Design and construct of an assessment tool for the handover of critical patient the in urgent care and emergency setting.

Autor: Tortosa-Alted R; Hospital de Tortosa Verge de la Cinta, Catalan Health Institute, Pere Virgili Health Research Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain; Nursing Department, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain. Electronic address: rtortosa.ebre.ics@gencat.cat., Berenguer-Poblet M; Nursing Department, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain; Research Group on Advanced Nursing (CARING)-161, Universitat Rovira I Virgili, 43002 Tarragona, Spain. Electronic address: marta.berenguer@urv.cat., Reverté-Villarroya S; Nursing Department, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain; Research Group on Advanced Nursing (CARING)-161, Universitat Rovira I Virgili, 43002 Tarragona, Spain. Electronic address: silvia.reverte@urv.cat., Fernández-Sáez J; Nursing Department, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain; Terres de l'Ebre Research Suport Unit, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Tortosa, Spain. Electronic address: jfernandezsa.ebre.ics@gencat.cat., Roche-Campo F; Hospital de Tortosa Verge de la Cinta, Catalan Health Institute, Pere Virgili Health Research Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain. Electronic address: froche.ebre.ics@gencat.cat., Alcoverro-Faneca M; System of Medical Emergencies, Carrer Pablo Iglesias, 101-115, 08908 L'Hospitalet de Llobregat, Spain. Electronic address: montserratalcoverro@gencat.cat., Ferré-Felipo R; Hospital de Tortosa Verge de la Cinta, Catalan Health Institute, Pere Virgili Health Research Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain; Nursing Department, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain. Electronic address: rferref.ebre.ics@gencat.cat., Lleixà-Benet I; Hospital de Tortosa Verge de la Cinta, Catalan Health Institute, Pere Virgili Health Research Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain; Nursing Department, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain. Electronic address: imlleixa.ebre.ics@gencat.cat., Martínez-Segura E; Hospital de Tortosa Verge de la Cinta, Catalan Health Institute, Pere Virgili Health Research Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain; Nursing Department, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain. Electronic address: esmartinez.ebre.ics@gencat.cat.
Jazyk: angličtina
Zdroj: International emergency nursing [Int Emerg Nurs] 2024 Aug; Vol. 75, pp. 101490. Date of Electronic Publication: 2024 Jul 13.
DOI: 10.1016/j.ienj.2024.101490
Abstrakt: Objectives: To design and construct an assessment tool for the handover of critical patients in the urgent care and emergency setting.
Research Methodology: This metric and descriptive study comprised two phases in accordance with the Clinical practice guidelines for A Reporting Tool for Adapted Guidelines in Health Care: The RIGHT-Ad@pt Checklist. In the first phase, the identification and selection of items related to the handover of critical patients were performed by consensus of a group of experts. The second phase consisted of two stages. In the first stage, the items were selected by applying the e-Delphi technique across two assessment rounds and in the second stage, the items were subjected a pilot test in a real critical patient handover scenario. Professionals from different disciplines and work areas (hospital and prehospital) caring for critically ill patients in the urgency and emergency setting participated in each of the phases.
Results: A total of 58 critical patient care, and urgent and emergency care professionals participated in the design and construction of the assessment tool. The initial list consisted of 14 categories and 57 items, which were reduced to 28 items grouped into five categories after the intervention of the participants. The content validity index (CVI) of the instrument was 0.966.
Conclusions: This study describes an assessment tool developed in Spanish-language designed to assess the handover of critical patients in the urgent care and emergency setting. This tool has a high CVI, and is the only currently available tool that consider all of the dimensions and characteristics of the handover process.
Implications for Clinical Practice: The assessment tool developed in this study could enable critical care professionals in their clinical practice to work in a systematic way, universalizing the handover of critically ill patients in the urgent care and emergency setting through scientifically proven guidelines.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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