Abstract
Background
Systematic trauma care scale could be designed and used by nurses to completely and adequately fulfill a complex care to improve trauma care quality. The purpose of this study was to design and evaluate the psychometric property of the Nursing Care Quality in Trauma Emergency Units and trauma care promotion.
Methods
This methodological study was conducted in 2022. The process of designing and psychometric assessment of the scale was performed in two steps such as Generating an Item Pool and Validity and Reliability evaluation (Item reduction). The construct validity was determined using the experimental intervention; for determining the reliability of the scale and internal consistency, we measured the inter-rater reliability (IRR). Data were analyzed using the SPSS software, version 22.
Results
Based on our findings, the CVI and CVR of the scale were 1 and 0.83–1, respectively. A significant difference between the pre- and post-intervention scores in group 1 supports the inference that the construct has been appropriately represented, and the instrument has construct validity (p < 0.001). We found that there was a significant difference in the scores of Patient assessment, Planning and Implementations, and Evaluation of the care plan. The inter-rater reliability method allows the optimal reliability assessment of observational instruments, which was used in this study, and the results confirmed excellent reliability of the instrument.
Conclusions
The validity and reliability of the Nursing Care Quality in Trauma Emergency Units Scale were confirmed. The instrument could successfully assess the process of nursing care in the trauma emergency ward. The use of this checklist is recommended as a valid observational tool for other researchers.
Study type
Therapeutic/care management.
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Data availability
The authors confirm that the data supporting the findings of this study are available within the article and its supplementary materials.
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Acknowledgements
This study was extracted from the dissertation of the first author with the financial support of University of Social Welfare and Rehabilitation Sciences. We thank all the managers and staffs of the Shahid Rajaee Hospital for their assistance. We also thank the nurses that directly and indirectly helped in performing this study. The authors would like to thank Shiraz University of Medical Sciences, Shiraz, Iran and also Center for Development of Clinical Research of Nemazee Hospital and Dr. Nasrin Shokrpour for editorial assistance.
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Study concept, design and supervision: ZJ, ME, KNT and HK; acquisition of data: ZJ; analysis and interpretation of data: ZJ, KNT and HK, MZN, HS, ME; drafting of the manuscript; ZJ, MZN, ME and HS; critical revision of the manuscript for important intellectual content, statistical analysis, and administrative, technical, and material support: KNT and HK.
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The Ethics Committee of Tehran University of Social Welfare and Rehabilitation Sciences approved the protocol of the study (IR.USWR.REC.2019.169). Written informed consent was obtained from the participants, and they were reassured that their information and identity would remain confidential and that they had the right to withdraw from the study at any point they desired.
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Jamshidi, Z., Norouzi Tabrizi, K., Khankeh, H. et al. Design and psychometric properties of the acute care quality in trauma emergency units scale. Eur J Trauma Emerg Surg 50, 447–453 (2024). https://doi.org/10.1007/s00068-023-02360-3
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DOI: https://doi.org/10.1007/s00068-023-02360-3