scholarly journals Development and Testing of a Clinical Practice Framework for Pharmacists to Assess Patients’ Travel-Related Risks: The 5W Approach to Travel Risk Identification

Pharmacy ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 159 ◽  
Author(s):  
Heidi V.J. Fernandes ◽  
Sherilyn K.D. Houle

Objective: To assist with identifying patients who may be managed by pharmacists without additional travel medicine training, versus those who may benefit from referral, we developed and validated a clinical practice framework. This framework was then piloted in eight pharmacies in Ontario, Canada, from March to August 2019. Methods: A panel of experts, comprised of physicians and pharmacists from Ontario, Canada, holding a Certificate in Travel HealthTM from the International Society of Travel Medicine was recruited. This panel participated electronically in the development of the framework in three stages: (1) Sharing their current approach when performing information gathering and assessing risk in a traveling patient; (2) judging of items collated from all panellists on the basis of how essential they are to a risk assessment; and (3) validation of items deemed essential by the panel using the Item and Average Content Validity Index. The framework was then released to community pharmacies, where pharmacists that self-identified as beginners to travel medicine completed pre- and post-test phase surveys to determine the utility of the framework. Key Findings: A total of 64 items for consideration were deemed essential enough to proceed to content validation, organized into 5 ‘W’ domains: Who, What, Where, When, and Why. Each item was ranked by the experts according to its relevancy, resulting in an Average-Content Validity Index of 0.91. The resulting framework was titled “The 5W Approach to Travel Risk Identification.” This clinical practice framework is the first published assessment tool for travel medicine tailored for pharmacy’s scope of practice that has been content validated. Pharmacists reported that the framework is simple to use and provides structure for interactions with travelling patients. However, it may not be as beneficial for those with a higher level of travel medicine expertise than the average pharmacist. Conclusion: The 5W Approach tool allows pharmacists inexperienced in travel medicine to collect information when required to use their professional judgement when assessing traveling patients as either high-risk (requiring a referral to a travel medicine specialist) or low-risk. With the aim of supporting pharmacists to be more confident in caring for traveling patients and increasing their involvement in travel medicine, future research will test this framework for feasibility in Canadian community pharmacy practice.

2019 ◽  
Vol 11 (6) ◽  
pp. 19 ◽  
Author(s):  
Thammanard Charernboon

OBJECTIVES: The study aimed to evaluate content validity, convergent validity, internal consistency and test-retest reliability of the Thai version of the Scale for the Assessment of Negative Symptoms (SANS-Thai). METHODS: The content validity of the SANS-Thai was assessed using four experts. The average-content validity index and item level content validity index were analyzed. The SANS-Thai and the Thai versions of the Addenbrooke’s Cognitive Examination (ACE) were administered to 40 people with schizophrenia to examine convergent validity and internal consistency. Twenty participants took the second SANS-Thai assessment within four weeks to evaluate test-retest reliability. RESULTS: The results demonstrated that the SANS-Thai has excellent content validity with the average-content validity index of 0.94. The majority of the item level content validity index range from 0.75 to 1. The global and total SANS-Thai score moderately correlated with the ACE with the correlation coefficient of -0.48 (p = 0.002) and -0.49 (p=0.001), respectively. Internal consistency by the Cronbach alpha coefficient was 0.95. Test-retest reliabilities by intraclass correlation were 0.91 (p<0.001) for global SANS-Thai and 0.9 (p<0.001) for total SANS-Thai. The Bland-Altman plot demonstrated that only 5% of the participants fell outside the limits of agreement for both global SANS and total SANS scores. CONCLUSION: The SANS-Thai appears to be a valid and reliable measure of negative symptoms in schizophrenia and could be useful for patient care and research studies.


2021 ◽  
Author(s):  
MARIA-LARA MARTINEZ-GIMENO ◽  
GEMA ESCOBAR-AGUILAR ◽  
NÉLIDA FERNÁNDEZ-MARTÍNEZ ◽  
MARIA-ANTONIA OVALLE-PERANDONES ◽  
JOSE-ALBERTO BENÍTEZ-ANDRADES ◽  
...  

Abstract Background: For more than four decades, studies have reported the existence of a large gap between research and clinical practice. This means that research results are not contributing to the improvement of care, and there is a high level of variability which complicates deciding on and implementing the “best care” available. In this context, it is important to understand how nurses use the research by generating different knowledge translation networks in clinical practice. Therefore, a tool is required to detect the structure of the links that are generated during the research utilization. Aim: to validate the content of a questionnaire for exploring the knowledge translation networks established among nursing professionals. Methods: A descriptive cross-sectional content validity study of an instrument created to explore the knowledge translation network between nurses was carried out. The participants were divided into two groups: experts in Social Network Analysis (SNA) and practicing nurses. The instrument was a questionnaire with items that collected both the network's variables, and those of the individual. The content of the items of the questionnaire was validated as set out in the Content Validity Index (CVI). Results: The total Content Validity Index (CVI) of the survey was 0.91. All items received an excellent rating (K*>0.81). The modified kappa coefficient for the whole scale was 0.9. Conclusions: The validated questionnaire has good content validity for exploring social networks for knowledge translation and research utilization among nursing professionals.


