Abstract
ABSTRACTObjective:present the cross-cultural adaptation and content and semantic validation of the Difficult Intravenous Access Score for current use in Brazil. Method:cross-cultural adaptation and validation study, structured in six phases: initial translation, synthesis of translations, back-translation, assessment of documents by expert committee of specialized judges, pretest and presentation of the documents to the expert judges and to the author of the original instrument. Twenty health professionals were randomly recruited from a public hospital in the South of Brazil, working in pediatrics, in order to assess the agreement level with the variables in the instrument. In addition, a convenience sample of 30 pediatric patients was selected for the face validation of the same instrument. Cronbach’s alpha coefficient, simple and percentage frequencies, the Shapiro-Wilk and Fisher’s exact tests were used for the data analysis and reliability measures. Results:the cross-cultural adaptation phases were executed with totally clear translated variables, demonstrating satisfactory results in the content and semantic validation process. Conclusions:the Difficult Intravenous Access Score was adapted and its content and semantics were validated. External clinical validity, measuring equivalence and reproducibility analyses are needed.
Highlights
The environment and workflow in child hospitalization, like in other hospital contexts, are permeated by hard technologies, excessive manipulations and invasive and painful procedures
We aimed to describe the crosscultural adaptation and content and semantic validation of the Difficult Intravenous Access Score (DIVA score) for pediatric use in Brazil
The methodological trajectory started with the initial translation by two bilingual translators with distinguished profiles, limited to the translation of the original tool from English to Brazilian Portuguese
Summary
The environment and workflow in child hospitalization, like in other hospital contexts, are permeated by hard technologies, excessive manipulations and invasive and painful procedures. It is emphasized that hospitalized children and their relatives face difficulties to understand and assimilate the new scenario, reflecting in highly intense emotional responses to the care provided. This spectrum is further aggravated when the child is submitted to invasive and painful procedures, mainly in case of distancing among the child/relative/companion, and to a blunt invasion of the limits of their privacy and physique(3-4). Peripheral Intravenous Puncture (PIP) is a common nursing procedure in hospitals and health services. It is estimated that more than 35% of the patients submitted to hospitalization need PIP for medication and solution administration, implementing the clinical therapeutics established(5). Many factors can interfere in the success of PIP in the pediatric population, and the clinical history of puncturing difficulties, malnutrition, antecedents of vascular traumas are examples of complicating factors for the establishment of PIP(6)
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