Preimplementation of Critical Care Early Mobility Clinical Decision Support

内容有效性 利克特量表 清晰 索引(排版) 比例(比率) 心理学 应用心理学 计算机科学 心理测量学 临床心理学 生物化学 量子力学 物理 万维网 发展心理学 化学
作者
Heather Dunn,Natany da Costa Ferreira,Anna Krupp
出处
期刊:Cin-computers Informatics Nursing 被引量:1
标识
DOI:10.1097/cin.0000000000001121
摘要

Early mobility is a form of critical care rehabilitation ranging from in-bed exercise to ambulation and is known to limit post–intensive-care functional decline. Multiple barriers prevent widespread early mobility implementation. Clinical decision support systems can optimize the decision-making process and overcome barriers to care. However, critical care early mobility clinical decision support does not exist. Our objective was to develop and establish the content validation of the operational definitions for a novel critical care early mobility assessment instrument. Content validation was conducted in two steps: (1) development of operational definitions by the research team and (2) content validation with 10 nurse experts. Quality assessment and suitability of the operational definitions for 30 items, across four safety domains, were assessed using a 7 point-Likert scale. Item content validity index scores ranged from 0.6 to 0.1 after the first validation round. Domains containing items with item content validity index scores less than the lower limit of 0.78 were modified for clarity of language. Item content validity index scores ranged from 0.8 to 1.0, and the scale-level content validity index was 0.93 after the second content validation round. Excellent content validity of the operational definitions was achieved. This is the first methodological step in a larger project to develop clinical decision support for critical care early mobility.
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