Dos Santos Alves Daniela Fernanda, Moraes Érika Sana, Conti Patrícia Blau Margosian, Bueno Giselli Cristina Villela, de Souza Tiago Henrique, Pereira Elisandra Oliveira Parada, Brandão Marcelo Barciela, Peterlini Maria Angélica Sorgini, Pedreira Mavilde Luz Gonçalves
Daniela Fernanda dos Santos Alves is a professor of pediatric nursing, School of Nursing, State University of Campinas, Brazil, and a postdoctorate fellow, São Paulo School of Nursing, Federal University of São Paulo, São Paulo, Brazil.
Érika Sana Moraes is a PhD student, Clinical Hospital, State University of Campinas.
Am J Crit Care. 2022 Sep 1;31(5):383-389. doi: 10.4037/ajcc2022533.
The use of checklists in the pediatric intensive care unit can help improve the quality of care and patient safety.
To build and validate a checklist for use in interprofessional rounds in a pediatric intensive care unit.
This methodological study was conducted in a 20-bed pediatric intensive care unit serving children up to 14 years old. A checklist prototype was constructed through review of the literature and achievement of consensus among the professionals providing care in the unit. Content validation was performed using a modified Delphi technique involving specialists with more than 5 years of experience in pediatric intensive care, methodological studies, and patient safety. Content validity ratios were calculated for the elements of the checklist, which were considered valid when they reached values greater than 0.78. The checklist was tested for usability, application time, and effects on patient care, and feedback was obtained from potential users.
Before content validation, the checklist contained 11 domains, 32 items, and 6 daily goals. The invitation to validate content was sent to 86 specialists, and content validity was achieved after 2 rounds of evaluation, with the checklist elements having content validity ratios ranging from 0.94 to 0.97. The mean application time of the checklist was 5 minutes. The final version consisted of 11 domains, 33 items, and 8 daily goals.
This study resulted in a useful and valid instrument for application in interprofessional rounds that was tailored to the needs of local health care professionals.
在儿科重症监护病房使用检查表有助于提高护理质量和患者安全。
构建并验证一份用于儿科重症监护病房多学科查房的检查表。
本方法学研究在一家拥有20张床位、服务14岁及以下儿童的儿科重症监护病房进行。通过文献回顾以及该病房提供护理的专业人员达成共识，构建了检查表原型。采用改良德尔菲技术进行内容验证，参与人员包括在儿科重症监护、方法学研究和患者安全方面有超过5年经验的专家。计算检查表各要素的内容效度比，当该比值大于0.78时认为该要素有效。对检查表进行了可用性、应用时间及对患者护理影响方面的测试，并收集了潜在用户的反馈。
在内容验证前，检查表包含11个领域、32项内容和6个每日目标。向86位专家发出了内容验证邀请，经过两轮评估后实现了内容效度，检查表各要素的内容效度比在0.94至0.97之间。检查表的平均应用时间为5分钟。最终版本包括11个领域、33项内容和8个每日目标。
本研究产生了一份实用且有效的工具，适用于根据当地医疗保健专业人员的需求量身定制的多学科查房。
