Mahran Ghada Shalaby Khalaf, Tolba Asmaa Atiaa, Abbas Mostafa Samy, Thabet Amr Mohamed Ahmed
Faculty of Nursing, Assiut University, Egypt.
Faculty of Medicine, Assiut University, Egypt.
Nurs Crit Care. 2023 May;28(3):404-410. doi: 10.1111/nicc.12717. Epub 2021 Sep 17.
Patients in intensive care units require comprehensive care. Hence, improving health care quality depends on accurate assessment and documentation.
To develop and validate the content of an assessment sheet for critically ill patients.
A Delphi design study was conducted between January and March 2020. The content validity index (CVI) was used to calculate the degree of agreement among the experts to analyse the instrument and the entire set of items. Content validity was determined by seven experts (three critical care nursing professionals, two critical care doctors, and two anaesthesiologists) using a four-point Likert scale. They evaluated the items in terms of the following: 1 = "irrelevant," 2 = "somewhat relevant if the phrasing is profoundly adjusted," 3 = "relevant with some adjustment as to phrasing," and 4 = "very relevant." The CVI was applied, and the accepted value was ≥0.50.
Three rounds of evaluation were required to achieve the minimum index. The items were reviewed for content and face validity. The instrument was validated with 86 items with a total CVI of 0.90, a face validity of 1, and a scale-level content validity index/universal agreement calculation method (S-CVI/UA) value of 0.813.
This instrument can help nurses, doctors, academics, and students assess patients in intensive care units.
The daily assessment tool may provide a systematic and consistent approach to critically ill patients' assessment to guide interventions.
重症监护病房的患者需要全面护理。因此，提高医疗质量取决于准确的评估和记录。
开发并验证危重症患者评估表的内容。
于2020年1月至3月进行了一项德尔菲设计研究。使用内容效度指数（CVI）来计算专家之间的一致程度，以分析该工具和整套项目。由七位专家（三名重症护理专业人员、两名重症医生和两名麻醉医生）采用四点李克特量表确定内容效度。他们从以下方面评估项目：1 = “不相关”，2 = “如果措辞进行大幅调整则有些相关”，3 = “相关但措辞需做一些调整”，4 = “非常相关”。应用了CVI，可接受值为≥0.50。
需要三轮评估才能达到最低指数。对项目进行了内容和表面效度审查。该工具通过86个项目进行了验证，总CVI为0.90，表面效度为1，量表级内容效度指数/通用一致性计算方法（S-CVI/UA）值为0.813。
该工具可帮助护士、医生、学者和学生对重症监护病房的患者进行评估。
日常评估工具可为危重症患者的评估提供系统且一致的方法，以指导干预措施。
