Content validation by judges of the instrument to assess nurses' knowledge about mechanical ventilation
DOI:
https://doi.org/10.17267/2317-3378rec.2024.e5710Keywords:
Validation Study, Surveys and Questionnaires, Nursing Education, Artificial RespirationAbstract
OBJECTIVE: To validate the content of an instrument designed to assess nurses' knowledge about Mechanical Ventilation. METHOD: Methodological, quantitative, validation study, conducted with the creation of a questionnaire, adaptation, and content validation by experts. The questionnaire validation was performed using the Content Validity Index (CVI) by intensive care experts (in the fields of nursing, medicine, and physiotherapy). The questions addressed ventilatory modes and settings, alarm adjustments, and protective ventilation. The CVI evaluated the proportion of experts in agreement (minimum of 80%) on a given question in the instrument. RESULTS: In the first round, 9 items received CVI=100%. Only question 9 received a low score from one of the experts, reaching CVI=80%, and was subsequently reformulated. After the reformulation of this item and the creation of two others based on experts' suggestions, the final version of the questionnaire was submitted to a new round of evaluation and achieved CVI of 100%. CONCLUSION: This instrument demonstrated linguistic equivalence and strong evidence of content validity in the Brazilian context, enabling an adequate assessment of practices related to mechanical ventilation. Verifying knowledge related to mechanical ventilation is linked to strengthening nurses' practice in their fields of work.
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(1) Hickey SM, Sankari A, Giwa AO. Mechanical Ventilation. Treasure Island: StatPearls Publishing; 2023.
(2) Kempker JA, Abril MK, Chen Y, Kramer MR, Waller LA, Martin GS. The Epidemiology of Respiratory Failure in the United States 2002–2017: A Serial Cross-Sectional Study. Crit Care Explor. 2020;2(6):e0128. https://doi.org/10.1097/cce.0000000000000128
(3) Gandhi RT, Meyerowitz EA. COVID-19: Epidemiology, virology, and prevention. 2022 [Internet]. UpToDate; 2023. Available from: https://www.uptodate.com/contents/covid-19-epidemiology-virology-and-prevention
(4) Ribeiro CL, Barbosa IV, Silva RSM, Cestari VRF, Penaforte KL, Custódio IL. Clinical characterization of patients under mechanical ventilation in an intensive therapy unit. Rev Fund Care Online. 2018;10(2):496–502. https://doi.org/10.9789/2175-5361.2018.v10i2.496-502
(5) Martins LF, Sousa SMO, Alves ERB, Cavalcante KRG, Ferreira AKA, Façanha BD. Is the nurse prepared for complications caused by mechanical ventilation?. Nursing. 2019;22(253):2956–61. https://doi.org/10.36489/nursing.2019v22i253p2956-2961
(6) Stechinski EL, Almeida MC, Dallacosta FM, Baptistella AR. Cuidados de enfermagem na ventilação mecânica: Percepções, atribuições e conhecimento dos profissionais Enfermeiros que atuam em unidades de terapia intensiva no Meio Oeste e Oeste de Santa Catarina. RIES. 2019;8(1):289–300. https://doi.org/10.33362/ries.v8i1.1447
(7) Resolução COFEN nº 639, de 06 de maio de 2020 (Brasil). Dispõe sobre as competências do Enfermeiro no cuidado aos pacientes em ventilação mecânica no ambiente extra e intra-hospitalar. [Internet]. Diário Oficial da União. 2020 mai. 08. Available from: https://www.cofen.gov.br/resolucao-cofen-no-639-2020/
(8) Santos TR, Carvalho JFO, Pereira MWM, Queiroz SS, Marques FS, Deus JC. Action of the nurse in front of patients submitted to mechanical ventilation in emergency. Nursing (Ed bras, Impr). 2022;25(286):7340–51. https://doi.org/10.36489/nursing.2022v25i286p7340-4351
(9) Aquinno ACCM, Amaral IB, Silva MP, Faria PCP. A percepção do enfermeiro à assistência ao paciente em ventilação mecânica invasiva. Goiânia: Instituto Health; 2019.
