测量血管通路并发症分期和治疗工具在儿科人群中的有效性和可靠性。

Measuring the Validity and Reliability of the Vascular Access Complication Staging and Treatment Instrument in a Pediatric Population.

机构信息

Department of Clinical Education and Research, Johns Hopkins All Children's Hospital, St. Petersburg, Florida (Dr Cline); Johns Hopkins All Children's Hospital, St. Petersburg, Florida (Ms Pohlod); Nursing Administration, Johns Hopkins All Children's Hospital, St. Petersburg, Florida (Dr Burger); Cancer and Blood Institute, Johns Hopkins All Children's Hospital and All Children's Research Institute, St. Petersburg, Florida (Dr Amankwah).

Genieveve J. Cline, PhD, DNP, APRN, NNP-BC, CNE, NPD-BC, was the advanced education specialist for nursing research and evidenced-based practice at Johns Hopkins All Children's Hospital (JHACH) at the time of the study. She is board certified as a neonatal nurse practitioner, nursing professional development specialist, and clinical nurse educator. As part of her role at JHACH, Dr. Cline taught a curriculum on evidenced-based practice and coordinated the Nursing Research Fellowship Program. She is currently an assistant professor at the University of South Florida, College of Nursing, and continues to serve a mentor at JHACH for staff completing inquiry projects.

出版信息

J Infus Nurs. 2021;44(4):225-243. doi: 10.1097/NAN.0000000000000431.

DOI:10.1097/NAN.0000000000000431

PMID:34197352

Abstract

A multiphase study designed with Delphi and observational components was conducted to establish the preliminary validity and reliability of the 2018 Vascular Access Complication Staging and Treatment Instrument in pediatric and neonatal populations from a single, free-standing academic children's hospital. The instrument uses objective measurement criterion to determine the severity of swelling and tissue damage to inform treatment decisions. The results of the study provided preliminary empirical evidence to support a pediatric and neonatal intravenous complication staging instrument to assess degree of swelling and severity of tissue injury. The study also offered preliminary evidence that the instrument was perceived by the nurses who participated in the study to be efficient and easy to use.

摘要

一项采用德尔菲法和观察法设计的多阶段研究旨在确定 2018 年血管通路并发症分期和治疗工具在单一、独立的学术儿童医院的儿科和新生儿人群中的初步有效性和可靠性。该工具使用客观测量标准来确定肿胀和组织损伤的严重程度，以告知治疗决策。研究结果提供了初步的经验证据，支持一种儿科和新生儿静脉内并发症分期工具来评估肿胀程度和组织损伤的严重程度。该研究还初步证明，参与研究的护士认为该工具高效且易于使用。