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Table 4 Comparison of Pre- and Post-Test Self-Confidence using Likert-Scalec Paired Data

From: Rapid cycle deliberate practice vs. traditional simulation in a resource-limited setting

Confidence in ability to: Pre-Test
Median (IQR)
Post-Test
Median (IQR)
p-valuea
Overall (N = 33)
 Place IO line 3.0 (3.0, 4.0) 4.0 (3.50, 4.0) < 0.001
 Manage BVM ventilation 4.0 (3.50, 4.0) 4.0 (4.0, 5.0) 0.001
 Intubate 3.0 (1.0, 3.0) 3.0 (3.0, 4.0) < 0.001
 Perform chest compressions 4.0 (3.0, 4.0) 5.0 (4.0, 5.0) < 0.001
 Evaluate a rhythm strip 3.0 (2.0, 3.0) 3.0 (3.0, 4.0) < 0.001
 Use an AED or defibrillator 2.0 (1.0, 3.0) 3.0 (2.0, 4.0) < 0.001
 Lead resuscitation team w/good pulseb 3.0 (3.0, 4.0) 4.0 (4.0, 4.0) < 0.001
 Lead resuscitation team w/cardiac arrest 3.0 (3.0, 4.0) 4.0 (3.0, 4.0) < 0.001
 Total Likert Scoreb 24.0 (21.0, 28.75) 30.0 (27.0, 34.0) < 0.001
Traditional Group (n = 13)
 Place IO line 4.0 (3.0, 4.0) 4.0 (4.0, 4.50) 0.13
 Manage BVM ventilation 4.0 (4.0, 4.0) 4.0 (4.0, 4.50) 0.25
 Intubate 3.0 (2.0, 3.0) 4.0 (3.0, 4.0) 0.01
 Perform chest compressions 4.0 (3.50, 4.0) 5.0 (4.0, 5.0) 0.07
 Evaluate a rhythm strip 3.0 (2.0, 3.0) 3.0 (3.0, 4.0) 0.04
 Use an AED or defibrillator 2.0 (1.50, 3.0) 3.0 (2.50, 4.0) 0.04
 Lead resuscitation team w/good pulseb 3.50 (3.0, 4.0) 4.0 (4.0, 4.0) 0.02
 Lead resuscitation team w/cardiac arrest 3.0 (2.50, 4.0) 4.0 (3.0, 4.0) 0.03
 Total Likert Scoreb 26.0 (21.75, 28.75) 30.0 (27.25, 31.75) < 0.001
RCDP Group (n = 20)
 Place IO line 3.0 (3.0, 4.0) 4.0 (3.0, 4.0) 0.01
 Manage BVM ventilation 4.0 (3.0, 4.0) 4.50 (4.0, 5.0) 0.01
 Intubate 2.50 (1.0, 3.0) 3.0 (2.25, 4.0) < 0.001
 Perform chest compressions 4.0 (3.0, 4.75) 5.0 (4.0, 5.0) < 0.001
 Evaluate a rhythm strip 2.0 (2.0, 3.0) 3.0 (2.25, 4.0) < 0.001
 Use an AED or defibrillator 2.0 (1.0, 2.75) 3.0 (2.0, 4.0) 0.003
 Lead resuscitation team w/good pulse 3.0 (3.0, 4.0) 4.0 (3.25, 4.75) 0.002
 Lead resuscitation team w/cardiac arrest 3.0 (3.0, 3.75) 4.0 (3.0, 4.0) 0.01
 Total Likert Score 23.0 (20.25, 28.75) 29.0 (26.25, 34.0) < 0.001
  1. a p-value was calculated using the Sign Test
  2. b One value is missing for this variable
  3. c Likert-scale: 1 = not at all confident; 2 = slightly confident, I am able to initiate the skill but would prefer assistance or direction; 3 = somewhat confident, I am able to perform the skill well but would prefer some assistance or direction; 4 = confident, I am able to perform the skill well without assistance; and 5 = very confident, I have mastered this skill and could teach it to others