老年人尿失禁病房结构评估工具的构建与验证
Construction and validation of an instrument for the structural assessment of wards for urinary continence in older adults.
作者信息
Góes Roberta Pereira, Pedreira Larissa Chaves, Valente Camila Oliveira, Mussi Fernanda Carneiro, Souza Monaliza Lemos de, Amaral Juliana Bezerra do
机构信息
Universidade Federal da Bahia, Escola de Enfermagem, Salvador, BA, Brazil.
出版信息
Rev Lat Am Enfermagem. 2020 Oct 19;28:e3374. doi: 10.1590/1518-8345.3361.3374. eCollection 2020.
OBJECTIVE
to build and validate an instrument for structural assessment of wards for the preservation of urinary continence in hospitalized older adults.
METHOD
this is a methodological study divided into two stages. The first corresponded to an integrative literature review that guided the construction of the instrument. The second consisted of the content validation stage of the instrument, by means of expert consensus, using the Delphi technique. The selected experts were recognized in the field and authors of the articles included in the integrative review.
RESULTS
six experts participated in the content validation, which resulted in the "Instrument for Structural Assessment of Wards for the Preservation of Urinary Continence in Older Adults", composed of 27 items, distributed in three dimensions: "physical structure", "human resources", and "material resources". Two Delphi rounds were carried out for validation, resulting in a final version with 83% agreement among the experts.
CONCLUSION
the instrument reached content validity, requiring application for clinical validation. However, it can be used by researchers and health staff in hospital settings, in order to identify structural weaknesses and guide the priority of interventions for the quality and safety of this care.
目的
构建并验证一种用于评估老年住院患者病房尿失禁防护结构的工具。
方法
这是一项分为两个阶段的方法学研究。第一阶段是进行综合文献综述以指导该工具的构建。第二阶段是通过专家共识，采用德尔菲技术对该工具进行内容效度验证。所选专家是该领域的知名人士以及综合综述中所纳入文章的作者。
结果
六位专家参与了内容效度验证，由此产生了“老年住院患者病房尿失禁防护结构评估工具”，该工具由27个项目组成，分布在三个维度：“物理结构”、“人力资源”和“物质资源”。进行了两轮德尔菲法验证，最终版本在专家中达成了83%的一致意见。
结论
该工具达到了内容效度，需要进行临床验证。然而，研究人员和医院环境中的医护人员可以使用它，以识别结构弱点并指导干预措施的优先级，从而保障这种护理的质量和安全。
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