Universidade de São Paulo, São Paulo, SP, Brazil.
Rev Paul Pediatr. 2020 Dec 18;39:e2020026. doi: 10.1590/1984-0462/2021/39/2020026. eCollection 2020.
To develop and validate both the content and reliability of the Neonatal Nutritional Risk Screening Tool (FARNNeo).
Methodological study, convergent care. The instrument was built prior to the literature review and was analyzed by eight judges, during three cycles of the Delphi technique. The judges assessed their relevance and clarity with responses on the Likert scale with three levels, in addition to suggestions. The validation of the instrument was calculated using the agreement rate and content validity index (CVI). After content validation, the instrument was applied by four assisting nutritionists to verify reliability, using Cronbach`s alpha coefficient and the agreement between the evaluators by the Kappa coefficient.
All items of the instrument`s content reached the minimum agreement rate (90%) and/or CVI (0.9), except for item three, which in the first cycle obtained CVI 0.77 and 40% of agreement and, in the second cycle, CVI 0.75 and 38% agreement. At the end of the third cycle, all items had CVI values above 0.9. In the instrument application, alpha of 0.96 and Kappa of 0.74 were obtained, which reflect adequate values of internal consistency and agreement between the evaluators.
FARNNeo proved to be reliable, clear, relevant, and reproducible for tracking early nutritional risk, systematizing the care of Brazilian newborns admitted to an intensive care unit.
开发和验证新生儿营养风险筛查工具（FARNNeo）的内容和可靠性。
方法学研究，集中护理。该工具是在文献回顾之前建立的，并通过三轮德尔菲技术由八名评审员进行分析。评审员通过三级李克特量表的回答以及建议来评估其相关性和清晰度。该工具的验证通过一致性率和内容效度指数（CVI）进行计算。内容验证后，由四名协助营养师使用 Cronbach`s alpha 系数和评估者之间的kappa 系数来验证可靠性。
除了第三条外，工具内容的所有项目都达到了最低的一致性率（90%）和/或 CVI（0.9），在第一轮中，该项目的 CVI 为 0.77，一致性为 40%，在第二轮中，CVI 为 0.75，一致性为 38%。在第三轮结束时，所有项目的 CVI 值均高于 0.9。在工具应用中，获得了 0.96 的 alpha 和 0.74 的 kappa，这反映了内部一致性和评估者之间一致性的适当值。
FARNNeo 被证明是可靠的、清晰的、相关的和可重复的，可用于跟踪巴西新生儿重症监护病房入院时的早期营养风险，使护理系统化。