2020 ◽  
Vol 19 (3) ◽  
pp. 269-274 ◽  
Author(s):  
İsmail Toygar ◽  
Sadık Hançerlioğlu ◽  
Selden Gül ◽  
Tülün Utku ◽  
Ilgın Yıldırım Şimşir ◽  
...  

The purpose of this study was to evaluate the validity and reliability of the Turkish version of the Diabetic Foot Scale–Short Form (DFS-SF). The study was cross-sectional and conducted between January and October 2019 in a diabetic foot council of a university hospital. A total of 194 diabetic foot patients participated in the study. A Patient Identification Form and DFS-SF were used for data collection. Forward and backward translations were used in language validity. Expert opinions were obtained to determine the Content Validity Index. To determine construct validity, exploratory factor analysis and confirmatory factor analysis were used. Cronbach’s α internal consistency coefficient, item-scale correlation, and test-retest reliability were used to evaluate reliability. It was found that Content Validity Index was 0.97 (0.86-1.00), the factor loading of scale varied from 0.378 to 0.982, Cronbach’s α value varied from 0.81 to 0.94, and item-total correlations were between 0.30 and 0.75. The Turkish version of the DFS-SF was found valid and reliable to measure the quality of life of diabetic foot patients.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e045550
Author(s):  
Zhigang Zhang ◽  
Guoqiang Wang ◽  
Yuchen Wu ◽  
Jin Guo ◽  
Nannan Ding ◽  
...  

PurposeTo translate and adapt the Chelsea Critical Care Physical Assessment Tool (CPAx) into Chinese version (‘CPAx-Chi’), test the reliability and validity of CPAx-Chi, and verify the cut-off point for the diagnosis of intensive care unit-acquired weakness (ICU-AW).Study designCross-sectional observational study.MethodsForward and back translation, cross-cultural adaptation and pretesting of CPAx into CPAx-Chi were based on the Brislin model. Participants were recruited from the general ICU of five third-grade class-A hospitals in western China. Two hundred critically ill adult patients (median age: 53 years; 64% men) with duration of ICU stay ≥48 hours and Glasgow Coma Scale ≥11 were included in this study. Two researchers simultaneously and independently assessed eligible patients using the Medical Research Council Muscle Score (MRC-Score) and CPAx-Chi.ResultsThe content validity index of items was 0.889. The content validity index of scale was 0.955. Taking the MRC-Score scale as standard, the criterion validity of CPAx-Chi was r=0.758 (p<0.001) for researcher A, and r=0.65 (p<0.001) for researcher B. Cronbach’s α was 0.939. The inter-rater reliability was 0.902 (p<0.001). The area under the receiver operating characteristic curves of CPAx-Chi for diagnosing ICU-AW based on MRC-Score ≤48 were 0.899 (95% CI 0.862 to 1.025) and 0.874 (95% CI 0.824 to 0.925) for researcher B. The best cut-off point for CPAx-Chi for the diagnosis of ICU-AW was 31.5. The sensitivity was 87% and specificity was 77% for researcher A, whereas it was 0.621, 31.5, 75% and 87% for researcher B, respectively. The consistency was high when taking CPAx-Chi ≤31 and MRC-Score ≤48 as the cut-off points for the diagnosis of ICU-AW. Cohen’s kappa=0.845 (p=0.02) in researcher A and 0.839 (p=0.04) for researcher B.ConclusionsCPAx-Chi demonstrated content validity, criterion-related validity and reliability. CPAx-Chi showed the best accuracy in assessment of patients at risk of ICU-AW with good sensitivity and specificity at a recommended cut-off of 31.


Author(s):  
Elke Mattern ◽  
Gertrud M. Ayerle

ZUSAMMENFASSUNG Einleitung Der „Delivery Expectancy Questionnaire“ von Claas Wijma et al. (W-DEQ_A), der in der Schwangerschaft international am häufigsten zur Bestimmung von großer Angst vor der Geburt eingesetzt wird, lag bisher nicht in der deutschen Sprache vor. Angst vor der Geburt wird in europäischen Ländern, Canada, Australien und den USA mit einer Prävalenz von 6,3% bis 14,8% angegeben. Insbesondere bei Frauen mit Angst vor der Geburt sind die Risiken für eine Präeklampsie, intrauterine Wachstumsretardierung und Kaiserschnitte erhöht. Methode Eine von Claas Wijma autorisierte englische Fassung des W-DEQ_A wurde entsprechend der Richtlinie von Ohrbach et al. (INfORM) sprachlich übersetzt und kulturell adaptiert. Die Inhaltsvalidität wurde statistisch durch die Scale-Content Validity Index/Average Methode (S-CVI/Ave) bestimmt. Ergebnisse Die einer unabhängigen Begutachtung unterzogenen übersetzten Textteile des W-DEQ_A belegten die sprachliche und kulturelle Validität. Eine einleitende Frage und drei Items mussten erneut übersetzt werden. Darüber hinaus war eine Änderung der Formulierung bei drei weiteren Items notwendig, um eine kulturelle Äquivalenz zu erreichen. Die errechnete Inhaltsvalidität ergab einen „exzellenten“ S-CVI/Ave von 0,91. Schlussfolgerung Als Fragebogen zur Selbsteinschätzung mit dem Titel „Gedanken und Gefühle schwangerer Frauen im Hinblick auf die bevorstehende Geburt“ liegt der W-DEQ_A nun in Deutsch vor. In Form einer digitalen Gesundheits-App könnte der Fragebogen verschrieben und das Ergebnis direkt in die elektronische Patientenakte übernommen werden.


