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Construction and validation of a checklist for the management of totally implanted catheters in children

Giselle Vieira de Souza1, Isabella Pavarine de Souza2, Maria Paula Custodio Silva1

  • 1Universidade Federal do Triângulo Mineiro. Uberaba, Minas Gerais, Brazil.

Revista Brasileira De Enfermagem
|September 25, 2024
PubMed

Insights

A new checklist was developed and validated to standardize the management of totally implanted catheters in pediatric patients. This tool enhances care quality and professional autonomy for children and adolescents requiring these devices.

Area of Science:

  • Pediatric Nursing
  • Medical Device Management
  • Healthcare Quality Improvement

Background:

  • Totally implanted catheters are crucial for long-term treatment in pediatric patients.
  • Standardized management protocols are essential to ensure patient safety and treatment efficacy.
  • Existing management guidelines may lack comprehensive, validated tools for this specific population.

Purpose of the Study:

  • To construct and validate a content-rich checklist for managing totally implanted catheters in hospitalized children and adolescents.
  • To develop a reliable instrument for healthcare professionals caring for pediatric patients with these devices.

Main Methods:

  • Methodological research involving instrument development and content validation.
  • A 23-item Likert-scale instrument was created, followed by two rounds of online expert evaluation.
  • Content Validity Index (CVI) was calculated, with a threshold of 0.8 for validity.

Main Results:

  • A final checklist comprising 22 items across four domains was established.
  • The checklist achieved a high Content Validity Index of 0.98.
  • The overall instrument evaluation yielded a global score of 9.9, indicating strong expert consensus.

Conclusions:

  • Validated instruments are crucial for standardizing procedures in pediatric catheter management.
  • The developed checklist supports healthcare professionals, enhancing autonomy and the quality of care.
  • Implementation of this checklist can improve outcomes for children and adolescents using totally implanted catheters.
Abstract

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