Cross-cultural translation of quality instruments in the organ donation process

Knihs, Neide da Silva; Schirmer, Janine; Roza, Bartira de Aguiar

doi:10.1590/1982-0194201400012

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Acta Paulista de Enfermagem

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Original Articles • Acta paul. enferm. 27 (01) • 2014 • https://doi.org/10.1590/1982-0194201400012 copy

Cross-cultural translation of quality instruments in the organ donation process

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

To carry out the cross-cultural translation of quality instruments in the organ donation process from the National Transplantation Organization of Spain.

METHODS:

Methodological research with quantitative approach conducted in three Neurology reference hospitals in the South of the country. The instruments validation was carried out by mean of the steps of translation, backtranslation, synthesis and expert committee. The reliability was conducted by means of inter-observer equivalence and test and retest stability.

RESULTS:

There was a 100% match among all the judges in 89% of the items in the cross-cultural translation (11% of the items were not equivalent). In the reliability analysis, the Kappa coefficients corresponded to 0.86 and 0.95.

CONCLUSION:

The versions of the instruments were considered valid and reliable for use by institutions that carry out the organ donation process in Brazil.

Nursing assessment; Nursing audit; Transplantation; Validation studies; Direct tissue donation; Translating

Items	Possible answers	n*(%)
Instrument I
Reasons why the Transplantation Hospital Coordinator did not detect brain death	Incorrect medical contraindication	3(37.5)
	Due to instability to start the diagnosis of brain death	2(25)
	Due to the Critical Patient Unit staff’s inability to identify clinical criteria for brain death	1(12.5)
		2(25)
Total		8(100)
Family refusal reasons	Opposition from family to donation without a specific reason	5(23.8)
	Heath care team problems	5(23.8)
	Oposition from donor when alive	4(19)
	Family wanted the body intact	3(14,4)
	Other	4(19)
Total		21(100)
Instrument II
Causes of the potential donor losses	Encephalic deaths unidentified	12(26.6)
	Maintenance problems	8(17.7)
	Family refusal to donate	21(46.6)
	Logistical problems	3(6.7)
	Other	2(3.4)
Total		45(100)

Itens	Instrument I		Instrument II
Itens	Kappa	Agreement (%)	Kappa	Agreement (%)
Cause of death	0.62	98.6	0.95	98.4
Identified brain death	1.00	100.0
Medical contraindication	1.00	100.0
Cause of medical contraindication	1.00	100.0
Cause of non-removal of organs	0.72	93.8
The interview was conducted for donation	1.00	100.0
The interview was conducted for donation			1.00	100.0
It was possible to identify the causes of losses			0.71	95.0
Causes of loss of potential donors			0.86	93.9
Causes of losses considered adequate or inadequate			0.51	92.3
Final Kappa	0.89	97.7	0.83	95.9

Items	Instrument I		Instrument II
Items	Kappa	Agreement (%)	Kappa	Agreement (%)
Cause of deat	1.0	97.5	1.0	100
Identified brain death	1.0	100
Cause of medical contraindication	1.0	100
The surgery to remove organs was initiated	0,93	97.2
Cause of non-removal of organs	1.0	93.3
It was possible to identify the causes of losses			0.98	98.3
Causes of losses considered appropriate or inappropriate			0.79	89.7
Final Kappa	0,97	97.9	0.94	96.0

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 Neide da Silva Knihs Floriano Peixoto street, 300, Blumenau, SC, Brazil. Zip Code: 89010-906 neide@unidavi.edu.br