Validation graphic protocol for assessing safe nursing care in hemodialysis

Methodological study with a quantitative approach, organized into three procedures: theoretical from a Scoping Review; empirical in which the process of constructing the graphic protocol and checklist for the evaluation of safe care took place; finally, the analytics for the validation itself using the Delphi technique and the participation of nine expert judges in two rounds to reach agreement.

Results

The checklist and the graphic protocol were elaborated. As for content validity in Delphi I, three criteria obtained Content Validity Coefficient =0.77 in the checklist. In what corresponds to Delphi II, 80% was achieved in all items regarding the Content Validity Coefficient, all indices were above 0.80. Appearance validation took place using criteria of the Suitability Assessment of Materials in Delphi I, it was possible to achieve a total Content Validity Coefficient greater than 0.80 in all, while in Delphi II the protocols reached agreement greater than 80% and Content Validity Coefficient greater than 0.88, since the checklist showed a higher Content Validity Coefficient with 0.91.

Conclusion

The graphic protocol and checklist for evaluating safe care for hemodialysis patients are presented, valid in their content and appearance.

Renal dialysis; Patient safety; Renal insufficiency, chronic; Validation studies

Sociodemographic characteristics	Delphi I (n=9) n(%)	Delphi II (n=6) n(%)
Sex
Female	8(88.9)	5(83.3)
Male	1(11.1)	1(16.7)
Field of action
Teaching	3(33.3)	3(50.0)
Care	1(11.1)	1(16.7)
Teaching and care	5(55.6)	2(33.3)
Professional patient safety practice
5 to 9 years	2(22.2)	2(33.3)
Over 10 years	7(77.8)	4(67.7)

CVC content validity agreement
Pasquali’s adapted criteria	Checklist		Protocol structure		Protocol process		Protocol result
Pasquali’s adapted criteria	Delphi I	Delphi II	Delphi I	Delphi II	Delphi I	Delphi II	Delphi I	Delphi II
Behavior	0.85	0.88	0.88	0.88	0.88	0.88	0.85	0.88
Objectivity	0.92	0.88	0.92	0.88	0.88	0.88	0.88	0.88
Simplicity	0.88	0.88	0.92	0.88	0.92	0.88	0.92	0.88
Clarity	0.77	0.88	0.88	0.88	0.85	0.88	0.88	0.88
Relevance	0.96	0.94	0.92	0.88	0.92	0.88	0.92	0.88
Accuracy	0.77	0.83	0.92	0.88	0.88	0.88	0.88	0.88
Variety	0.81	0.83	0.88	0.88	0.88	0.88	0.88	0.88
Modality	0.77	0.83	0.92	0.88	0.92	0.88	0.88	0.88
Typicality	0.92	0.99	0.92	0.88	0.92	0.88	0.92	0.88
Credibility	0.85	0.94	0.92	0.88	0.92	0.88	0.92	0.88
Range	0.88	0.94	0.92	0.88	0.92	0.88	0.92	0.88
Balance	0.88	0.94	0.92	0.88	0.88	0.88	0.88	0.88
Total CVC	0.87	0.88	0.92	0.88	0.90	0.88	0.88	0.88

CVC content validity agreement
SAM criteria	Checklist		Protocol structure		Protocol process		Protocol result
SAM criteria	Delphi I	Delphi II	Delphi I	Delphi II	Delphi I	Delphi II	Delphi I	Delphi II
Content	0.96	0.94	0.96	0.94	0.92	0.88	0.92	0.88
Language	0.88	0.88	0.96	0.94	0.92	0.88	0.92	0.88
Illustration	0.96	0.88	0.92	0.94	0.88	0.88	0.88	0.88
Layout	0.96	0.94	0.96	0.88	0.92	0.88	0.92	0.88
Motivation	0.96	0.88	0.96	0.88	0.92	0.88	0.92	0.88
Culture	0.99	0.94	0.99	0.88	0.06	0.88	0.92	0.88
Total CVC	0.96	0.91	0.96	0.91	0.92	0.88	0.92	0.88

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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[1] Corresponding author: Adriana Catarina de Souza Oliveira E-mail: acatarina@ucam.edu