Alvarez Ana Graziela, Dal Sasso Grace T Marcon, Iyengar M Sriram
Nursing Department, Federal University of Santa Catarina, Postal Box: 5057, 88040-900 Florianópolis, SC, Brazil.
Nursing Department, Federal University of Santa Catarina, Brazil.
Nurse Educ Today. 2018 Dec;71:129-134. doi: 10.1016/j.nedt.2018.09.030. Epub 2018 Sep 29.
Patient safety is a fundamental component of high-quality delivery of health care. However, despite scientific advances, surgical patients continue to face risks. Among the most common complications in surgery are operations on the wrong patient, performance of the wrong procedure or operation on the wrong surgical site, lack of adequate or required equipment, failure to prevent blood loss, and surgical items left inside patients. In this context, the planning and development of innovative educational strategies is important for prevention of adverse events and the improvement of surgical patient safety culture.
To describe the process of validating the content of mobile technology for education about surgical safety.
Content validation using the Delphi technique was carried out from December 2015 to January 2016 at a Federal University in South Brazil. Content development and animations were produced by the authors from a verification list for safety surgery and a safety surgery protocol. Twelve judges assessed five variables (Content, Language, Illustration, Layout and Motivation), for consensus on content validation. They evaluated quality of each item, using a rating scale consisting of five levels (1 to 5).
Two assessment rounds were done, with a mean content validity index (CVI) of 0.95 and 1.0 and a kappa index of >0.83 and >0.92, respectively. The judges provided positive comments about each phase of the study, most of comments highlights were: choice of very relevant subject matter, excellent quality of the material and the motivation that the material can provide to the target audience.
The study validated the content of learning technology by general consensus of judges with a high level of concordance among evaluated items. The application was considered adequate for educating students and health professionals about surgical safety.
患者安全是高质量医疗服务的基本组成部分。然而，尽管科学不断进步，外科手术患者仍面临风险。手术中最常见的并发症包括手术对象错误、手术操作或手术部位错误、缺乏足够或所需的设备、未能防止失血以及手术物品遗留在患者体内。在此背景下，规划和开发创新教育策略对于预防不良事件和改善外科患者安全文化至关重要。
描述验证用于外科手术安全教育的移动技术内容的过程。
2015年12月至2016年1月在巴西南部的一所联邦大学采用德尔菲技术进行内容验证。作者根据安全手术核查清单和安全手术方案制作了内容开发和动画。12名评委评估了五个变量（内容、语言、插图、布局和动机），以就内容验证达成共识。他们使用由五个等级（1至5）组成的评分量表评估每个项目的质量。
进行了两轮评估，平均内容效度指数（CVI）分别为0.95和1.0，kappa指数分别>0.83和>0.92。评委们对研究的每个阶段都给出了积极评价，大多数评价亮点包括：选择了非常相关的主题、材料质量出色以及材料能够为目标受众提供的动力。
该研究通过评委的普遍共识验证了学习技术的内容，评估项目之间具有高度一致性。该应用被认为足以对外科学生和卫生专业人员进行手术安全方面的教育。
