2022, Número 22
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CuidArte 2022; 11 (22)
Lista de chequeo: “Hoja de observación de distracciones en la administración de medicamentos.”: adaptación cultural validación al español
Gaitán Gómez OL, Bueno-Robles LS, Pape T
Idioma: Ingles.
Referencias bibliográficas: 38
Paginas: 6-19
Archivo PDF: 190.06 Kb.
RESUMEN
Introducción: Las distracciones son aferencias sensoriales que superan el umbral de atención del individuo
razón por la cual se han asociado con las fallas procedimentales y errores clínicos en la práctica asistencial.
Objetivo. Adaptar y validar al contexto colombiano la lista de chequeo “Hoja de Observación de Distracciones
en la Administración de Medicamentos.”
Materiales y Métodos. Estudio de enfoque cuantitativo, transversal,
metodológico que comprendió la adaptación cultural y validación de apariencia y, contenido de un instrumento
que mide dos atributos del concepto distracciones (origen y frecuencia) con la participación de cinco expertos en
la temática. Se determino la confiabilidad inter observador a través del coeficiente Kappa y la consistencia interna
con el coeficiente alfa de Cronbach en el paquete estadístico SPSS v22.
Resultados. La lista de chequeo adaptada y
validada al español colombiano conservo todos los ítems originales del instrumento, queda con una razón e índice
de validez de contenido de 1, una confiabilidad inter-investigador entre 0,82-1,00 (concordancia substancial) y
un alfa de Cronbach de 0,54 (aceptable).
Conclusiones. Pocas investigaciones reconocen utilizar el instrumento
tal cual el autor lo propone, algunos se inspiran en él para crear sus propios instrumentos, mientras que otros lo
usan, pero no reportan su validación. Solo tres estudios entre ellos el presente reportan análisis psicométricos
realizados al instrumento con cambios menores posterior a su ejecución. El instrumento puede aplicarse a la
práctica clínica de enfermería en Colombia y se recomienda a futuro incluir nuevos atributos del concepto.
REFERENCIAS (EN ESTE ARTÍCULO)
Sasangohar F, Donmez B, Easty A, Storey H, Trbovich P. Interruptions experienced by cardiovascular intensive careunit nurses: An observational study. J Crit Care [Internet] 2014 [Consulted: August 15 2021];29(5):848–53. DOI: http://dx.doi.org/10.1016/j.jcrc.2014.05.007
Spooner AJ, Corley A, Chaboyer W, Hammond NE, Fraser JF. Measurement of the frequency and source ofinterruptions occurring during bedside nursing handover in the intensive care unit: An observational study. Aust CritCare [Internet] 2015 [Consulted: August 15 2021];28(1):19–23. DOI: http://dx.doi.org/10.1016/j.aucc.2014.04.002
Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causinginterruptions. J Nurs Manag. [Internet] 2016 [Consulted: August 15 2021];24(3):376–83. DOI: http://dx.doi.org/10.1111/jonm.12331
Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: A time and motionstudy. Int J Nurs Stud. [Internet] 2018 [Consulted: August 15 2021];82(March):113–20. DOI: https://doi.org/10.1016/j.ijnurstu.2018.03.017
Westbrook JI, Woods Amanda Rob, Marilyb Dunsmuir W, O. Day R. Association of interruptions with an increasedrisk and severity of medication administration errors. Arch Intern Med. [Internet] 2010 [Consulted: August 152021];170(8):690–2. DOI: https://doi.org/ 10.1001/archinternmed.2010.58
Brixey J, Robinson D, Johnson G, Johnson T, Turkey J, Zhang J. A Concept Analysis of the Phenomenon of Interruption.Adv Nurs Sci. [Internet] 2007 [Consulted: August 15 2021];30(1):26–42. DOI: http://dx.doi.org/10.4172/2167-1168.1000353
Pape T. Applying airline safatey practices to medication administration. MEDSURG Nurs. [Internet] 2003 [Consulted:August 15 2021];12(2):77–93. Available from: https://bit.ly/30ofbcH
