Checklist validation for evaluation of training with clinical simulation of septic patient care
Abstract
Aims: Development and validation of the contents of a checklist to evaluate the qualification of health professionals in septic patient care with clinical simulation.
Method: instrument validation study, with two-stage structural design: instrument construction and validation of the checklist contents using the Delphi technique in two rounds.
Results: The content validation was composed of ten items and forty-three sub-items analyzed by the evaluators. Through the Content Validity Index, four items with strong validation evidence were identified, Content Validity Index ≥ 0.8. We restructured the checklist according to the evaluators recommendations, maintaining the ten items, but reducing them to twenty-six sub-items, which in the second round Delphi presented a percentage of agreement above 80% for all variables relevant to the instrument.
Conclusion: This method was effective to validate the checklist contents that will evaluate the qualification of health professionals in septic patient care, through clinical simulation.
Downloads
References
Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli A, Ferrer R, et al. Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2016. Intensive Care Med. [Internet]. 2017 [cited 2018 Jan 07]; 43:304-77. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28101605
Mayr FB, Yende S, Angus DC. Epidemiology of severe sepsis. Virulence [Internet]. 2014 [cited 2018 Jan 7]; 5(1):4-11. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3916382
Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, et al. The third international consensus definitions for sepsis and septic Shock (Sepsis-3). JAMA [Internet]. 2016 [cited 2018 Jan 7]; 315(8):801-10. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4968574/pdf/nihms794087.pdf
Westphal GA, Lino AS. Systematic screening is essential for early diagnosis of severe sepsis and septic shock. Rev. Bras. Ter. Intensiva [Internet]. 2015 [cited 2018 Jan 7]; 27(2):96-101. Available from: http://www.scielo.br/pdf/rbti/v27n2/0103-507X-rbti-27-02-0096
Fujishima S. Organ dysfunction as a new standard for defining sepsis. Inflamm Regen [Internet]. 2016 [cited 2018 Jan 12]; 36:24. Available from: https://inflammregen.biomedcentral.com/articles/10.1186/s41232-016-0029-y
Barreto MFC, Dellaroza MSG, Kerbauy G, Grion CMC. Sepsis in a university hospital: a prospective study for the cost analysis of patients’ hospitalization. Rev. Esc. Enferm. USP [Internet]. 2016 [cited 2018 Jan 07]; 50(2):302-308. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000200302&lng=en
Umscheid CA, Betesh J, VanZandbergen C, Hanish A, Tait G, Mikkelsen ME et al. Development, implementation, and impact of an automated early warning and response system for sepsis. J. Hosp. Med. [Internet]. 2015 [cited 2018 Jan 7]; 10(1):26-31. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25263548
Quirós SM, Vargas MAO. Simulação clínica: uma estratégia que articula práticas de ensino e pesquisa em enfermagem. Texto Contexto Enferm [Internet]. 2014 [citado 2018 Jan 7]; 23(4):813-814. Disponível em: http://www.redalyc.org/articulo.oa?id= 71433508001
Cant RP, Cooper SJ. Use of simulation-based learning in undergraduate nurse education: An umbrella systematic review. Nurse Educ. Today. 2017[cited 2018 Mar 07]; 49:63-71. Available from: http://www.nurseeducationtoday.com/article/S0260-6917(16)30275-1/fulltext
Sullivan NJ, Duval-Arnould J, Twilley M, Smith, SP, Aksamit D, Boone-Guercio P et al. Simulation exercise to improve retention of cardiopulmonary resuscitation priorities for in-hospital cardiac arrests: A randomized controlled trial. Resuscitation. 2015 [cited 2018 Mar 07]; 86, 6-13. Available from: http://www.resuscitationjournal.com/article/S0300-9572(14)00805-3/fulltext
Presado MHCV, Colaço S, Rafael H, Baixinho CL, Félix I, Saraiva C et al. Learning with High Fidelity Simulation. Ciênc. Saúde Coletiva [Internet]. 2018 [cited 2018 Jan 07]; 23 (1):51-59. Available from: http://www.scielo.br/pdf/csc/v23n1/1413-8123-csc-23-01-0051.pdf
Valadares AFM, Magro MCS. Opinion of nursing students on realistic simulation and the curriculum internship in hospital setting. Acta Paul. Enferm. [Internet]. 2014 [cited 2018 Feb 18]; 27(2): 138-143. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S010321002014000200009&lng=en.
