Communication of difficult news in pediatric oncology: Content validity evidence of a clinical simulation scenario

IF 2.5 Q2 NURSING

Teaching and Learning in Nursing Pub Date : 2026-10-01 Epub Date: 2026-07-30 DOI:10.1016/j.teln.2026.07.006

Anne Lívia Cavalcante Mota MSc, Isadora Marques Barbosa PhD, Paulo César de Almeida PhD

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引用次数: 0

Abstract

Background

Communicating difficult news in pediatric oncology is complex and emotionally demanding. Clinical simulation effectively supports communication skills development.

Methods

A descriptive study was conducted to construct a pediatric oncology clinical simulation scenario focused on communicating difficult news and to identify evidence of content validity, based on the SPIKES protocol and the NLN/Jeffries Simulation Theory. Content validation was performed by seven nursing experts. Descriptive analysis, Content Validity Index (I-CVI), and Cronbach’s alpha were applied to the scenario evaluation instrument (21 items) and the checklist of expected actions used to assess performance (8 items).

Results

Most items of the scenario evaluation instrument (21 items) achieved I-CVI ≥ 0.80 (CVI-AVE = 0.89), with high internal consistency (α = 0.887). Items below this threshold were refined based on experts' qualitative feedback to ensure validity. The checklist of expected actions (8 items) showed I-CVI values ranging from 0.86 to 1.00 (overall = 0.97).

Conclusion

The scenario demonstrated evidence of content validity and internal consistency, supporting its use in nursing education for teaching communication of difficult news in pediatric oncology.

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儿科肿瘤学中困难新闻的传播：临床模拟场景的内容有效性证据

在儿科肿瘤学中，传达困难的消息是复杂和情绪化的。临床模拟有效地支持沟通技巧的发展。方法基于SPIKES协议和NLN/Jeffries模拟理论，进行描述性研究，构建儿科肿瘤学临床模拟场景，重点是传播困难新闻，并识别内容有效性的证据。内容验证由7位护理专家进行。描述分析、内容效度指数（I-CVI）和Cronbach’s alpha分别应用于情景评估工具（21个项目）和用于评估绩效的预期行动清单（8个项目）。结果情景评价工具大部分项目（21项）的I-CVI≥0.80 (CVI-AVE = 0.89)，具有较高的内部一致性（α = 0.887）。低于该阈值的项目根据专家的定性反馈进行细化，以确保效度。期望行动清单（8项）的I-CVI值为0.86至1.00（总体= 0.97）。结论该情景具有内容效度和内部一致性，支持其在儿科肿瘤学难点新闻教学沟通中的应用。

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

Teaching and Learning in Nursing NURSING-

CiteScore

2.60

自引率

10.50%

发文量

119

审稿时长

37 days

期刊介绍： Teaching and Learning in Nursing is the Official Journal of the National Organization of Associate Degree Nursing. The journal is dedicated to the advancement of Associate Degree Nursing education and practice, and promotes collaboration in charting the future of health care education and delivery. Topics include: - Managing Different Learning Styles - New Faculty Mentoring - Legal Issues - Research - Legislative Issues - Instructional Design Strategies - Leadership, Management Roles - Unique Funding for Programs and Faculty