Pape TM, Guerra DM, Muzquiz M, Bryant JB, Ingram M, Schranner B, et al. Innovative approaches to reducingnurses’ distractions during medication administration. J Contin Educ Nurs. [Internet] 2005 [Consulted: August 152021];36(3):108–16. DOI: http://dx.doi.org/10.3928/0022-0124-20050501-08
Pape TM, Dingman SK. Interruptions and distractions during anesthesia induction: A pilot study. Plast Surg Nurs.[Internet] 2011 [Consulted: August 15 2021];31(2):49–56. DOI: http://dx.doi.org/10.1097/PSN.0b013e31821b5b84
Colligan L, Guerlain S, Steck SE, Hoke TR. Designing for distractions: A human factors approach to decreasinginterruptions at a centralised medication station. BMJ Qual Saf. [Internet] 2012 [Consulted: August 15 2021];21(11):939–47. DOI: http://dx.doi.org/10.1136/bmjqs-2011-000289
Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-interventionprogramme aimed at reducing medication round interruptions. J Nurs Manag. [Internet] 2012 [Consulted: August 152021];20(3):335–43. DOI: http://dx.doi.org/10.1111/j.1365-2834.2012.01329.x
Muñiz J, Elosua P, Hambleton RK. Directrices para la traducción y adaptación de los tests: Segunda edición. Psicothema.[Internet] 2013 [Consulted: August 15 2021];25(2):151–7. DOI: http://dx.doi.org/10.7334/psicothema2013.24
Consejo General de la Psicología, El uso de los test y otros instrumentos de evaluación en investigación. ComisionInternacional de Tests. [Internet] 2014 [Consulted: August 15 2021]. Available in: https://bit.ly/3i7cthZ
Muñiz J, Hernández A, Ponsoda V. Nuevas directrices sobre el uso de los test: investigacion, control de calidad yseguridad. Papeles del Psicol. [Internet] 2015 [Consulted: August 15 2021];36(3):161–73. Available in: https://bit.ly/3kVPif7
Tristán-López A. Modificación al modelo de Lawshe para el dictamen cuantitativo de la validez de contenido de uninstrumento objetivo. Av en medición. [Internet] 2008 [Consulted: August 15 2021];6:37–48. Available in: https://bit.ly/3i3Ziyd
Sánchez R, Echeverry J. Validación de escalas de medicion en salud. Rev Salud Pública. [Internet] 2004 [Consulted:August 15 2021];6(3):302–18. DOI: http://dx.doi.org/10.1590/S0124-00642004000300006
Mandeville PB. Tema 9: El coeficiente de correlación intraclase (ICC). Ciencia Uanl. [Internet] 2005 [Consulted:August 15 2021];8(3):414–416. Available in: https://bit.ly/3i9vAHV
López A, Galparsoro DU, Fernández P. Medidas de concordancia : el índice de Kappa. Atención Primaria en la Red.[Internet] 2001 [Consulted: August 15 2021]. p. 2–5. Available in: https://bit.ly/39V1cOK
Campo-Arias A, Oviedo HC. Propiedades psicométricas de una escala: la consistencia interna. Rev Salud Pública.[Internet] 2008 [Consulted: August 15 2021];10(5):831–9. DOI: http://dx.doi.org/10.1590/S0124-00642008000500015
Ministerio de Salud de Colombia. Resolución 8430 de 1993. [Internet] [Consulted: February 23 2022]. Available in:https://bit.ly/3M2opB6
Garzón-Alarcón N et all. Recomendaciones éticas para las investigaciones en la facultad de enfermería de laUniversidad Nacional de Colombia. Bogotá D.C.: Universidad Nacional de Colombia. [Internet] 2008 [Consulted:February 23 2022]. Available in: https://bit.ly/3JSzYsV
Ramos DY, Soto VI, Identificar distracciones en el proceso de administración de medicamentos garantiza unapráctica segura. Av enferm. [Internet] 2014 [Consulted: August 22 2021];32(1):44-52. DOI: http://dx.doi.org/10.15446/av.enferm.v32n1.46034
Yoder M, Schadewald D, Dietrich K. The Effect of a Safe Zone on Nurse Interruptions, Distractions, and MedicationAdministration Errors. J Infus Nurs. [Internet] 2015 [Consulted: August 22 2021];38(2):140–51. DOI: http://dx.doi.org/10.1097/NAN.0000000000000095
Relihan E, O’Brien V, O’Hara S, Silke B. The impact of a set of interventions to reduce interruptions and distractionsto nurses during medication administration. Qual Saf Heal Care. [Internet] 2010 [Consulted: August 22 2021];19(5).http://dx.doi.org/10.1136/qshc.2009.036871
