I-DECIDED®-BRAZIL: CROSS-CULTURAL ADAPTATION OF AN ASSESSMENT AND DECISION-MAKING TOOL FOR PERIPHERAL INTRAVENOUS CATHETER

Silva, Thiago Lopes; Ray-Barruel, Gillian; Ullman, Amanda; Rocha, Patrícia Kuerten

doi:10.1590/1980-265X-TCE-2023-0279en

Thiago Lopes Silva

Study design

Data collection

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Catarina, Programa de Pós-graduação em Enfermagem. Florianópolis Santa Catarina, Brasil.

https://orcid.org/0000-0002-6310-5825

Gillian Ray-Barruel

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

University of Queensland, School of Nursing, Midwifery and Social Work. Brisbane, Australia.

Metro North Hospital and Health Service, Herston Infectious Diseases Institute. Brisbane, Australia.

Griffith University, School of Nursing and Midwifery, and Menzies Health Institute Queensland, Alliance for Vascular Access Teaching and Research. Nathan, Australia.

https://orcid.org/0000-0001-8875-7523

Amanda Ullman

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

University of Queensland, School of Nursing, Midwifery and Social Work. Brisbane, Australia.

Griffith University, School of Nursing and Midwifery, and Menzies Health Institute Queensland, Alliance for Vascular Access Teaching and Research. Nathan, Australia.

Children’s Health Queensland Hospital and Health Service. Brisbane, Australia.

https://orcid.org/0000-0001-8860-5319

Patrícia Kuerten Rocha

Study design

Data collection

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Catarina, Programa de Pós-graduação em Enfermagem. Florianópolis Santa Catarina, Brasil.

https://orcid.org/0000-0002-8347-1363

CORRESPONDING AUTHOR
Thiago Lopes Silva. thiagoslopes@outlook.com

CONFLICT OF INTEREST

There is no conflict of interest.

EDITORS

Associated Editors: Leticia de Lima Trindade, Ana Izabel Jatobá de Souza. Editor-in-chief: Elisiane Lorenzini.

Equivalence	I-DECIDED^® Intravenous (IV) Assessment and Decision Tool CVI	Vascular Access Device Assessment Trial Form CVI
Semantic	0.91	0.94
Idiomatic	0.94	0.97
Experiential	0.98	0.97
Conceptual	0.93	0.99
Mean	0.94	0.97

