Cross-cultural adaptation of the CALCULATE instrument into Brazilian Portuguese: pressure injury in intensive care

Velozo, Bruna Cristina; Olivatto, Emanuelli Giglioli; Vocci, Marcelli Cristine; Bomfim, Ana Carolina Rodrigues; Castro, Meire Cristina Novelli e; Abbade, Luciana Patricia Fernandes

doi:10.1590/1983-1447.2024.20230198.en

Bruna Cristina Velozo

project administration

formal analysis

conceptualization

data curation

writing – original draft

writing – review & editing

investigation

methodology

validation

Universidade Estadual Paulista (Unesp). Faculdade de Medicina de Botucatu. Departamento de Enfermagem. Botucatu, São Paulo, Brasil.

https://orcid.org/0000-0002-3334-8578

Emanuelli Giglioli Olivatto

data curation

writing – original draft

writing – review & editing

investigation

Universidade Estadual Paulista (Unesp). Faculdade de Medicina de Botucatu. Departamento de Enfermagem. Botucatu, São Paulo, Brasil.

https://orcid.org/0000-0001-6946-1436

Marcelli Cristine Vocci

conceptualization

writing – review & editing

methodology

visualization

Universidade Estadual Paulista (Unesp). Faculdade de Medicina de Botucatu. Departamento de Enfermagem. Botucatu, São Paulo, Brasil.

https://orcid.org/0000-0003-0029-139X

Ana Carolina Rodrigues Bomfim

data curation

writing – original draft

writing – review & editing

investigation

Universidade Estadual Paulista (Unesp). Faculdade de Medicina de Botucatu. Departamento de Enfermagem. Botucatu, São Paulo, Brasil.

https://orcid.org/0000-0001-9182-8265

Meire Cristina Novelli e Castro

formal analysis

writing – original draft

validation

visualization

Universidade Estadual Paulista (Unesp). Faculdade de Medicina de Botucatu. Departamento de Enfermagem. Botucatu, São Paulo, Brasil.

https://orcid.org/0000-0002-0590-4127

Luciana Patricia Fernandes Abbade

project administration

supervision

formal analysis

writing – review & editing

validation

visualization

Universidade Estadual Paulista (Unesp). Faculdade de Medicina de Botucatu. Departamento de Dermatologia. Botucatu, São Paulo, Brasil.

https://orcid.org/0000-0002-0334-2079

Corresponding author:
Bruna Cristina Velozo E-mail: bruna.velozo@unesp.br

The authors declare that there is no conflict of interest.

Associate editor:

Luccas Melo de Souza

Editor-in-chief

: João Lucas Campos de Oliveira

Items CALCULATE	Assessment by the five experts					CVI/item
Items CALCULATE	1^st	2^nd	3^rd	4^th	5^th	CVI/item
Item 1	3	3	4	3	2	0.80
Item 2	3	2	4	3	4	0.80
Item 3	4	3	4	3	3	1.00
Item 4	3	3	4	3	4	1.00
Item 5	3	3	4	3	3	1.00
Item 6	2	3	4	3	3	0.80
Item 7	3	2	4	3	3	0.80
Item 8	2	3	3	4	4	0.80
Total CVI	0.75	0.75	1.00	1.00	1.00	0.90

Item	Nurse assessment of each patient				Final agreement of the item %
	Number of responses considered appropriate
	1^st assessment	2^nd assessment	3^rd assessment	4^th assessment
1- Very unstable to reposition on the bed	10	10	10	10	100%
2-Impaired circulation	10	10	10	10	100%
3-Hemodialysis	9	10	10	10	97.5%
4-Mechanical ventilation	10	10	10	10	100%
5-Immobility	10	10	10	10	100%
6-Long surgery or cardiac arrestin the last 24 hours	10	10	10	10	100%
7-Low protein level	2	6	6	5	47.5%
8-Fecal incontinence	10	10	10	10	100%

Items	Translation of item (PV1)	Translation of specifications (PV1)	Main suggestions from the expert committee	Post-committee adequacy (PV2)	Pre-test suggestions	Adequaçy (FV)
Item 1	Too unstable to move	· Automatically includes in the very high-risk group. · Active hydration, active bleeding, development of life-threatening arrhythmias, abnormal hemodynamic parameters that are not brought to normal ranges within 10 minutes after changes in position.	Reposition on bed Exchange active hydration for volume resuscitation	· Automatically includes in the very high-risk group· · Volume resuscitation,active bleeding, development of life-threatening arrhythmias, abnormal hemodynamic parameters that arenot brought to normal ranges of values within 10 minutes after repositioning.	Adequate item	Maintained as PV2
Item 2	Weakened circulation	Includes: history of vascular disease, intravenous inotropes, diabetes.	Impaired circulation	· Includes: history of vascular disease,use of intravenous inotropes and diabetes *mellitus.*	Adequate item	Maintained as PV2
Item 3	Dialysis	· Intermittent hemodialysis (HDI) or continuous replacement renal therapy (CRRT) such as CVVH.	Hemodialysis Acronyms spelled out	· Intermittent hemodialysis (IHD), continuous renal replacement therapy(CRRT), such as continuous veno-venous hemofiltration(CVVH).	Adequate item	Maintained as PV2
Item 4	Mechanical ventilation	· Any type of mechanical ventilation including CPAP.	CPAP spelled out	· · Any type of ventilation including CPAP (continuous positive airway pressure).	Adequate item	Maintained as PV2
Item 5	Immobility	· Secondary to: a) neuromuscular disease (definition: severe spinal cord injury MG/GBS/CIPN) or b) sedation/paralysis (definition - RASS Scale⁽²¹⁾ - from 3 to 5 or paralyzed) or c) weakness of the limb preventing movement or turning around in bed or in a chair.	RASS without the negative symbol(-) Acronyms spelled out	· Secondary to: (a) neuromuscular disease (definition: myasthenia gravis / Guillain-Barré syndrome /chemotherapy-induced peripheral neuropathy and spinal cord injury or b) sedation/paralysis (definition: RASS from -3 a -5^* or paralyzed) or c) weakness of limbs preventing self-movement/ turning over in bed or chair.	Adequate item	Maintained as PV2
Item 6	Long surgery/ Cardiac arrest	· Duration of surgery: more than 4 hours in the last 24 hours or cardiac arrest while admitted to this hospital.	Cardiac arrest in this hospitalization	· Duration of surgery > 4 hours in the last 24 hours or a cardiac arrest in this hospitalization.	Adequate item	Maintained as PV2
Item 7	Low Protein level	· Low protein or serum albumin levels (albumin below 35gr/l) or poor nutritional status).	Albumin in Brazil: 3.5 mg/dl and not 35 g/l. Impaired/poor nutritional status	· Low protein and serum albumin (albumin below 3.5 g/dL) and/or poor nutritional status.	Difficulty in understanding the definition of poor nutritional status	Added description of definition in caption
Item 8	Fecal incontinence	Diarrhea: type 5, 6 or 7.	Add caption with definition	· Diarrhea: type 5 or 6 or 7^ A caption of the Bristol scale was added.**	Adequate item	Maintained as PV2

[1] Corresponding author:
Bruna Cristina Velozo E-mail: bruna.velozo@unesp.br

Brasil

Brasil

Cross-cultural adaptation of the CALCULATE instrument into Brazilian Portuguese: pressure injury in intensive care

Adaptación transcultural del instrumento CALCULATE al portugués brasileño: lesión por presión en cuidados intensivos

ABSTRACT

Objective:

Method:

Results:

Conclusion: