Development and content validation of a risk classification instrument.

Autor: Oliveira MBMF; Sociedade Beneficente Israelita Brazileira Albert Einstein, Faculdade Israelita de Ciências da Saúde Albert Einstein. São Paulo, São Paulo, Brazil., Fernandes LC; Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica. São Paulo, São Paulo, Brazil., Oliveira IE; Sociedade Beneficente Israelita Brazileira Albert Einstein, Centro de Estudos, Pesquisa e Práticas em Atenção Primária à Saúde e Redes (CEPPAR). São Paulo, São Paulo, Brazil., Oliveira RA; Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica. São Paulo, São Paulo, Brazil., Rebustini F; Universidade de São Paulo, Escola de Ciências, Humanidades e Artes, Departamento de Gerontologia. São Paulo, São Paulo, Brazil., Mafra ACCN; Hospital Sírio Libanês. São Paulo, São Paulo, Brazil., Santos ERD; Sociedade Beneficente Israelita Brazileira Albert Einstein, Faculdade Israelita de Ciências da Saúde Albert Einstein. São Paulo, São Paulo, Brazil.
Jazyk: English; Portuguese
Zdroj: Revista brasileira de enfermagem [Rev Bras Enferm] 2024 Sep 06; Vol. 77 (4), pp. e20230502. Date of Electronic Publication: 2024 Sep 06 (Print Publication: 2024).
DOI: 10.1590/0034-7167-2023-0502
Abstrakt: Objective: Develop and validate the content of an instrument for patient risk classification in emergency services of Primary Health Care.
Method: The study included two stages: item generation and content validity. A literature review and retrospective analysis of medical records were conducted to create the instrument items. The Content Validity Ratio (CVR) was used to assess agreement among judges during content validation.
Results: In the first and second rounds, 75 and 71 judges validated the risk classification instrument, respectively. The minimum adherence score for the latent variable item based on the final number of judges was 0.22 and 0.18; thus, 52 items, divided into three classification categories (red, orange, and yellow), were retained.
Conclusion: The instrument was considered valid regarding clarity, relevance, pertinence, and agreement regarding the severity indicated in the item.
Databáze: MEDLINE