Development of a measurement instrument to assess patient safe transition at hospital discharge
Rev Gaucha Enferm. 2023 Mar 3;43(spe):e20220222.
doi: 10.1590/1983-1447.2022.20220222.en.
eCollection 2023.
[Article in
English,
Portuguese]
Affiliations
- 1 Universidade Federal do Rio Grande do Sul (UFRGS), Escola de Enfermagem, Departamento de Assistência e Orientação Profissional. Porto Alegre, Rio Grande do Sul, Brasil.
- 2 Universidade Federal do Rio Grande do Sul (UFRGS), Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem. Porto Alegre, Rio Grande do Sul, Brasil.
- 3 Pesquisadora Autônoma. Porto Alegre, Rio Grande do Sul, Brasil.
- 4 Universidade Federal do Rio Grande do Sul (UFRGS), Escola de Enfermagem, Graduação em Enfermagem. Porto Alegre, Rio Grande do Sul, Brasil.
- 5 University of British Columbia (UBC), Okanagan Campus, Faculty of Health and Social Development. SchoolofNursing. Kelowna, British Columbia, Canadá.
Abstract
Objective:
To develop and validate the content of a measurement instrument to assess the quality of care transitions and patient safety at hospital discharge from the nurses' perspective.
Methods:
A methodological study developed in southern Brazil between April 2019 and January 2022, in three stages: integrative review and semi-structured interviews with six nurses for construction of the instrument; content validation with a committee of 14 experts; and a pre-test with 20 nurses. A Content Validity Index above 0.80 was employed.
Results:
A measurement instrument with 37 items organized into six domains was developed, as follows: structure; discharge planning; care education; referral for continuity of care; safety culture, and care transitions results. The general Content Validity Index reached 0.93.
Conclusions:
The measurement instrument presented content validation and will contribute to understanding transitional care in the Brazilian context, proposing changes to qualify and strengthen patient safety at hospital discharge.
MeSH terms
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Hospitals
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Humans
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Patient Discharge*
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Patient Safety
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Patient Transfer*
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Psychometrics / methods
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Reproducibility of Results
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Surveys and Questionnaires