Design and construct of an assessment tool for the handover of critical patient the in urgent care and emergency setting

IF 1.8 4区医学 Q2 NURSING International Emergency Nursing Pub Date : 2024-07-13 DOI:10.1016/j.ienj.2024.101490

Ruth Tortosa-Alted , Marta Berenguer-Poblet , Silvia Reverté-Villarroya , José Fernández-Sáez , Ferran Roche-Campo , Montserrat Alcoverro-Faneca , Rebeca Ferré-Felipo , Immaculada Lleixà-Benet , Estrella Martínez-Segura

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Abstract

Objectives

To design and construct an assessment tool for the handover of critical patients in the urgent care and emergency setting.

Research methodology

This metric and descriptive study comprised two phases in accordance with the Clinical practice guidelines for A Reporting Tool for Adapted Guidelines in Health Care: The RIGHT-Ad@pt Checklist. In the first phase, the identification and selection of items related to the handover of critical patients were performed by consensus of a group of experts. The second phase consisted of two stages. In the first stage, the items were selected by applying the e-Delphi technique across two assessment rounds and in the second stage, the items were subjected a pilot test in a real critical patient handover scenario. Professionals from different disciplines and work areas (hospital and prehospital) caring for critically ill patients in the urgency and emergency setting participated in each of the phases.

Results

A total of 58 critical patient care, and urgent and emergency care professionals participated in the design and construction of the assessment tool. The initial list consisted of 14 categories and 57 items, which were reduced to 28 items grouped into five categories after the intervention of the participants. The content validity index (CVI) of the instrument was 0.966.

Conclusions

This study describes an assessment tool developed in Spanish-language designed to assess the handover of critical patients in the urgent care and emergency setting. This tool has a high CVI, and is the only currently available tool that consider all of the dimensions and characteristics of the handover process.

Implications for clinical practice

The assessment tool developed in this study could enable critical care professionals in their clinical practice to work in a systematic way, universalizing the handover of critically ill patients in the urgent care and emergency setting through scientifically proven guidelines.

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设计和构建紧急护理和急诊环境中危重病人交接的评估工具

目标设计并构建一种评估工具，用于紧急护理和急诊环境中危重病人的交接。研究方法这项计量和描述性研究包括两个阶段，符合《医疗保健中改编指南的报告工具》的临床实践指南：RIGHT-Ad@pt核对表》的临床实践指南。在第一阶段，专家小组以协商一致的方式确定并选择了与危重患者交接有关的项目。第二阶段包括两个阶段。在第一阶段，通过在两轮评估中应用 e-Delphi 技术选择项目；在第二阶段，在真实的危重病人交接场景中对项目进行试点测试。来自不同学科和工作领域（医院和院前）、在急诊和急救环境中护理危重病人的专业人员参与了每个阶段的工作。结果共有 58 名危重病人护理、急诊和急救护理专业人员参与了评估工具的设计和构建。最初的清单包括 14 个类别和 57 个项目，在参与者的干预下缩减为 28 个项目，分为 5 个类别。该工具的内容效度指数（CVI）为 0.966。结论本研究介绍了一种用西班牙语开发的评估工具，旨在评估紧急护理和急诊环境中危重病人的交接情况。本研究开发的评估工具可帮助危重症护理专业人员在临床实践中以系统化的方式开展工作，并通过经过科学验证的指南普及紧急护理和急诊环境中危重症患者的交接工作。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.