Conciliación medicamentosa en pediatría: validación de instrumentos para la prevención de errores en la medicación

Aranha, Gabriela Almeida; Cruz, Andréia Cascaes; Pedreira, Mavilde da Luz Gonçalves

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 76 (2) • 2023 • https://doi.org/10.1590/0034-7167-2021-0755 copiar

Conciliación medicamentosa en pediatría: validación de instrumentos para la prevención de errores en la medicación

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivos:

elaborar y validar contenido de dos instrumentos para la promoción de conciliación medicamentosa en la transición de atención de niños hospitalizados.

Métodos:

estudio metodológico realizado en cinco etapas: revisión de ámbito para estructura conceptual; elaboración de versión inicial; validación del contenido con cinco especialistas utilizando la Técnica Delphi; re-evaluación; y construcción de versión final de los instrumentos. Adoptado índice de validez de contenido, como mínimo, 0.80.

Resultados:

fueron realizadas tres rondas de evaluación para alcance de índice de validez en los contenidos propuestos, siendo necesario nuevo análisis de 50% de los 20 ítems del instrumento destinado a familias, y 28,5% de los 21 ítems destinados a profesionales. Instrumento dirigido a familias alcanzó índice de 0,93; y el instrumento, a profesionales, 0,90.

Conclusiones:

instrumentos propuestos fueron validados, siendo posible proseguir con estudio de implementación práctica para identificar influencia en la seguridad durante la conciliación medicamentosa en la transición de atención.

Descriptores:
Conciliación de Medicamentos; Seguridad del Paciente; Pediatría; Errores de Medicación; Relaciones Profesional-Familia.

Items	1^st round	2^nd round	3^rd round
1 Instrument title	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
2 Introductory message to the family	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
Identification data
3 Child’s name	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
4 Age	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
5 Diagnosis(es)	0.60	0.60^ Item already reflecting judges’ suggestion;	1.00^* * Item validated in the previous round.
6 Current date	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
7 Name of custodian	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
8 Comorbidities	-	-	1.00^ Item already reflecting judges’ suggestion;
Child Allergy Information
9 Drug Allergy	0.80	0.80^* * Item validated in the previous round.	0.80^* * Item validated in the previous round.
10 Food Allergy	0.80	0.80^* * Item validated in the previous round.	0.80^* * Item validated in the previous round.
11 Warning message to the family	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
Chart with information about the drugs
12 Prescription	0.80	1.00^ Item already reflecting judges’ suggestion;	1.00^* * Item validated in the previous round.
13 Administration	0.60	1.00^ Item already reflecting judges’ suggestion;	1.00^* * Item validated in the previous round.
14 Method of preparation/administration	0.80	1.00^ Item already reflecting judges’ suggestion;	1.00^* * Item validated in the previous round.
15 Chart Layout	0.40	1.00^ Item already reflecting judges’ suggestion;	1.00^* * Item validated in the previous round.
Information on the use of teas and herbal medicines by the child
16 Use of teas	0.60	0.80^ Item already reflecting judges’ suggestion;	0.80^* * Item validated in the previous round.
17 Use of herbal medicines	0.60	0.80^ Item already reflecting judges’ suggestion;	0.80^* * Item validated in the previous round.
18 Open field for describing questions, doubts, and considerations of the family	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
Identification of the professionals who carried out the reconciliation process
19 First identification	0.60	0.80^ Item already reflecting judges’ suggestion;	0.80^* * Item validated in the previous round.
20 Second identification	0.60	0.80^ Item already reflecting judges’ suggestion;	0.80^* * Item validated in the previous round.
Global content validity index	0.80	0.91	0.93

Items	1^st round	2^nd round	3^rd round
1 Instrument title	0.80	0.80^* * Item validated in the previous round.	0.80^* * Item validated in the previous round.
Identification data
2 Child’s name	0.80	0.80^* * Item validated in the previous round.	0.80^* * Item validated in the previous round.
3 Date of Birth	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
4 Age	0.80	0.80^* * Item validated in the previous round.	0.80^* * Item validated in the previous round.
5 Weight	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
6 Height	0.80	0.80^* * Item validated in the previous round.	0.80^* * Item validated in the previous round.
7 Name of custodian	0.80	0.80^* * Item validated in the previous round.	0.80^* * Item validated in the previous round.
8 Diagnosis(es)	0.60	0.80^ Item already reflecting judges’ suggestion;	1.00
9 Current date	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
10 Patient’s place of origin	0.80	1.00^ Item already reflecting judges’ suggestion;	1.00^* * Item validated in the previous round.
11 Comorbidities	-	-	1.00^ Item already reflecting judges’ suggestion;
12 Child Allergy Information	1.00	0.80^ Item already reflecting judges’ suggestion;	0.80^* * Item validated in the previous round.
Chart with information about the prescription and medication reconciliation
13 Prescription	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
14 Conducts	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
15 Drugs destined for home use	1.00	1.00^* * Item validated in the previous round.	1.00^* * Item validated in the previous round.
16 Chart Layout	0.80	0.80^* * Item validated in the previous round.	0.80^* * Item validated in the previous round.
Information on the use of teas and herbal medicines by the child
17 Use of teas	0.80	0.80^* * Item validated in the previous round.	0.80^* * Item validated in the previous round.
18 Use of herbal medicines	0.80	0.80^* * Item validated in the previous round.	0.80^* * Item validated in the previous round.
19 Open field for observations	0.80	0.80	0.80^* * Item validated in the previous round.
Identification of the professionals who carried out the reconciliation process
20 First identification	0.80	1.00^ Item already reflecting judges’ suggestion;	1.00^* * Item validated in the previous round.
21 Second identification	0.80	1.00^ Item already reflecting judges’ suggestion;	1.00^* * Item validated in the previous round.
Global content validity index	0.86	0.89	0.90

Item	Judges’ comments/suggestions
Instrument aimed at Families
5	Replace "Main Diagnosis" with “Diagnosis(es)".
8	Include the item “Comorbidities”.
12	Replace "frequency" with "How many times a day?”.
12	Replace "fasting", "breakfast", "lunch”, and "dinner" meals with "morning", "afternoon”, and "evening" periods.
13	Replace the term "administration" with "at what time does he take it?"
14	Replace “Method of preparation" with “How to prepare it?".
15	Replace the chart’s background color.
16/17	Add “When was the last time he took it?”.
16/17	Remove "usage recommendations".
19/20	Change the data presentation.
19/20	Include the professional's "unit/sector".
Instrument aimed at Professionals
8	Replace "Main Diagnosis" with “Diagnosis(es)".
10	Change to universal inpatient units.
10	Add “others”.
11	Include the item “Comorbidities”.
12	Replace "drug allergy" with "allergies".
20/21	Change the data presentation.
20/21	Include the professional's "unit/sector".

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: Gabriela Almeida Aranha, E-mail: gabriela.aranha@unifesp.br