Translation and further validation of a global rating scale for the assessment of clinical competence in prehospital emergency care

Bremer, Anders; Hagiwara, Magnus Andersson; Tavares, Walter; Paakkonen, Heikki; Nyström, Patrik; Andersson, Henrik

doi:10.1016/j.nepr.2020.102841

Cited by 10 publications

(15 citation statements)

References 41 publications

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“…Hospital suitability protocols emerge as a reference to classify patients by levels of complexity. They are essential to achieve acceptable clinical competence, protect patient safety and optimize outcomes in high-risk care situations (13) .…”

Section: Discussionmentioning

confidence: 99%

Hospital emergency suitability protocol: translation and adaptation to the Brazilian culture

Oliveira

Santos

Nolêto

et al. 2022

Rev. Gaúcha Enferm.

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Objective Translate and culturally adapt the Hospital Emergency Suitability Protocol (HESP) to Brazilian Portuguese. Method Methodological study, developed from 2019 to 2021, in an emergency hospital, and which followed the stages of translation, synthesis of translations, back-translation, review by an expert committee, pre-test and submission to the authors of the protocol. The sample included four translators, five experts, who assessed conceptual, semantic, cultural, and idiomatic equivalence, 21 nurses and nine physicians, who participated in the pre-test. Content Validity Index (CVI), Cronbach’s alpha and Kendall’s coefficient of concordance were used. Results The final version of the adaptation presented Content Validity Index that ranged from 0.40 to 1.0. The internal consistency, according to Cronbach’s alpha coefficient, showed Semantic Equivalence (α=0.815), Idiomatic Equivalence (α=0.924), Experiential Equivalence (α=0.682), Conceptual Equivalence (α=0.71), which presented acceptable values, except for the experiential equivalence. Kendall W’s coefficient (W=0.14 to 0.58) revealed good reliability. Conclusion The translation and cultural adaptation process of the HESP originated an instrument applicable to the Brazilian context.

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Section: Discussionmentioning

confidence: 99%

Hospital emergency suitability protocol: translation and adaptation to the Brazilian culture

Oliveira

Santos

Nolêto

et al. 2022

Rev. Gaúcha Enferm.

View full text Add to dashboard Cite

show abstract

“…Os protocolos de adequação hospitalar surgem como referência para classificar pacientes por níveis de complexidade. Eles são essenciais para alcançar competência clínica aceitável, proteger a segurança do paciente e otimizar seu resultado em situações de cuidado de alto risco (13) .…”

Section: Discussionunclassified

Protocolo de Adecuación de urgencias hospitalarias: tradução e adaptação para a cultura brasileira

Oliveira

Santos

Nolêto

et al. 2022

Rev. Gaúcha Enferm.

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RESUMO Objetivo: Traduzir e adaptar culturalmente o Protocolo de Adecuación de Urgencias Hospitalarias (PAUH) para o português do Brasil. Método: Estudo metodológico, desenvolvido no período de 2019 a 2021, em hospital de urgência, e que seguiu as etapas de tradução, síntese das traduções, retrotradução, revisão por comitê de experts, pré-teste e submissão aos autores do protocolo. A amostra incluiu quatro tradutores, cinco experts, que avaliaram equivalência conceitual, semântica, cultural e idiomática, 21 enfermeiros e nove médicos, que participaram do pré-teste. Utilizou-se Indíce de Validade de Conteúdo (IVC), alfa de Cronbach e concordância de Kendall. Resultados: A versão final da adaptação apresentou IVC que variou de 0,40 a 1,0. A consistência interna evidenciou Equivalência Semântica (α=0,815), Equivalência Idiomática (α=0,924) e Equivalência Conceitual (α=0,71), com valores aceitáveis. A concordância de Kendall revelou boa confiabilidade (W=0,14-0,58). Conclusão: O processo de tradução e adaptação cultural do PAUH originou instrumento aplicável ao contexto brasileiro.

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“…None of the elements of the tool is performed in isolation while leading; communication for example is integral to delegation and delegation is a key component of managing resources and so on. Global rating scales have been used in medicine as a replacement for checklists (Ma et al, 2012) and in other health professions alongside individual item ratings (Bremer et al, 2020). Ilgen et al (2015) describe how global rating scales are more discriminating because they allow the input and analysis of information from various data points.…”

Section: Discussionmentioning

confidence: 99%

Development and Evaluation of the Validity and Reliability of the Leading and Managing Care Pre-Registration Nursing Student Assessment Tool

2021

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Background Clinical nursing leadership influences patient safety and the quality of care provided. Nurses at all levels require leadership and management skills. Despite recognition of the importance of leadership, student nurses often feel ill prepared to make the transition to Registered Nurse and struggle with prioritisation and delegation. In order to standardise student experience and promote the development of skills and attributes, a leadership and management competency assessment was developed and implemented. Aims This study aimed to identify the constructs that should be part of an assessment of student nurse competence in relation to clinical nursing leadership, and to evaluate the tool’s reliability. Method The first phase was to construct the competency assessment tool, using a mixture of deductive methods, including literature and expert review. Second, psychometric evaluation of the tool, including tests to examine its internal consistency and reliability, comparing test and retest reliability, exploratory factor analysis and generalisability theory analysis to identify reliability and sources of error. Results Five attributes were identified for inclusion in the tool alongside a scale of competence. 150 assessments were conducted with an average time between each assessment of three days. The results show that the tool was consistent over time with no significant difference in the mean scores. The Cronbach alpha was 0.84 and the tool had good internal consistency. The results of the factor analysis revealed loading onto a single construct. Generalisability theory analysis revealed 0.90 global reliability, with students accounting for the majority of the variation in scores. Conclusions The Leading and Managing Care assessment tool represents a valid and reliable assessment of student nurse competence to lead care delivery. Use of the tool during practice placement allows for a structured approach to the development of skills around prioritisation, management of resources, communication and the management of risk.

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Translation and further validation of a global rating scale for the assessment of clinical competence in prehospital emergency care

Cited by 10 publications

References 41 publications

Hospital emergency suitability protocol: translation and adaptation to the Brazilian culture

Hospital emergency suitability protocol: translation and adaptation to the Brazilian culture

Protocolo de Adecuación de urgencias hospitalarias: tradução e adaptação para a cultura brasileira

Development and Evaluation of the Validity and Reliability of the Leading and Managing Care Pre-Registration Nursing Student Assessment Tool

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