Using the Content Validity Index to Determine Content Validity of an Instrument Assessing Health Care Providers’ General Knowledge of Human Trafficking

2017 ◽  
Vol 4 (4) ◽  
pp. 327-335 ◽  
Author(s):  
Diana Kovacic
2020 ◽  
Vol 11 (4) ◽  
pp. 62
Author(s):  
Oliva Bazirete ◽  
Manassé Nzayirambaho ◽  
Aline Umubyeyi ◽  
Marie Chantal Uwimana ◽  
Evans Marilyn

Background: Postpartum hemorrhage remains the main cause of maternal mortality in Low and Middle Income Countries. There is a need to advocate for extra vigilance to recognize women at a greater risk and implement early intervention for Postpartum hemorrhage prevention. The purpose of the present study is to develop a content validated risk assessment tool for the prediction and prevention of Postpartum hemorrhage among childbearing women.Methods: This study is drawn from a larger mixed method sequential exploratory study. Factors influencing the prevention of Postpartum hemorrhage were identified from a scoping review and qualitative descriptive studies previously conducted. To establish content validity Index of the instrument, content experts assessed each item of the tool for comprehensiveness, relevance, and face validity. The tool was pilot tested to assess its clinical utility by fifteen (15) health care providers purposively selected from one district hospital based on a minimum of one-year experience in maternity. Ethical considerations were observed.Results: The Risk Assessment Tool went through three rounds of assessment for its content validity. The final round of quantification of the content validity demonstrates that 4 items out of 46 had an Item Content Validity Index (I-CVI) of 0.85 while 42 had the maximum I-CVI of 1. The overall Scale Content Validity Index/ Average (S-CVI/Ave) was 0.98, and the universal approach of Scale Content Validity Index/Universal Agreement (S-CVI/UA) was 0.91. The assessment of clinical utility of Risk Assessment Tool for the Prediction and Prevention of Postpartum hemorrhage among Childbearing women (RATP) demonstrates that its format allows easy recording of findings and using the tool can be an added value for prevention of PPH.Conclusions: The risk assessment tool for the prediction and prevention of Postpartum hemorrhage is intended to be used by health care providers in Rwanda to identify mothers at risk of developing PPH and implement timely prevention strategies. The clinical use of the tool can be vital in the development of accurate preventive approaches by key policy makers in Rwanda in particular and in other developing countries.


2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Daniela Couto Carvalho Barra ◽  
Gabriela Beims Gapski ◽  
Fernanda Paese ◽  
Grace Teresinha Marcon Dal Sasso ◽  
Paulino Artur Ferreira de Sousa ◽  
...  

ABSTRACT Objectives: to identify and confirm the priority nursing diagnosis of International Classification for Nursing Practice® for home nursing consultation to adults in Primary Health Care. Methods: qualitative study, of methodological and validation type. The 5-point Likert scale was used, with a minimum Content Validity Index of 80% consensus among judges., considering the answers “priority” or “very priority” for the list of nursing diagnoses presented. 23 expert judges participated in this survey. Results: a hundred and eleven nursing diagnoses of prepared statements lists have been grouped by human systems and sociodemographic characteristics. were grouped by human systems and sociodemographic characteristics. Eighty-three of them (74.77%) had a Content Validity Index equal or higher to 0.8; and 27 (32.5%) had an index of 1.0 (100%) among judges. Conclusions: nursing diagnosis validated can be used to assist clients in home nursing consultations in Primary Health Care.


2020 ◽  
Author(s):  
Sybil Zachariah ◽  
Ashish Sharma ◽  
Corey B Bills ◽  
Htoo Ma (Tony) Ohn ◽  
Rebecca Walker

Abstract Background: Myanmar is a source country for men, women, and children who are subject to human trafficking and forced labor. Given that human trafficking and forced labor victims frequently experience physical and mental health concerns, healthcare practitioners have a unique opportunity to identify and assist victims. This study aims to understand the attitudes, perspectives, and levels of comfort for healthcare providers in caring for victims of human trafficking. It also seeks to understand the types of additional educational resources that could better equip medical personnel to improve care for survivors of human trafficking.Methods: A 20-question survey collected data anonymously from a convenience sample of healthcare providers that attended a one-day emergency care conference in Yangon, Myanmar.Results: While a significant number (70%) of medical professionals surveyed reported that they feel the problem of abuses for labor or sex in the community was "serious" or "very serious", a majority of them felt neutral or uncomfortable about identifying patients that are currently being abused in some way. Only 2% of respondents felt comfortable identifying victims of abuse. Over half of the healthcare workers surveyed indicated they would be interested in attending conferences, symposia, or lectures specific to human trafficking and receiving training in identifying victims and assisting victims of exploitation.Conclusions: Health care providers in Myanmar consider labor and sex trafficking as a significant problem in their community, but do not feel adequately trained to identify and help victims of exploitation. Given that even brief educational interventions can increase providers knowledge and self-reported recognition of human trafficking victims, there is a window of opportunity in Myanmar to provide training to currently practicing health providers.


