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Validity and reliability of the RAC adult infection risk scale: A new instrument to measure healthcare-associated infection risk.
Rodríguez-Acelas, Alba Luz; de Abreu Almeida, Miriam; Schmarczek Figueiredo, Manoela; Monteiro Mantovani, Vanessa; Mattiello, Rita; Cañon-Montañez, Wilson.
Afiliação
  • Rodríguez-Acelas AL; