CONSTRUCTION OF THE INSTRUMENT FOR CARE TRANSITION IN PEDIATRIC UNITS

Karine Larissa Knaesel Schneider,Maria Elena Echevarria-Guanilo,Sabrina de Souza,Patrícia Kuerten Rocha,Kátia Cilene Godinho Bertoncello,Michelini Fátima da Silva

doi:10.1590/1980-265x-tce-2018-0206

Karine Larissa Knaesel Schneider, Maria Elena Echevarria-Guanilo

Open Access

https://doi.org/10.1590/1980-265x-tce-2018-0206

Copy DOI

Abstract

ABSTRACT Objective: to build and semantically validate a safe communication tool to systematize care transition in pediatric clinical and emergency units. Method: a methodological study, based on the Classic Theory of Psychometric Tests and on the Instrument Development Model, proposed by Pasquali, which included seven professionals, five nurses and two physicians, experts in pediatrics and/or patient safety, who followed specific criteria for inclusion. Data collection was carried out between November and December 2016 and took place with the application of a form made available to the experts via the Google Drive/Microsoft® tool in two validation rounds, conducted by the Delphi Technique, being organized into two domains with 19 items. Data analysis was performed by calculating the Content Validity Index. Results: in order to validate the content, it was necessary to reach a Content Validity Index ≥ 0.80; thus, in the first round, five items underwent changes and were adjusted according to the experts' recommendations. These were validated in the second round, maintaining two domains and nineteen items. Conclusion: the construction and content validation of the instrument can enhance and qualify the clinical practice and contribute to minimize failures in pediatric patient safety associated with effective communication.

Highlights

Concern for patient safety has become a priority, motivating proposals for international policies and leading to joint efforts by institutions, professionals and patients in order to effectively reduce and control risks arising in the health services.[1]
Care transition or case transfer is defined as the transfer of responsibility for care between health professionals and the transmission of information about some or all aspects related to the assistance of one or more patients to another person or group of professionals, either temporarily or permanently.[3]
Seven articles were selected, analyzed and categorized, which in summary showed that the SBAR Technique was the most used to structure communication among the health professionals, but they have a shortage of publications in the pediatric context, indicating the need for further studies

Summary

Introduction

Concern for patient safety has become a priority, motivating proposals for international policies and leading to joint efforts by institutions, professionals and patients in order to effectively reduce and control risks arising in the health services.[1]. Despite the progress of the past few years, preventable harms remain unacceptably frequent in health care settings In this sense, a recently released study points out that hospital institutions add numerous cultural issues, which can interfere with patient safety, such as: hierarchy of positions, praise of the medical professional, failures in team and individual work, inadequate or outdated practices, and mainly failures in the communication process among the health professionals during care transition.[3].

Objectives

Results

Discussion

Conclusion