(10) Mohammed SJ, Hammod HJ. Effectiveness of an Educational Program on Nurses Knowledge Concerning Complications Prevention of Mechanical Ventilation at Intensive Care Unit in Al-Hussain Teaching Hospital at Nassiryah City. Kufa Journal for Nursing Sciences. 2016;6(2):149-59. https://doi.org/10.36321/kjns.vi20162.2658
(11) Ramirez-Damilig J. Knowledge, Perceptions, and Attitudes of Critical Care Nurses Towards the Comprehensive Unit-Based Safety Program for Mechanically Ventilated Patients in Preventing Ventilator-Associated Events [dissertation] [Internet]. Arizona: The University of Arizona; 2017. Available from: https://repository.arizona.edu/bitstream/handle/10150/626315/azu_etd_15911_sip1_m.pdf?sequence=1&isAllowed=y
(12) Guilhermino MC, Inder KJ, Sundin D. Education on invasive mechanical ventilation involving intensive care nurses: a systematic review. Nurs Crit Care. 2018;23(5):245–55. https://doi.org/10.1111/nicc.12346
(13) Saritas S, Kaya A, Dolanbay N. Knowledge and practices of intensive care nurses on mechanical ventilation. Int J Caring Sci. 2019;12(1):30–9. Available from: https://internationaljournalofcaringsciences.org/docs/4._saritas_12_1.pdf
(14) Colombage TD, Goonewardena CS. Knowledge and practices of nurses caring for patients with endotracheal tube admitted to intensive care units in National Hospital of Sri Lanka. SLJOL. 2020;28(2):94–100. https://doi.org/10.4038/slja.v28i2.8541
(15) Hassen KA, Nemera MA, Aniley AW, Olani AB, Bedane SG. Knowledge Regarding Mechanical Ventilation and Practice of Ventilatory Care among Nurses Working in Intensive Care Units in Selected Governmental Hospitals in Addis Ababa, Ethiopia: A Descriptive Cross-Sectional Study. Crit Care Res Pract. 2023;2023(1):4977612. https://doi.org/10.1155/2023/4977612
(16) Rodrigues YCSJ, Studart RMB, Andrade IRC, Citó MCO, Melo EM, Barbosa IV. Mechanic ventilation: evidence for nursing care. Esc Anna Nery. 2012;16(4):789–95. https://doi.org/10.1590/S1414-81452012000400021
(17) Bucci AF, Misko MD, Duran ECM, Boaventura AP. Conhecimento do enfermeiro de unidade de terapia intensiva sobre ventilação mecânica: estudo exploratório-descritivo. Revista Recien. 2021;11(35):287–96. https://doi.org/10.24276/rrecien2021.11.35.287-296
(18) Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382–6. https://doi.org/10.1097/00006199-198611000-00017
(19) Alvarenga MAS, Hastenreiter F, Salgado JV, Rego MFG, Pereira KIR, Guilhermino CS, et al. Content Validity Evidence of the Beck Cognitive Insight Scale Brazilian Version (BCIS). Estudos e Pesquisas em Psicologia. 2022;22(2):872–95. http://doi.org/10.12957/epp.2022.68658
(20) Alexandre NMC, Coluci MZO. Content validity in the development and adaptation processes of measurement instruments. Cien Saude Colet. 2011;16(7):3061–8. https://doi.org/10.1590/S1413-81232011000800006
(21) Rubio DM, Berg-Weger M, Tebb SS, Lee ES, Rauch S. Objectifying content validity: Conducting a content validity study in social work research. Soc Work Res. 2003;27(2):94–104. https://doi.org/10.1093/swr/27.2.94
(22) Gerônimo CAO, Gomes MFS, Muniz MLC, Rocha LS, Santos MSTG, Galindo Neto NM. Latu sensu nursing specialization in intensive therapy in Brazil. Saúde Coletiva. 2021;11(68):7279–88. https://doi.org/10.36489/saudecoletiva.2021v11i68p7279-7288
(23) Oliveira JA, Spagnol CA, Camargos AT, Matos SS, Silva SF, Oliveira JM. Permanent education in nursing at the intensive care unit. REUOL. 2020;14:e244644. https://doi.org/10.5205/1981-8963.2020.244644
(24) Souza AC, Alexandre NMC, Guirardello EB. Psychometric properties in instruments evaluation of reliability and validity. Epidemiol Serv Saude. 2017;26(3):649–59. https://doi.org/10.5123/S1679-49742017000300022
(25) Fernandes TF, Pinho L, Brito MFSF, Lima CCM, Caldeira AP. Elaboration and Content Validity of an instrument on the activities of Community Health Workers. Esc Anna Nery. 2022;26:e20220070. https://www.scielo.br/j/ean/a/bq7VB3WR4cnm7gqf5Fnzmms/?lang=en
(26) Pandian V, Thompson CB, Feller-Kopman DJ, Mirski MA. Development and validation of a quality of life questionnaire for mechanically ventilated intensive care unit patients. Crit Care Med. 2015;43(1):142. https://doi.org/10.1097/ccm.0000000000000552
(27) Harputlu D, Kerstens S, Özdemir F, Dikken J. Hospital nurses’ knowledge about older patients in Turkey: a validation and comparison study. BMC Nurs. 2022;21(111):1-10. https://doi.org/10.1186/s12912-022-00882-6
(28) Jisha B, Sathyanadhan S, Sundareswaran S, Parayaruthottam P, Shibin M. Validity and reliability of the orthodontic experience questionnaire in Malayalam, an Indian language. J Orthodont Sci. 2023;12(48):1-6. https://doi.org/10.4103/jos.jos_5_23
(29) Lim PC, Rajah R, Lim YL, Kam JLH, Wong TY, Krishnanmurthi V, et al. Development and validation of patient diabetes knowledge questionnaire (PDKQ). J Pharm Policy Pract. 2023;16(1):121. https://doi.org/10.1186/s40545-023-00631-3
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Copyright (c) 2024 Camilla de Souza Menezes, Helder Brito Duarte, Marianny Victoria de Arantes Nascimento, Francisco Aquery de Santana Júnior, Daniela Virginia Pôrto Borges, Paloma de Castro Brandão, Alyne Henri Motta Coifman, Mariana de Almeida Moraes
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
