Ventilation tube insertion simulation: a literature review and validity assessment of five training models.

OBJECTIVE

The objective of this study was to identify and investigate the face and content validity of ventilation tube insertion (VTI) training models described in the literature.

DESIGN

A review of literature was carried out to identify articles describing VTI simulators. Feasible models were replicated and assessed by a group of experts.

SETTING

Postgraduate simulation centre.

PARTICIPANTS

Experts were defined as surgeons who had performed at least 100 VTI on patients. Seventeen experts were participated ensuring sufficient statistical power for analysis.

MAIN OUTCOME MEASURES: A standardised 18-item Likert-scale questionnaire was used. This addressed face validity (realism), global and task-specific content (suitability of the model for teaching) and curriculum recommendation.

RESULTS

The search revealed eleven models, of which only five had associated validity data. Five models were found to be feasible to replicate. None of the tested models achieved face or global content validity. Only one model achieved task-specific validity, and hence, there was no agreement on curriculum recommendation.

CONCLUSIONS

The quality of simulation models is moderate and there is room for improvement. There is a need for new models to be developed or existing ones to be refined in order to construct a more realistic training platform for VTI simulation.