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A Pediatric Intensive Care Checklist for Interprofessional Rounds: The R-PICniC Study
Daniela Fernanda Dos Santos Alves1, Érika Sana Moraes2, Patrícia Blau Margosian Conti3
1Daniela Fernanda dos Santos Alves is a professor of pediatric nursing, School of Nursing, State University of Campinas, Brazil, and a postdoctorate fellow, São Paulo School of Nursing, Federal University of São Paulo, São Paulo, Brazil.
Insights
A validated checklist for pediatric intensive care unit interprofessional rounds enhances patient safety and care quality. This tool was developed by healthcare professionals for practical use in daily rounds.
Area of Science:
- Pediatric Intensive Care
- Patient Safety
- Healthcare Quality Improvement
Background:
- Checklists are recognized tools for improving care quality and patient safety within pediatric intensive care units (PICUs).
- Implementing standardized tools during interprofessional rounds is crucial for effective patient management in critical care settings.
Purpose of the Study:
- To develop and validate a checklist specifically designed for interprofessional rounds in a pediatric intensive care unit.
- To ensure the checklist is relevant and effective for enhancing communication and decision-making among care teams.
Main Methods:
- A methodological study involving literature review and expert consensus to create a checklist prototype.
- Content validation using a modified Delphi technique with experienced pediatric intensive care specialists.
- Usability testing and feedback collection from potential users to refine the instrument.
Main Results:
- The initial prototype evolved into a final checklist with 11 domains, 33 items, and 8 daily goals after expert validation.
- High content validity ratios (0.94-0.97) were achieved, indicating strong expert agreement on checklist items.
- The checklist demonstrated a mean application time of 5 minutes, suggesting efficient integration into daily workflows.
Conclusions:
- A valid and useful checklist was developed for interprofessional rounds in a pediatric intensive care unit.
- The finalized checklist is tailored to the specific needs of local healthcare professionals, promoting better patient care.
- This instrument serves as a valuable tool for enhancing patient safety and the quality of care in PICUs.
Background:
The use of checklists in the pediatric intensive care unit can help improve the quality of care and patient safety.
Objectives:
To build and validate a checklist for use in interprofessional rounds in a pediatric intensive care unit.
Methods:
This methodological study was conducted in a 20-bed pediatric intensive care unit serving children up to 14 years old. A checklist prototype was constructed through review of the literature and achievement of consensus among the professionals providing care in the unit. Content validation was performed using a modified Delphi technique involving specialists with more than 5 years of experience in pediatric intensive care, methodological studies, and patient safety. Content validity ratios were calculated for the elements of the checklist, which were considered valid when they reached values greater than 0.78. The checklist was tested for usability, application time, and effects on patient care, and feedback was obtained from potential users.
Results:
Before content validation, the checklist contained 11 domains, 32 items, and 6 daily goals. The invitation to validate content was sent to 86 specialists, and content validity was achieved after 2 rounds of evaluation, with the checklist elements having content validity ratios ranging from 0.94 to 0.97. The mean application time of the checklist was 5 minutes. The final version consisted of 11 domains, 33 items, and 8 daily goals.
Conclusions:
This study resulted in a useful and valid instrument for application in interprofessional rounds that was tailored to the needs of local health care professionals.
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