Creation and validation of a checklist for blood transfusion in children

Methodological study, conducted from November 2016 to May 2017, developed in two stages. The content of the items that compose the instrument was based on scientific evidence and submitted to specialized nurses for content validation. We applied the Content Validity index, considering the value ≥ 0.80.

Results:

The content was considered valid with global CVI of 0.87. Suggestions for adjustments, such as deletion, replacement, and addition of terms, were included in the final version, which consisted of 14 items and 56 subitems.

Conclusion:

The checklist for blood transfusion in children was considered a technology with valid content to be used in the transfusion performed by nurses, thus contributing to transfusion safety in children.

Descriptors:
Blood Transfusion; Children; Checklist; Pediatric Nursing; Patient Safety

Variables	n (14)	%	Mean ± SD
Age (years)			36.7 ± 0.7
26-35	9	64.3
36-45	2	14.3
46-53	3	21.4
Training time (years)			12.8 ± 14.87
3-10	8	57.1
11-18	2	14.3
19-29	4	28.6
Participation in a research group
Yes	13	92.9
No	1	7.1
Time of participation in a research group (years)			5.6 ± 11.3
0-5	6	42.9
6-11	7	50.0
12-14	1	7.1
Current occupation
Healthcare professional	2	14.3
Teaching activities	4	28.6
Research activities	1	7.1
Healthcare and teaching activities	1	7.1
Healthcare, teaching, and research activities	2	14.3
Healthcare and research activities	2	14.3
Healthcare and other activities	1	7.1
Healthcare, teaching activities, and other activities	1	7.1
Certification
Specialization degree	1	7.1
Master’s degree	9	64.3
PhD degree	2	14.3
Postdoctoral degree	1	7.1
Specialization and master’s degree	1	7.1
Experts’ scores			9 ± 10.3
6-9	9	64.3
10-12	5	35.7

N	Content Validity items	IVC
1	Informed consent form	0.65
2	Verification of blood components	1.0
3	Children’s identification	1.0
4	Material selection	0.59
5	Pre-medication	1.0
6	Handwashing	1.0
7	Verification of vital signs (prior transfusion)	1.0
8	Venous access	1.0
9	Transfusion of blood components	1.0
10	Patients’ follow-up	1.0
11	Infusion time of blood components	0.76
12	Suspicion of transfusion reaction	0.76
13	Verification of vital signs (after completing the transfusion)	1.0
14	Disposal of the used material	0.65
15	Verification of vital signs 1 hour after completing the transfusion	0.65
16	Records	1.0
17	Children’s follow-up for 24 hours after completing the transfusion	0.76

Items	Experts’ suggestions
Consentimento informado	Delete the item.
Material selection	Describe in detail the materials used for the transfusion. Reword the item as for: preparation of the material.
Infusion time of blood components	Standardize the maximum infusion time of 4 hours for all blood components.
Suspicion of transfusion reaction	Replace “Required actions taken” with “Nursing interventions.”
Disposal of the used material	* Add the title of the item “in proper site.” Describe in detail how disposal must occur.
Verification of vital signs 1 hour after completing the transfusion	Delete the item.
Children’s follow-up for 24 hours after completing the transfusion	Delete the item.

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] CORRESPONDING AUTHOR: Carolina Martins Bezerra. E-mail: martins.carolinab@gmail.com