Instrument 1: I-DECIDED^® Intravenous (IV) Assessment and Decision Tool
Original version	Stage II - Synthesis of translations T1/T2 (T1-2)	Stage III - Back-translation (BT1/BT2)
I-DECIDED^® IV ASSESSMENT & DECISION TOOL	I-DECIDED ^® FERRAMENTA DE AVALIAÇÃO E DECISÃO INTRAVENOSA (IV)	I-DECIDED^® INTRAVENOUS ASSESSMENT (IV) AND DECISION TOOL
IDENTIFY if an IV is in situ	IDENTIFICAR se há um cateter IV instalado	IDENTIFY If there is an IV catheter installed
DOES patient need the IV? Unused in last 24hrs? Use unlikely in next 24hrs? Consider removal. Change to oral meds?	DETERMINAR se o paciente precisa do cateter IV? Não foi utilizado nas últimas 24hrs? O uso é improvável nas próximas 24hrs? Considere a remoção. Mudar para medicamentos orais?	DETERMINE if the patient needs an IV catheter? It hasn’t been used in the last 24 hours? Is its use unlikely in the next 24hrs? Consider removal. Switch to oral medications?
EFFECTIVE function? Follow local policy for flushing and locking.	EFETIVO funcionamento? Siga as diretrizes da instituição quanto ao flushing e lock do cateter.	EFFECTIVE FUNCTION? Follow institution guidelines for catheter flushing and locking.
COMPLICATIONS at IV site? Pain ≥2/10, redness, swelling, discharge, infiltration, extravasation, hardness, palpable cord or purulence.	COMPLICAÇÕES no local do cateter IV? Dor ≥2/10, hiperemia, edema, exsudato, infiltração, extravasamento, endurecimento, cordão venoso palpável ou secreção purulenta.	COMPLICATIONS at the IV Catheter Site? Pain ≥2/10, hyperemia, edema, exudate, infiltration, extravasation, hardening, palpable venous cord or purulent discharge.
INFECTION prevention Hand hygiene, scrub the hub & allow to dry before each IV access. Careful use of administration sets.	INFECÇÃO - Prevenção Higienizar as mãos. Desinfectar os conectores e esperar secar antes de cada manipulação do cateter intravenoso. Uso cuidadoso de todos os dispositivos de infusão IV.	INFECTION - Prevention Wash your hands. Disinfect the connectors and wait for them to dry before each handling of the IV catheter. Careful use of all IV infusion devices.
DRESSING & securement Clean, dry and intact. IV and lines secure.	DETERMINAR cobertura e estabilização Curativo limpo, seco e intacto. Cateter intravenoso e de conexões seguras.	DETERMINE COVERAGE and stabilization Clean, dry and intact dressing. Intravenous catheter with secure connections.
EVALUATE & EDUCATE Discuss IV plan with the patient & family.	EDUCAR E AVALIAR Discutir o plano do cateter IV com o paciente e família.	EDUCATE AND EVALUATE Discuss the IV catheter plan with the patient and family.
DOCUMENT your decision Continue, change dressing, or remove IV.	DOCUMENTAR sua decisão Manter, trocar o curativo ou remover o cateter IV.	DOCUMENT your decision Maintaining, changing the dressing or removing the IV catheter.
Always consider local policy, and consult with team & patient as required.	Considerar as recomendações institucionais e consultar a equipe e o paciente, conforme necessário.	Consider institutional recommendations and consult with staff and patient as needed.
Instrument 2: Form for Assessment of the Vascular Access Device
Original version	Stage II - Synthesis of translations T1/T2 (T1-2)	Stage III - Back-translation (BT1/BT2)
VASCULAR ACCESS DEVICE ASSESSMENT TRIAL FORM	FORMULÁRIO PARA AVALIAÇÃO DO DISPOSITIVO DE ACESSO VASCULAR	FORM FOR ASSESSMENT OF THE VASCULAR ACCESS DEVICE
I-DECIDED™ IV ASSESSMENT & DECISION TOOL If the IV is not needed, not working, or has any complications, it should be removed as soon as possible. Always consider local policy and consult with team & patient as required.	I-DECIDED™ FERRAMENTA DE AVALIAÇÃO E DECISÃO INTRAVENOSA (IV) Se o cateter IV não for necessário, não funcionar ou apresentar alguma complicação, ele deve ser removido o mais rápido possível. Sempre considerar as recomendações institucionais e consultar a equipe e o paciente conforme necessário.	I-DECIDED™ INTRAVENOUS (IV) ASSESSMENT AND DECISION TOOL If the IV catheter is not needed, does not work, or has any complications, it should be removed as soon as possible. Always consider institutional recommendations and consult with staff and patient as needed.