Dall’Oglio I, Fiori M, Di Ciommo V, Tiozzo E, Mascolo R, Bianchi N, et al. Effectiveness of an improvementprogramme to prevent interruptions during medication administration in a paediatric hospital: A preinterventionpostinterventionstudy. BMJ Open. [Internet] 2017 [Consulted: August 22 2021];7(1):1–8. DOI: http://dx.doi.org/10.1136/bmjopen-2016-013285
Huckels-Baumgart S, Niederberger M, Manser T, Meier CR, Meyer-Massetti C. A combined intervention to reduceinterruptions during medication preparation and double-checking: a pilot-study evaluating the impact of staff trainingand safety vests. J Nurs Manag. [Internet] 2017 [Consulted: August 22 2021];25(7):539–48. http://dx.doi.org/10.1111/jonm.12491
Ursachi G, Horodnic IA, Zait A. How Reliable are Measurement Scales? External Factors with Indirect Influence onReliability Estimators. Procedia Econ Financ. [Internet] 2015 [Consulted: August 22 2021];20(15):679–86. DOI: http://dx.doi.org/10.1016/S2212-5671(15)00123-9
Streiner DL. Starting at the beginning: An introduction to coefficient alpha and internal consistency. J Pers Assess.[Internet] 2003 [Consulted: August 22 2021]80(1):99–103. DOI: http://dx.doi.org/ 10.1207/S15327752JPA8001_18
Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: A time and motionstudy. Int J Nurs Stud. [Internet] 2018 [Consulted: August 22 2021];82(March):113–20. DOI: https://doi.org/10.1016/j.ijnurstu.2018.03.017
Westbrook JI, Ampt A. Design, application and testing of the Work Observation Method by Activity Timing (WOMBAT)to measure clinicians’ patterns of work and communication. Int J Med Inf [Internet]. 2009 [Consulted: August 222021];78(Suppl 1):S25-33. DOI: https://doi.org/10.1016/j.ijmedinf.2008.09.003.
Trbovich P, Prakash V, Stewart J, Trip K, Savage P. Interruptions during the delivery of high-risk medications. J NursAdm. [Internet] 2010 [Consulted: August 22 2021];40(5):211–8. DOI: http://dx.doi.org/ 10.1097/NNA.0b013e3181da4047
Sasangohar F, Donmez B, Easty AC, Trbovich PL. Mitigating nonurgent interruptions during high-severity intensivecare unit tasks using a task-severity awareness tool: A quasi-controlled observational study. J Crit Care. [Internet] 2015[Consulted: August 22 2021];30(5):1150.e1-1150.e6. DOI: http://dx.doi.org/10.1016/j.jcrc.2015.05.001
Cohen J, Larue C, Cohen HH. Attention interrupted. Cognitive distraction & Workplace Safety. Proffesional Safety.[Internet] 2017 [Consulted: August 22 2021];62(11):28-34. Available in: https://bit.ly/3i6Rr2U
(34) McCurdie T, Sanderson P, Aitken LM. Traditions of into interruptions in healthcare: A conceptual review. Int JNurs Stud. [Internet] 2017 [Consulted: August 22 2021];66:23–36. DOI: http://dx.doi.org/10.1016/j.ijnurstu.2016.11.005
Wirzberger M, Esmaeili Bijarsari S, Rey GD. Embedded interruptions and task complexity influence schema-relatedcognitive load progression in an abstract learning task. Acta Psychol (Amst). [Internet] 2017 [Consulted: August 222021];179(December 2016):30–41. DOI: http://dx.doi.org/10.1016/j.actpsy.2017.07.001
Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals : a literature review of disruptions tonursing practice during medication administration. J Clin Nurs. [Internet] 2015 [Consulted: August 22 2021];24:3063–76. http://dx.doi.org/10.1111/jocn.12944
Thomas L, Donohue-Porter P, Stein Fishbein J. Impact of Interruptions, Distractions, and Cognitive Load onProcedure Failures and Medication Administration Errors. J Nurs Care Qual. [Internet] 2017 [Consulted: August 222021];32(4):309–17. DOI: http://dx.doi.org/10.1097/NCQ.0000000000000256
Gaitán-Gómez OL, Aristizabal P, Bueno-Robles LS. Distracciones durante la práctica clínica de enfermería :revisión integrativa. Cienc y Cuid. [Internet] 2020 [Consulted: August 22 2021];17(2):129–42. DOI: http://dx.doi.org/10.22463/17949831.1576