemic
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/3845598c75dc4385814cb54ca279bcd8
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