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开发并验证了一个评估医生和护士急性氧疗知识的问卷。

Development and validation of a questionnaire to assess the doctors and nurses knowledge of acute oxygen therapy.

机构信息

Department of Medicine, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

Department of Child Health, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

出版信息

PLoS One. 2019 Feb 4;14(2):e0211198. doi: 10.1371/journal.pone.0211198. eCollection 2019.

Abstract

BACKGROUND

Prescription and administration of oxygen in emergencies by healthcare providers are reported to be inappropriate in most settings. There is a huge gap in the knowledge of health care providers on various aspects of oxygen therapy, and this may be a barrier to optimal oxygen administration. Hence, it is essential to ascertain providers' knowledge of acute oxygen therapy so that appropriate educational interventions are instituted for better delivery. There is no available validated instrument to assess knowledge of acute oxygen therapy. The study aimed to develop, validate and evaluate the test-retest reliability of a questionnaire to determine the doctors and nurses understanding of acute oxygen therapy.

METHODS

This study involved the development of the questionnaire contents by a literature review, assessment of face validity (n = 5), content validity, using a panel of experts (n = 10), item analysis and test-retest reliability among a sample (n = 121) of doctors and nurses.

RESULTS

Face validity indicated that the questionnaire was quick to complete (10-15 min), most items were easy to follow and comprehensible. The global content validity index (S-CVI) was 0.85. The test-retest reliability statistics showed a kappa coefficient of 0.546-0.897 (all P<0.001) and percentage agreement of 80-98.3% indicating high temporal stability in the target population. In total, 90% of the items fulfilled the reliability acceptance criteria. Item discrimination analysis showed that most questions were at an acceptable level. The final questionnaire included 37 item questions and eight sections.

CONCLUSION

The designed questionnaire is a reliable and valid tool for assessing knowledge of acute oxygen therapy among doctors and nurses.

摘要

背景

在大多数情况下,医护人员在急救时开具和使用氧气的做法被认为是不恰当的。医护人员在氧气治疗的各个方面的知识都存在很大的差距,这可能是氧气管理不理想的一个障碍。因此,确定医护人员对急性氧疗的了解程度至关重要,以便进行适当的教育干预,以实现更好的治疗效果。目前尚无可用的经过验证的工具来评估急性氧疗知识。本研究旨在开发、验证和评估评估医生和护士对急性氧疗理解的问卷的重测信度。

方法

通过文献回顾开发问卷内容,评估表面有效性(n=5)、内容有效性,使用专家小组(n=10)、项目分析和医生和护士样本(n=121)的重测信度。

结果

表面有效性表明问卷完成时间很快(10-15 分钟),大多数项目易于遵循和理解。总体内容有效性指数(S-CVI)为 0.85。重测信度统计数据显示,kappa 系数为 0.546-0.897(均 P<0.001),百分比一致性为 80-98.3%,表明目标人群的时间稳定性高。总共,90%的项目符合可靠性接受标准。项目区分度分析表明,大多数问题处于可接受水平。最终问卷包括 37 个项目问题和八个部分。

结论

设计的问卷是一种可靠且有效的工具,可用于评估医生和护士对急性氧疗知识的掌握程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8457/6361442/f429fbbd4fc9/pone.0211198.g001.jpg

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