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开发和验证机械通气患者眼部护理套餐。

Development and Validation of Eyes Care Bundle for Mechanically Ventilated Patients.

机构信息

Author Affiliations:Faculty of Nursing (Drs Ali and T.A. Mohammed), Faculty of Medicine (Dr M.A. Mohammed), Assiut University; and Faculty of Nursing (Dr Mahgoub), Badr University, Assiut, Egypt.

出版信息

Crit Care Nurs Q. 2024;47(3):202-217. doi: 10.1097/CNQ.0000000000000515. Epub 2024 Jun 7.

Abstract

Lack of proper eye care (EC) for mechanically ventilated patients can lead to serious ocular complications. Objective of this study is to develop and validate eyes care bundle for mechanically ventilated patients. A Delphi design study was conducted between March and May 2021. The Content Validity Index (CVI) was used to calculate the degree of agreement among the experts to analyze the bundle. Content validity was determined by 5 experts using a 4-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," and 4 = "very relevant." The CVI was applied, and the accepted value was ≥0.50. The validation of EC bundle was conducted through 3 rounds after developed it based on the evaluated research evidence. The items were reviewed for content and face validity. The bundle was validated with 5 items with a total CVI of 0.96, a face validity of 1, and a Scale-Level Content Validity Index/Universal Agreement calculation method value of 0.8. This bundle can help critical care nurses, doctors, academics, and students assess and provide standard EC for mechanically ventilated patients.

摘要

对机械通气患者缺乏适当的眼部护理(EC)可能会导致严重的眼部并发症。本研究旨在开发和验证机械通气患者的眼部护理包。2021 年 3 月至 5 月期间进行了一项 Delphi 设计研究。使用内容效度指数(CVI)来计算专家之间的共识程度,以分析该护理包。内容效度由 5 名专家使用 4 分李克特量表进行评估。他们根据以下标准评估项目:1 =“不相关”,2 =“如果措辞进行深入调整则有些相关”,3 =“相关但需要进行一些调整”,4 =“非常相关”。应用 CVI,接受值≥0.50。在基于评估的研究证据开发后,该 EC 包经过 3 轮验证。对内容和表面效度进行了审查。该护理包的 5 项内容具有 0.96 的总 CVI、1 的表面效度和 0.8 的 Scale-Level Content Validity Index/Universal Agreement 计算方法值。该护理包可以帮助重症监护护士、医生、学者和学生评估并为机械通气患者提供标准的 EC。

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