IV Assessment and Decision Record Tick when completed	Avaliação do cateter IV e registro de decisão Assinale quando realizado	IV catheter assessment and decision record Tick when done
IDENTIFY if an IV is in situ If an IV has been removed in past 48 hrs, observe site for post-infusion phlebitis.	IDENTIFICAR se há um cateter IV instalado Se um cateter IV tiver sido removido nas últimas 48hs, observe o local quanto a flebite pós-infusão.	IDENTIFY If there is an IV catheter installed If an IV catheter has been removed within the last 48 hours, observe the site for post-infusion phlebitis.
DOES patient need the IV? If not used in past 24 hrs, or unlikely to be used in next 24 hrs, consider removal. Consider change to oral medications.	DETERMINAR se o paciente precisa do cateter IV? Se não utilizado nas últimas 24 h ou o seu uso seja improvável nas próximas 24hs, considere a remoção. Considere trocar para medicamentos orais.	DETERMINE if the patient needs an IV catheter? If it has not been used in the last 24 hours or its use is unlikely in the next 24hrs, consider removal. Consider switching to oral medications.
EFFECTIVE function? Does the IV infuse and/or flush well? Follow local policy for flushing and locking.	EFETIVO funcionamento? O cateter IV está eficaz quanto a infusão e/ou flushing? Siga as recomendações da instituição quanto ao flushing e lock.	EFFECTIVE function? Is the IV catheter effective for infusion and/or flushing? Follow institution guidelines for catheter flushing and locking.
COMPLICATIONS at IV site? Pain ≥2/10, redness >1cm, swelling >1cm, discharge, infiltration, extravasation, hardness, palpable cord or purulence. If complications are noted, troubleshoot or remove device.	COMPLICAÇÕES - local do cateter IV está livre de complicações? Dor ≥ /10, hiperemia >1cm, edema >1cm, exsudato, infiltração, extravasamento, endurecimento, cordão venoso palpável ou secreção purulenta. Se observado complicações, solucione o problema ou remova o dispositivo.	COMPLICATIONS - Is the IV catheter site complication-free? Pain ≥2/10, hyperemia >1cm, edema >1cm, exudate, infiltration, extravasation, hardening, palpable venous cord or purulent discharge. If complications are observed, resolve the problem or remove the device
INFECTION prevention Hand hygiene, ANTT, scrub the hub & allow to dry before each IV access.	INFECÇÃO - Prevenção Higienize as mãos, utilize a técnica asséptica sem toque, desinfecte os conectores e espere secar antes de cada manipulação do cateter IV.	INFECTION - Prevention Sanitize hands, use aseptic no-touch technique, disinfect connectors and allow to dry before each handling of the IV catheter.
DRESSING & securement Goal=Clean, dry, and intact. Change if moist, soiled or loose. Secure IV & tubing.	DETERMINAR cobertura e estabilização Meta=Limpo, seco e intacto. Trocar se estiver úmido, sujo ou solto. Fixar dispositivos IV e de infusão.	DETERMINE COVERAGE and stabilization Goal=Clean, dry and intact. Change if damp, dirty or loose. Fix IV and infusion devices.
EVALUATE & EDUCATE Evaluate concerns. Educate as needed. Discuss IV plan with patient & family.	EDUCAR E AVALIAR Avalie preocupações. Eduque conforme necessário. Discuta o plano quanto ao uso do cateter IV com o paciente e família.	EDUCATE AND EVALUATE Assess concerns. Educate as needed. Discuss plan for IV catheter use with patient and family.
DOCUMENT your decision, based on this assessment (choose one) Continue to monitor Dressing/securement change Remove IV and document above.	DOCUMENTAR sua decisão, baseada nesta avaliação (escolha uma) Continuar a monitorar Trocar o curativo/ fixação Remover o cateter IV.	DOCUMENT your decision, based on this assessment (choose one). Continue to monitor. Change the coverage/fixation. Remove IV and document above.

[1] CORRESPONDING AUTHOR
Thiago Lopes Silva. thiagoslopes@outlook.com

Brasil

Brasil

I-DECIDED®-BRAZIL: CROSS-CULTURAL ADAPTATION OF AN ASSESSMENT AND DECISION-MAKING TOOL FOR PERIPHERAL INTRAVENOUS CATHETER

I-DECIDED®-BRASIL: ADAPTACIÓN TRANSCULTURAL DE UNA HERRAMIENTA DE EVALUACIÓN Y TOMA DE DECISIONES PARA CATÉTERES INTRAVENOSOS PERIFÉRICOS

ABSTRACT

Objective:

Method:

Results:

Conclusion: