Design and content validation of a checklist about infection‐prevention performance of intensive care nurses in simulation‐based scenarios

2023 Acuerdos transformativos CRUE. Versión en línea del registro antes de su inclusión en un número
Objective: To design, develop and validate a new tool, called NEUMOBACT, to evalu-ate critical care nurses' knowledge and skills in ventilator-associated pneumonia (VAP) and catheter- related bacteraemia (CRB) prevention through simulation scenarios in-volving central venous catheter (CVC), endotracheal suctioning (ETS) and mechani-cally ventilated patient care (PC) stations.Background: Simulation- based training is an excellent way for nurses to learn preven-tion measures in VAP and CRB.Design: Descriptive metric study to develop NEUMOBACT and analyse its content and face validity that followed the COSMIN Study Design checklist for patient- reported outcome measurement instruments.Methods: The first version was developed with the content of training modules in use at the time (NEUMOBACT-1). Delphi rounds were used to assess item relevance with experts in VAP and CRB prevention measures, resulting in NEUMOBACT-2. Experts in simulation methods then assessed feasibility, resulting in NEUMOBACT-3. Finally, a pilot test was conducted among 30 intensive care unit (ICU) nurses to assess the applicability of the evaluation tool in clinical practice.Results: Seven national experts in VAP and CRB prevention and seven national simula-tion experts participated in the analysis to assess the relevance and feasibility of each item, respectively. After two Delphi rounds with infection experts, four Delphi rounds with simulation experts, and pilot testing with 30 ICU nurses, the NEUMOBACT- FINAL tool consisted of 17, 26 and 21 items, respectively, for CVC, ETS and PC.Conclusion: NEUMOBACT-FINAL is useful and valid for assessing ICU nurses' knowl-edge and skills in VAP and CRB prevention, acquired through simulation. Relevance for Clinical Practice: Our validated and clinically tested tool could facilitate the transfer of ICU nurses' knowledge and skills learning in VAP and CRB prevention to critically ill patients, decreasing infection rates and, therefore, improving patient safety
Sociedad Española de Simulación Clínica y Seguridad del Paciente (SESSEP)
Depto. de Enfermería
Fac. de Enfermería, Fisioterapia y Podología
TRUE
pub
APC financiada por la UCM