Nursing competence in continuous renal replacement therapy: development and validation of a measurement tool.

Q3 Medicine

Professioni infermieristiche Pub Date : 2022-12-31 DOI:10.7429/pi.2022.754218

Maria Emma Musio, Elena Calabrese, Mariarosaria Gammone, Gianluca Catania, Milko Zanini, Giuseppe Aleo, Roger Watson, Loredana Sasso, Annamaria Bagnasco

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引用次数: 0

Abstract

Background: Acute Renal Failure is an essential condition frequently encountered in intensive care units and requires targeted treatment. The critical care nursing team must be adequately trained to manage patients undergoing Continuous Renal Replacement Therapy.

Objectives: To develop and validate the Continuous Renal Replacement Therapy - Measurement Competency Tool, aimed at measuring nursing competence in managing patients undergoing renal replacement techniques.

Methods: A cross-sectional tool validation study with a test-retest.A total of 30 critical care nurses participated in this study. The study examined content and face validity. Test-retest reliability with Pearson's r correlation and internal consistency reliability was assessed using Cronbach's α. Current guidelines for Continuous Renal Replacement Therapy techniques were used to develop an instrument to measure nursing competence through an online survey. A pool of 10 experts evaluated this tool.

Results: The Continuous Renal Replacement Therapy - Measurement Competency Tool achieved good content and face validity (S-CVI= 0.97; I-CVI=87%-100%), and good internal consistency reliability (Cronbach's α= 0.799). Pilot testing and test-retesting was conducted with 30 critical care nurses. The intraclass correlation for the test-retest analysis indicates excellent test-retest reliability, confirming the stability of the tool.

Conclusion: The tool assesses nursing competence concerning Continuous Renal Replacement Therapy techniques in the intensive care unit, which proved to be valid and reliable. This new tool will make it possible to measure the competence of nurses with respect to Continuous Renal Replacement Therapy techniques.

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持续肾脏替代疗法的护理能力：测量工具的开发与验证。

背景：急性肾功能衰竭是重症监护病房经常遇到的一种基本病症，需要有针对性的治疗。重症监护护理团队必须接受充分的培训，以管理接受持续肾脏替代疗法的患者：开发并验证连续性肾脏替代疗法--衡量能力工具，旨在衡量护理人员管理接受肾脏替代技术治疗的患者的能力：共有 30 名重症监护护士参与了这项研究。研究考察了内容效度和表面效度。使用皮尔逊r相关性评估了重测可靠性，使用克朗巴赫α评估了内部一致性可靠性。利用持续肾脏替代疗法技术的现行指南开发了一种工具，通过在线调查来衡量护理能力。由 10 位专家对该工具进行了评估：连续性肾脏替代疗法--测量能力工具具有良好的内容效度和表面效度（S-CVI=0.97；I-CVI=87%-100%），以及良好的内部一致性可靠性（Cronbach's α=0.799）。对 30 名重症监护护士进行了试点测试和重测。重测分析的类内相关性表明重测可靠性极佳，证实了该工具的稳定性：该工具可评估重症监护病房持续肾脏替代疗法技术方面的护理能力，其有效性和可靠性已得到证实。这一新工具将有助于衡量护士在持续性肾脏替代治疗技术方面的能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Professioni infermieristiche Medicine-Medicine (all)

CiteScore

1.20

自引率

0.00%

发文量

期刊介绍： Professioni Infermieristiche pubblica, previa approvazione del Comitato di Redazione (CdR), articoli relativi alle diverse funzioni ed ambiti della professione infermieristica e ostetrica.