2019 ◽  
Vol 42 (2) ◽  
pp. 131-142 ◽  
Author(s):  
Hannah E. Fraley ◽  
Teri Aronowitz ◽  
Hanni M. Stoklosa

Human trafficking is a global population health threat. Trafficking minors threatens the safety and well-being of youth. Limited studies measure health care providers’ awareness and attitudes toward trafficking. This systematic review synthesized retrospective and current knowledge and identified gaps in educational interventions aimed at increasing providers’ awareness and attitudes toward trafficking. A systematic search of four databases identified peer-reviewed published papers between January 1, 2000 and September 1, 2018. The Cochrane Collaboration’s Preferred Reporting Items for Systematic Reviews was followed. Study quality was assessed using the Downs and Black checklist. The Psychometric Grading Framework was used to assess the validity of instruments. Findings across studies ( N = 7) reveal providers (mostly social workers and physicians) have low awareness of trafficking and can have negative attitudes toward victims. Multiphase educational approaches and use of content experts, including survivors, in developing interventions enhanced sustainability of outcomes. Targeting multidisciplinary health care teams, including nurses, enhanced interventions.


2017 ◽  
Vol 35 (23-24) ◽  
pp. 5552-5573 ◽  
Author(s):  
Jessica R. Williams ◽  
Rosa M. Gonzalez-Guarda ◽  
Valerie Halstead ◽  
Jacob Martinez ◽  
Laly Joseph

The purpose of this study was to better understand victims’ perspectives regarding decisions to disclose gender-based violence, namely, intimate partner violence (IPV) and human trafficking, to health care providers and what outcomes matter to them when discussing these issues with their provider. Twenty-five participants from racially/ethnically diverse backgrounds were recruited from a family justice center located in the southeastern United States. Two fifths had experienced human trafficking, and the remaining had experienced IPV. Upon obtaining informed consent, semistructured, in-depth interviews were conducted. Interviews were audio recorded and transcribed verbatim. Qualitative content analysis was used to examine interview data. Five primary themes emerged. Three themes focused on factors that may facilitate or impede disclosure: patient–provider connectedness, children, and social support. The fourth theme was related to ambiguity in the role of the health care system in addressing gender-based violence. The final theme focused on outcomes participants hope to achieve when discussing their experiences with health care providers. Similar themes emerged from both IPV and human trafficking victims; however, victims of human trafficking were more fearful of judgment and had a stronger desire to keep experiences private. Cultural factors also played an important role in decisions around disclosure and may interact with the general disparities racial/ethnic minority groups face within the health care system. Recognizing factors that influence patient engagement with the health care system as it relates to gender-based violence is critical. The health care system can respond to gender-based violence and its associated comorbidities in numerous ways and interventions must be driven by the patient’s goals and desired outcomes of disclosure. These interventions may be better served by taking patient-centered factors into account and viewing the effectiveness of intervention programs through a behavioral, patient-centered lens.


Author(s):  
Kim M Unertl ◽  
Colin G Walsh ◽  
Ellen Wright Clayton

Abstract Objective Human trafficking is a global problem taking many forms, including sex and labor exploitation. Trafficking victims can be any age, although most trafficking begins when victims are adolescents. Many trafficking victims have contact with health-care providers across various health-care contexts, both for emergency and routine care. Materials and Methods We propose 4 specific areas where medical informatics can assist with combatting trafficking: screening, clinical decision support, community-facing tools, and analytics that are both descriptive and predictive. Efforts to implement health information technology interventions focused on trafficking must be carefully integrated into existing clinical work and connected to community resources to move beyond identification to provide assistance and to support trauma-informed care. Results We lay forth a research and implementation agenda to integrate human trafficking identification and intervention into routine clinical practice, supported by health information technology. Conclusions A sociotechnical systems approach is recommended to ensure interventions address the complex issues involved in assisting victims of human trafficking.


2018 ◽  
Vol 71 (suppl 4) ◽  
pp. 1589-1595
Author(s):  
Michelli Pacheco Sako ◽  
Adriana Maria da Silva Felix ◽  
Julia Yaeko Kawagoe ◽  
Maria Clara Padoveze ◽  
Silvia Alice Ferreira ◽  
...  

ABSTRACT Objective: To elaborate and validate a tool to assess knowledge and behavior of nursing professionals about standards and specific precautions in the Primary Health Care. Method: Methodological study of the elaboration and validation of the tool by thirteen experts judges, using a Likert scale of 4 points, with Content Validity Index ≥ 0.80, on clarity, relevance and pertinence. Results: A tool composed of 47 dichotomous questions to assess knowledge and 12 questions, with five options of answers, for the referred behavior. In the validation, only one item was deleted, related to the “Hands Hygiene” axis and one item was reformulated, regarding “Use of Common Gloves” and another 11 changed writing. The tool as a whole was assessed for relevance, comprehensiveness and representativeness within the scope of the topic investigated. Conclusion: The developed tool has been validated and is now available for use in Primary Health Care.


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