Preimplementation of Critical Care Early Mobility Clinical Decision Support: A Content Validation Study.

IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS
Heather Dunn, Natany da Costa Ferreira Oberfrank, Anna Krupp
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引用次数: 0

Abstract

Early mobility is a form of critical care rehabilitation ranging from in-bed exercise to ambulation and is known to limit post-intensive-care functional decline. Multiple barriers prevent widespread early mobility implementation. Clinical decision support systems can optimize the decision-making process and overcome barriers to care. However, critical care early mobility clinical decision support does not exist. Our objective was to develop and establish the content validation of the operational definitions for a novel critical care early mobility assessment instrument. Content validation was conducted in two steps: (1) development of operational definitions by the research team and (2) content validation with 10 nurse experts. Quality assessment and suitability of the operational definitions for 30 items, across four safety domains, were assessed using a 7 point-Likert scale. Item content validity index scores ranged from 0.6 to 0.1 after the first validation round. Domains containing items with item content validity index scores less than the lower limit of 0.78 were modified for clarity of language. Item content validity index scores ranged from 0.8 to 1.0, and the scale-level content validity index was 0.93 after the second content validation round. Excellent content validity of the operational definitions was achieved. This is the first methodological step in a larger project to develop clinical decision support for critical care early mobility.

重症监护早期移动临床决策支持的预实施:内容验证研究。
早期移动是重症监护康复的一种形式,包括从床内运动到步行,已知可以限制重症监护后的功能衰退。多重障碍阻碍了早期移动能力的广泛实施。临床决策支持系统可以优化决策过程并克服护理障碍。然而,重症监护早期移动的临床决策支持系统并不存在。我们的目标是为一种新型重症监护早期行动能力评估工具开发并建立操作定义的内容验证。内容验证分两步进行:(1)由研究小组制定操作定义;(2)由 10 名护士专家进行内容验证。采用 7 点李克特量表对四个安全领域 30 个项目的操作定义的质量评估和适用性进行了评估。第一轮验证后,项目内容效度指数从 0.6 到 0.1 不等。对于项目内容效度指数得分低于 0.78 下限的领域,我们对其进行了修改,使语言更加清晰。项目内容效度指数从 0.8 到 1.0 不等,经过第二轮内容验证后,量表级内容效度指数为 0.93。操作定义的内容效度非常高。这是为重症监护早期移动性开发临床决策支持的大型项目的第一步。
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
Cin-Computers Informatics Nursing
Cin-Computers Informatics Nursing 工程技术-护理
CiteScore
2.00
自引率
15.40%
发文量
248
审稿时长
6-12 weeks
期刊介绍: For over 30 years, CIN: Computers, Informatics, Nursing has been at the interface of the science of information and the art of nursing, publishing articles on the latest developments in nursing informatics, research, education and administrative of health information technology. CIN connects you with colleagues as they share knowledge on implementation of electronic health records systems, design decision-support systems, incorporate evidence-based healthcare in practice, explore point-of-care computing in practice and education, and conceptually integrate nursing languages and standard data sets. Continuing education contact hours are available in every issue.
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