Curationis ◽  
2004 ◽  
Vol 27 (4) ◽  
Author(s):  
A. Barnard ◽  
M. Muller

The HIV/AIDS pandemic is posing major challenges to all sectors in South Africa, including the health sector of the city of Johannesburg. The health sector of the city of Johannesburg, as a result of the pandemic, is faced with increasing demands on its scarce resources at a time of major reform at local government level including transformation of the health sector. The overall objective of the study is to explore and describe a strategy for the management of HIV/AIDS by the health sector of the city of Johannesburg. An exploratory, descriptive and quantitative research design was utilized and the UNAIDS “Guide to the strategic planning process for a national response to HIV/AIDS” (1998), was employed to formulate the strategy. The content validity of the strategy was determined according to the process originally described by Lynn (1986) and adopted by Muller (in Booyens, 1998:607-609). The research was conducted in two phases. The first phase, the developmental phase, involved the exploration and description of the theoretical framework and the response to the pandemic, and formulation of a draft strategy. The second phase, the quantification phase, involved the assertion of the content of the strategy by a group of experts and determination of the content validity index (CV1). The final strategy focused on the following: to lead and facilitate intersectoral collaboration; to strengthen primary health care services to provide comprehensive community-based care; prevention of new infections; community mobilization towards prevention, non-discrimination and non stigmatization and empowerment of the health sector to deal with the AIDS .pandemic. The CVI results showed that the average content validity index determined during this study was adequate: full score (1.0) for acceptability and technical soundness, and 0.89 for feasibility and perceived affordability. The strategy formulated for the management of HI V/A1DS by the health sector of the city of Johannesburg is therefore acceptable, technically sound and feasible and perceived as affordable. It was finally recommended that the strategy be adopted for implementation within the health sector of the city of Johannesburg.


2018 ◽  
Vol 17 (03) ◽  
pp. 314-321
Author(s):  
José Manuel Hernández-Padilla ◽  
Matías Correa-Casado ◽  
José Granero-Molina ◽  
Alda Elena Cortés-Rodríguez ◽  
Tamara María Matarín-Jiménez ◽  
...  

AbstractObjectiveTo translate, culturally adapt, and psychometrically evaluate the Spanish version of the “Scale for End-of Life Caregiving Appraisal” (SEOLCAS).MethodObservational cross-sectional study. Convenience sample of 201 informal end-of-life caregivers recruited in a southern Spanish hospital. The reliability of the questionnaire was assessed through its internal consistency (Cronbach's α) and temporal stability (Pearson's correlation coefficient [r] between test-retest). The content validity index of the items and the scale was calculated. Criterion validity was explored through performing a linear regression analysis to evaluate the SEOLCAS’ predictive validity. Exploratory factor analysis was used to examine its construct validity.ResultsThe SEOLCAS’ reliability was very high (Cronbach's α = 0.92). Its content validity was excellent (all items’ content validity index = 0.8–1; scale's validity index = 0.88). Evidence of the SEOLCAS’ criterion validity showed that the participants’ scores on the SEOLCAS explained approximately 79.3% of the between-subject variation of their results on the Zarit Burden Interview. Exploratory factor analysis provided evidence of the SEOLCAS’ construct validity. This analysis revealed that two factors (“internal contingencies” and “external contingencies”) explained 53.77% of the total variance found and reflected the stoic Hispanic attitude toward adversity.Significance of resultsThe Spanish version of the SEOLCAS has shown to be an easily applicable, valid, reliable, and culturally appropriate tool to measure the impact of end-of-life care provision on Hispanic informal caregivers. This tool offers healthcare professionals the opportunity to easily explore Hispanic informal end-of-life caregivers’ experiences and discover the type of support they may need (instrumental or emotional) even when there are communicational and organizational constraints.


2014 ◽  
Vol 48 (5) ◽  
pp. 787-793 ◽  
Author(s):  
Ariane Polidoro Dini ◽  
Edinêis de Brito Guirardello

Objective Improve the content validity of the instrument for classification of pediatric patients and evaluate its construct validity. Method A descriptive exploratory study in the measurement of the content validity index, and correlational design for construct validation through exploratory factor analysis. Results The content validity index for indicators was 0.99 and it was 0.97 for graded situations. Three domains were extracted in the construct validation, namely: patient, family and therapeutic procedures, with 74.97% of explained variance. The instrument showed evidences of content and construct validity. Conclusion The validation of the instrument occurred under the approach of family-centered care, and allowed incorporating some essential needs of childhood such as playing, interaction and affection in the content of the instrument.



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.


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