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输血反应管理护理临床模拟情景的开发与内容验证

Development and Content Validation of a Nursing Clinical Simulation Scenario on Transfusion Reaction Management.

机构信息

Department of Nursing, Federal University of Maranhão, Imperatriz 65915-240, MA, Brazil.

Nancy Atmospera-Walch School of Nursing, University of Hawaii at Manoa, Honolulu, HI 96822, USA.

出版信息

Int J Environ Res Public Health. 2024 Aug 8;21(8):1042. doi: 10.3390/ijerph21081042.

Abstract

Blood transfusion is a life-saving procedure widely used in healthcare. However, complications such as transfusion reactions may occur. Knowledge of these reactions is essential for patient safety. Nurses play a crucial role in this process by identifying complications and adverse reactions early on. A lack of professional competence in blood transfusion can lead to errors and serious complications, such as death. The aim of this study was to present evidence of the content validity of a simulated clinical scenario on transfusion reactions for teaching and learning for nursing students. This methodological study was carried out in three phases: (1) development of the simulated scenario of a transfusion reaction; (2) analysis of evidence of content validity by experts ( = 11); and (3) determination of satisfaction and self-confidence in the use of the simulated scenario by the nursing students ( = 45). The Content Validity Index was 94%. After the scenario had been developed, the content was validated and approved by 100% of the experts. All the items in the simulated scenario obtained agreement scores above 0.90. The simulated scenario was validated in terms of content and can be used to teach the management of transfusion reactions.

摘要

输血是一种广泛应用于医疗保健的救命程序。然而,可能会发生输血反应等并发症。了解这些反应对于患者安全至关重要。护士在这个过程中起着至关重要的作用,通过早期识别并发症和不良反应。缺乏输血方面的专业能力可能会导致错误和严重的并发症,如死亡。本研究旨在为护理学生的教学和学习提供输血反应模拟临床情景的内容有效性证据。这项方法学研究分三个阶段进行:(1)开发输血反应模拟情景;(2)由专家(=11 人)分析内容有效性证据;(3)确定护理学生对模拟情景的满意度和使用自信心(=45 人)。内容有效性指数为 94%。模拟情景开发后,内容得到了 100%专家的验证和认可。模拟情景中的所有项目都获得了超过 0.90 的同意分数。该模拟情景在内容方面得到了验证,可用于教授输血反应的管理。

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