Instrument for assessing the quality of mobile emergency pre-hospital care: content validation

Abstract

OBJECTIVES To validate an instrument to assess quality of mobile emergency pre-hospital care. METHOD A methodological study where 20 professionals gave their opinions on the items of the proposed instrument. The analysis was performed using Kappa test (K) and Content Validity Index (CVI), considering K> 0.80 and CVI ≥ 0.80. RESULTS Three items were excluded from the instrument: Professional Compensation; Job Satisfaction and Services Performed. Items that obtained adequate K and CVI indexes and remained in the instrument were: ambulance conservation status; physical structure; comfort in the ambulance; availability of material resources; user/staff safety; continuous learning; safety demonstrated by the team; access; welcoming; humanization; response time; costumer privacy; guidelines on care; relationship between professionals and costumers; opportunity for costumers to make complaints and multiprofessional conjunction/actuation. CONCLUSION The instrument to assess quality of care has been validated and may contribute to the evaluation of pre-hospital care in mobile emergency services.

Avaliação da satisfação dos usuários atendidos por serviço pré-hospitalar móvel de urgência

“…The practice of evaluating the quality of health services through a survey of users has spread since the 1970s, in Europe and the United States, with the objective of achieving better clinical results through adherence to treatment, in three dimensions: attendance at consultations; acceptance of recommendations and prescriptions; and adequate use of medicines 2 .…”

Quality Of Care Indicators Of A Pre-Hospital Mobile Emergency: A Review

“…Since conducting academic research to the evaluation of health services and its implementation by the Ministry of Health, it is necessary evaluative research to support the development of sectoral policies and programs and the dissemination of its results [16,30].…”

“…In the same context, authors [16,20] emphasize that technological advances have driven the steady increase in care complexity and demanding an increasingly high level of attention from health professionals, creating a growing demand for material resources and equipment. Thus, the need for health services to improve the management system for these resources to ensure continuous assistance are necessary for ensuring the quality and quantity of materials and displacement devices such as ambulances, so that professionals can carry out their activities safely, with the appropriate time response for each occurrence requested.…”

Evaluation Of The Quality Of Assistance In An Pre-Hospital Mobile Emergency Service

“…The instrument used to evaluate the quality of care of the SAMU was the Pre-Hospital Care Quality Rating Scale (AQ-APH), developed based on an integrative review and previously validated [10].…”

“…The AQ-APH scale has 17 items that assess Quality of Care (QC), with 08 items related to the structure (ambulance status, physical structure, ambulance comfort, ambulance patient safety, material resources, safety of the staff in the support centers, permanent education) and 09 items related to the process (access, reception, humanization, response time, respect for patients´ privacy, service orientation, opportunity of the patient in claiming and multi-professional articulation [10].…”