Denise R. Rabelo Suzuki , Levy Aniceto Santana , Juliana Elvira H. Guerra Ávila , Fábio Ferreira Amorim , Vinicius Maldaner
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Construction of an instrument to evaluate the quality of hospital care provided in burns units in Brazil: A Delphi study
Background
Providing excellent care to patients with acute burns can result in lower mortality and disability in the long-term. There are no specific instruments to evaluate the quality of care provided at this stage of treatment. This study aims to create an instrument to evaluate the quality of hospital care provided to patients with acute burns in Brazil.
Methods
The Delphi technique was used to obtain a consensus among experts on which constructs should be incorporated into the instrument. The sample comprised professionals experienced in treating burn victims and subscribed to the Brazilian Society of Burns mailing lists. Each statement was judged on a 5-point Likert scale. A percentage of agreement equal to or higher than 75 % was defined as a consensus. Data were analyzed using content analysis and descriptive summary statistics.
Results
The first round obtained responses from 34 experts, with a mean of 11.98 (SD 9.29) years of experience. After three rounds, 106 statements reached consensus for inclusion and served as the basis for the instrument.
Conclusion
Our study identified key terms, and consensus was reached on 106 statements; a need to define clear outcome evaluation methods was observed.
期刊介绍:
Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice.
Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.