一项关于葡萄牙医院安全用药实践衡量的全国性电子德尔菲法。
A national e-Delphi towards the measurement of safe medication practices in Portuguese hospitals.
作者信息
Guerreiro Mara Pereira, Plácido Madalena, Barros Carla Teixeira, Coelho Anabela, Graça Anabela, Gaspar Maria João, de Oliveira Martins Sofia
机构信息
Escola Superior de Enfermagem de Lisboa (ESEL), Lisboa, Portugal.
Centro de investigação interdisciplinar Egas Moniz (CiiEM), Instituto Superior de Ciências da Saúde Egas Moniz (ISCSEM), Monte de Caparica, Portugal.
出版信息
Eur J Hosp Pharm. 2018 Mar;25(2):103-106. doi: 10.1136/ejhpharm-2016-000955. Epub 2016 Jun 10.
OBJECTIVES
To determine the face and content validity of items for measuring safe medication practices in Portuguese hospitals.
METHODS
128 items were drafted from content analysis of existing questionnaires and the literature, employing preferred terms of the WHO International Classification for Patient Safety (Portuguese version). A two-round e-Delphi was convened, using a purposive multidisciplinary panel. Hospital-based experts were asked to rate the relevance of items on a 7-point Likert scale and to comment on their clarity and completeness.
RESULTS
The response rate was similar in both rounds (70.3% and 73.4%, respectively). In the first round 91/128 (71.1%) items reached the predefined level of positive consensus. In the second round 23 additional items reached positive consensus, as well as seven items newly derived by the panel.
CONCLUSIONS
Most items have face and content validity, indicating relevance and clarity, and can be included in a future questionnaire for measuring safe medication practices in Portuguese hospitals.
目的
确定用于衡量葡萄牙医院安全用药实践的项目的表面效度和内容效度。
方法
通过对现有问卷和文献进行内容分析，并采用世界卫生组织国际患者安全分类（葡萄牙语版）的首选术语，起草了128个项目。利用一个有目的的多学科小组召开了两轮电子德尔菲法。要求医院专家对项目的相关性进行7点李克特量表评分，并对其清晰度和完整性发表评论。
结果
两轮的回复率相似（分别为70.3%和73.4%）。在第一轮中，91/128（71.1%）个项目达到了预先定义的积极共识水平。在第二轮中，又有23个项目达成了积极共识，还有7个项目是由小组新提出的。
结论
大多数项目具有表面效度和内容效度，表明具有相关性和清晰度，可纳入未来用于衡量葡萄牙医院安全用药实践的问卷中。
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