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Development and Validation of a Standardized Intrahospital Patient Transfer Checklist for Intensive Care Unit Nurses:
Arshdeep K Dhanoa1, K Bindu1, Jyoti Sharma1
1Department of Medical-Surgical Nursing, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Summary
A new checklist for intensive care unit (ICU) nurses standardizes patient transport, enhancing safety. This validated tool is reliable, feasible, and highly usable for critical care settings.
Area of Science:
- Critical Care Medicine
- Nursing Research
- Patient Safety
Background:
- Intrahospital transport of critically ill patients presents significant risks.
- Standardized protocols are crucial for mitigating these risks in intensive care units (ICUs).
Purpose of the Study:
- To develop and validate a standardized transport checklist for ICU nurses.
- To improve the safety and efficiency of intrahospital patient transfers.
Main Methods:
- A four-phase methodology: item pooling, expert validation (Delphi method), reliability testing, and usability testing.
- Involved 17 experts for validation and 10 nurses for usability testing.
- Reliability assessed via 40 observed transfers.
Main Results:
- A 42-item checklist covering pre-, intra-, and post-transport phases was finalized.
- Achieved perfect content validity (S-CVI/UA = 1.0) and substantial inter-rater reliability (Cohen's κ = 0.75).
- Nurses reported high perceived usability and clarity of the checklist.
Conclusions:
- The developed checklist is a valid, reliable, and feasible tool for ICU nurses.
- Demonstrates high perceived usability, supporting its adoption in clinical practice.
- Contributes to safer intrahospital transport of critically ill patients.
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