Fabri RP, Mazzo A, Martins JCA, Fonseca AS, Pedersoli CE, Miranda FBG et al. Development of a theoretical-practical script for clinical. Rev. Esc. Enferm. USP [Internet]. 2017 [cited 2018 Jan 07]; 51:e03218. Available from: http://www.scielo.br/pdf/reeusp/v51/pt_1980-220X-reeusp-51-e03218.pdf
Peninck PP, Machado RC. Aplicação do algoritmo da sepse por enfermeiros na unidade de terapia intensiva. Rev Rene. 2012 [citado 2018 Mar 18]; 13 (1): 187-99. Disponível em: http://www.redalyc.org/articulo.oa?id=324027980021
Machado RC, Guillem MPG, Lagana MTC, Sant’anna ALG, Puig RC, Branco JNR. Instrument for assistance to patients with heart failure in Use Extracorporeal Membrane Oxygenation (ECMO). Exp. Clin. Cardiol. 2014; 20 (8): 3237- 50.
Rozados HBF. O uso da técnica Delphi como alternativa metodológica para a área da Ciência da Informação. Em Questão [Internet]. 2015 [citado 2018 Jan 09]; 21 (3): 64-86. Disponível em: http://hdl.handle.net/10183/132592
Vieira MA, Ohara CVS, Domenico EBL. The construction and validation of an instrument for the assessment of graduates of undergraduate nursing courses. Rev. Latino-Am. Enfermagem [Internet]. 2016 [cited 2018 Jan 09]; 24:e2710. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100340&lng=en
Scarparo AF, Laus AM, Azevedo ALCS, Freitas MRI, Gabriel CS, Chaves LDP. Reflexões sobre o uso da Técnica Delphi em pesquisas de enfermagem. Rev. RENE [Internet]. 2012 [citado 2018 Jan 10]; 13(1):242-51. Disponível em: http://www.periodicos.ufc.br/rene/article/view/3803
Salvador PTCO, Mariz CMS, Vítor AF, Ferreira JMA, Fernandes MID, Martins JCA et al. Validation of virtual learning object to support the teaching of nursing care systematization. Rev. Bras. Enferm. [Internet]. 2018 [cited 2018 Feb 18]; 71(1): 11-19. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid= S003471672018000100011&lng=en.
Instituto Latino Americano para Estudos da Sepse (ILAS). Sepse: um problema de saúde pública. Brasília: CFM, 2016 [cited 2018 Feb 18]; 90p. Available from: http://www.ilas.org.br/assets/arquivos/ferramentas/livro-sepse-um-problema-de-saude-publica-cfm-ilas.pdf
Dias FS, Rezende EAC, Mendes CL, Silva Jr JM, Sanches JL. Hemodynamic monitoring in the intensive care unit: a Brazilian perspective. Rev Bras Ter. Intensiva. 2014 [cited 2018 Mar 03]; 26(4): 360-366. Available from: http://www.scielo.br/pdf/rbti/v26n4/0103-507X-rbti-26-04-0360.pdf
Boel EL, Hraynak M, Pinsky MR. The interface between monitoring and physiology at the bedside. Crit Care Clin. 2015 [cited 2018 Mar 03]; 31(1):1-24. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25435476
Lewis GC, Crapo SA, Williams JG. Critical skills and procedures in emergency medicine: vascular access skills and procedures. Emerg Med Clin North Am. 2013 [cited 2018 Mar 03]; 31(1):59-86. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23200329
Conselho Regional de Enfermagem de São Paulo (COREN). Uso seguro de medicamentos: guia para preparo, administração e monitoramento [Internet]. 2017 [citado 2018 Mar. 05]. Disponível em: http://portal.coren-sp.gov.br/sites/default/files/uso-seguro-medicamentos.pdf
Manning ML, Pfeiffer J, Larson EL. Combating antibiotic resistance: The role of nursing in antibiotic stewardship. Amer. Jour. Infec. Control. 2016 [cited 2018 Mar 07]; 44 (12): 1454-1457. Available from: http://www.ajicjournal.org/article/S0196-6553(16)30626-5/pdf
Casserly B, Phillips GS, Schorr C, Dellinger RP, Townsend SR, Osborn TM, et al. Lactate measurements in sepsis-induced tissue hypoperfusion: results from the Surviving Sepsis Campaign database. Crit. Care Med. 2015; 43 (3): 567-73.
Paim AE, Nascimento ERP, Bertoncello KCG, Siftoni KG, Salum NC, Nascimento KC. Validação de instrumento para intervenção de enfermagem ao paciente em terapia vasoativa. Rev. Bras. Enferm. 2017; 70 (3): 476-84.
Johnson AM, Smith SMS. Respiratory clinical guidelines inform ward-based nurses’ clinical skills and knowledge required for evidence-based care. Breathe (Sheff). 2016; 12(3): 257–266.
Kelly MP, Heath I, Howick J, Greenhalgh T. The importance of values in evidence-based medicine. BMC Med Ethics. 2015; 16(1): 69.
Broca PV, Ferreira MA. Equipe de enfermagem e comunicação: contribuições para o cuidado de enfermagem. Rev. Bras.Enferm. 2012; 65(1): 97-103.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.