CONSTRUCTION OF THE INSTRUMENT FOR CARE TRANSITION IN PEDIATRIC UNITS

a methodological study, based on the Classic Theory of Psychometric Tests and on the Instrument Development Model, proposed by Pasquali, which included seven professionals, five nurses and two physicians, experts in pediatrics and/or patient safety, who followed specific criteria for inclusion. Data collection was carried out between November and December 2016 and took place with the application of a form made available to the experts via the Google Drive/Microsoft® tool in two validation rounds, conducted by the Delphi Technique, being organized into two domains with 19 items. Data analysis was performed by calculating the Content Validity Index.

Results:

in order to validate the content, it was necessary to reach a Content Validity Index ≥ 0.80; thus, in the first round, five items underwent changes and were adjusted according to the experts' recommendations. These were validated in the second round, maintaining two domains and nineteen items.

Conclusion:

the construction and content validation of the instrument can enhance and qualify the clinical practice and contribute to minimize failures in pediatric patient safety associated with effective communication.

DESCRIPTORS
Nursing; Patient safety; Hospitalized child; Case managers; Validation studies

Item	Before validation	CVI	After validation	CVI
Item 1	Observe and evaluate the main warning signs presented by the patient.	0.750	Observe and evaluate the main warning signs presented by the pediatric patient or reported by the mothers/guardians before making contact.	0.986
Item 3	Have the patient's record at hand.	0.875	Have the patient’s record at hand and have read the latest developments in nursing, medical or supplementary observations.	0.999
Item 4	Did not have was included	0	Identify yourself.	0.986
Item 7	Provide a brief description of the problem.	0.874	Provide a brief description of the child's/adolescent's problem.	0.997
Item 13	Did not have was included	0	Use scale for pain.	0.986

INSTRUMENT FOR CASE TRANSFERS IN PEDIATRIC UNITS
BEFORE CALLING THE NURSE/PHYSICIAN RESPONSIBLE FOR THE PATIENT, CONSIDER THE FOLLOWING ITEMS:
Observe and evaluate the main warning signs presented by the pediatric patient or reported by the mothers/guardians before making contact.
Locate the nurse/physician you need to communicate in person or by phone for emergency situations. Do not wait more than five minutes between attempts.
Have the patient's record at hand and have read the latest developments in nursing, medical or supplementary observations.
WHEN TALKING TO THE NURSE/PHYSICIAN, YOU MUST FOLLOW THE STEPS OF THE SBAR TECHNIQUE:
Situation:	Identify yourself.
	Provide a brief description of the child's/adolescent's problem
	Provide the full name, age, weight, admission diagnosis, and admission date of the child and/or adolescent.
	Clarify about changes presented regarding the critical health indicators: 1-Breathing; 2-Circulation/Hemodynamics; 3-Scale of consciousness level - Trauma/Sedation; 4-Elimination/Hydration.
	Clarify the current medications and intravenous fluids used, allergies.
	Inform the recent vital signs: T ºC; HR bpm; R ipm; SpO2%; AP mmHg.
	Pain scale (use pain scale).
	Report the results of laboratory tests: date and time when was performed; as well as the results of previous exams for comparison.
	Clarify other important clinical information.
Assessment	Explain to the other professional what your assessment of the situation is.
Recommendation	Make your recommendations and report what you expect. Record in the child's/adolescent's medical chart.

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Sabrina de Souza sabrinas.enfer@gmail.com