11
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Validación de checklist para evaluación de la capacitación con simulación clínica de la atención al paciente séptico Translated title: Checklist validation for evaluation of training with clinical simulation of septic patient care Translated title: Validação de checklist para avaliação da capacitação com simulação clínica do atendimento ao paciente séptico

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          RESUMEN: Objetivo: Construir y validar el contenido de un checklist para evaluación de la capacitación de profesionales del área de la salud en la atención al paciente séptico con simulación clínica. Método: Estudio de validación metodológica de instrumento, con delineamiento estructural en dos etapas: construcción del instrumento y validación de contenido del checklist utilizando la técnica Delphi en dos rondas. Resultados: La validación de contenido fue compuesta por diez ítems y cuarenta y tres subítems analizados por los evaluadores. A través del Índice de Validez de Contenido, se identificaron cuatro ítems con fuerte evidencia de validación, Índice de Validez de Contenido ≥ 0,8. En la segunda ronda Delphi presentó un porcentaje de concordancia superior al 80% para todas las variables pertinentes al instrumento. Se reestructuró el checklist según recomendaciones de los evaluadores, manteniendo los diez ítems, pero con reducción para veintiséis subítems, que en la segunda ronda Delphi presentó un porcentaje de concordancia superior al 80% para todas las variables pertinentes al instrumento. Conclusión: Método fue eficaz para validar el contenido de un checklist que evaluará la capacitación de profesionales de la salud en la atención al paciente séptico, por medio de simulación clínica.

          Translated abstract

          ABSTRACT: Aims: Development and validation of the contents of a checklist to evaluate the qualification of health professionals in septic patient care with clinical simulation. Method: instrument validation study, with two-stage structural design: instrument construction and validation of the checklist contents using the Delphi technique in two rounds. Results: The content validation was composed of ten items and forty-three sub-items analyzed by the evaluators. Through the Content Validity Index, four items with strong validation evidence were identified, Content Validity Index ≥ 0.8. We restructured the checklist according to the evaluators recommendations, maintaining the ten items, but reducing them to twenty-six sub-items, which in the second round Delphi presented a percentage of agreement above 80% for all variables relevant to the instrument. Conclusion: This method was effective to validate the checklist contents that will evaluate the qualification of health professionals in septic patient care, through clinical simulation.

          Translated abstract

          RESUMO: Objetivos: Construir e validar o conteúdo de um checklist para avaliação da capacitação de profissionais da área da saúde no atendimento ao paciente séptico com simulação clínica. Método: Estudo de validação metodológica de instrumento, com delineamento estrutural em duas etapas: construção do instrumento e validação de conteúdo do checklist utilizando a técnica Delphi em duas rodadas. Resultados: A validação de conteúdo foi composta por dez itens e quarenta e três subitens analisados pelos avaliadores. Por meio do Índice de Validade de Conteúdo, identificaram-se quatro itens com forte evidência de validação, Índice de Validade de Conteúdo ≥ 0,8. Reestruturou o checklist conforme recomendações dos avaliadores, mantendo os dez itens, porém com redução para vinte e seis subitens, que na 2ª rodada Delphi apresentou percentual de concordância acima de 80% para todas as variáveis pertinentes ao instrumento. Conclusão: Método foi eficaz para validar o conteúdo de um checklist que avaliará a capacitação de profissionais da saúde no atendimento ao paciente séptico, por meio de simulação clínica.

          Related collections

          Most cited references22

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          The importance of values in evidence-based medicine

          Background Evidence-based medicine (EBM) has always required integration of patient values with ‘best’ clinical evidence. It is widely recognized that scientific practices and discoveries, including those of EBM, are value-laden. But to date, the science of EBM has focused primarily on methods for reducing bias in the evidence, while the role of values in the different aspects of the EBM process has been almost completely ignored. Discussion In this paper, we address this gap by demonstrating how a consideration of values can enhance every aspect of EBM, including: prioritizing which tests and treatments to investigate, selecting research designs and methods, assessing effectiveness and efficiency, supporting patient choice and taking account of the limited time and resources available to busy clinicians. Since values are integral to the practice of EBM, it follows that the highest standards of EBM require values to be made explicit, systematically explored, and integrated into decision making. Summary Through ‘values based’ approaches, EBM’s connection to the humanitarian principles upon which it was founded will be strengthened.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Development, implementation, and impact of an automated early warning and response system for sepsis.

            Early recognition and timely intervention significantly reduce sepsis-related mortality.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Organ dysfunction as a new standard for defining sepsis

              Despite advances in intensive care and the widespread use of standardized care included in the Surviving Sepsis Campaign Guidelines, sepsis remains a leading cause of death, and the prevalence of sepsis increases concurrent with the aging process. The diagnosis of sepsis was originally based on the evidence of persistent bacteremia (septicemia) but was modified in 1992 to incorporate systemic inflammatory response syndrome (SIRS). Since then, SIRS has become the gold standard for the diagnosis of sepsis. In 2016, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine published a new clinical definition of sepsis that is called Sepsis-3. In contrast to previous definitions, Sepsis-3 is based on organ dysfunctions and uses a sequential organ failure (SOFA) score as an index. Thus, patients diagnosed with respect to Sepsis-3 will inevitably represent a different population than those previously diagnosed. We assume that this drastic change in clinical definition will affect not only clinical practice but also the viewpoint and focus of basic research. This review intends to summarize the pathophysiology of sepsis and organ dysfunction and discusses potential directions for future research.
                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                eg
                Enfermería Global
                Enferm. glob.
                Universidad de Murcia (Murcia, Murcia, Spain )
                1695-6141
                2019
                : 18
                : 56
                : 159-197
                Affiliations
                [1] orgnameUniversidad Federal de São Carlos Brasil
                [5] orgnameUniversidad Federal de São Paulo Brasil
                [3] orgnameUniversidad Federal de São Carlos Brasil
                [4] orgnameUniversidad Federal de São Carlos Brasil regimarmachado@ 123456gmail.com
                [2] orgnameUniversidad Federal de São Carlos Brasil
                Article
                S1695-61412019000400159 S1695-6141(19)01805600159
                10.6018/eglobal.18.4.341171
                185e35e8-96be-44b5-beb2-103d9b3f831c

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 05 October 2018
                : 14 December 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 39
                Product

                SciELO Spain

                Categories
                Originales

                Validation Studies,In-Service training,Simulation,Sepsis,Estudos de Validação,Capacitação em Serviço,Simulação,Sepse,Estudios de Validación,Capacitación en servicio,simulación

                Comments

                Comment on this article