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Content Validity of the Left Ventricular Assist Device Bathing Assessment
Kate Davey1, Lauren Winterbottom2, Seada Malevic1
1NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
OTJR : Occupation, Participation and Health
|December 9, 2022
Summary
A new assessment tool was developed to evaluate bathing skills for patients with left ventricular assist devices (LVADs), addressing infection risks. This tool aims to improve patient safety and guide effective intervention programs.
Area of Science:
- Cardiology
- Medical Device Technology
- Patient Safety
Background:
- Modified bathing is recommended for left ventricular assist device (LVAD) patients due to infection risks.
- Current lack of assessment tools hinders evaluation of patient bathing skills and intervention effectiveness.
Purpose of the Study:
- To develop and validate the content of a new assessment tool for LVAD bathing techniques.
- To ensure the assessment accurately measures relevant skills for safe patient bathing.
Main Methods:
- Content validity was established using the Content Validity Index (CVI) process.
- Eight content validity experts rated assessment items, with modified Kappa indices used for inter-rater reliability.
- The assessment underwent expert review and minor revisions based on feedback.
Main Results:
- The LVAD Bathing Assessment demonstrated excellent content validity.
- The overall assessment achieved a scale-level CVI (S-CVI) of 0.97.
- 44 out of 47 individual items exceeded the I-CVI threshold of 0.78.
Conclusions:
- The developed LVAD bathing assessment possesses strong content validity.
- This tool may enhance patient care by identifying infection-related safety risks.
- Further research is needed for construct validation and reliability testing.
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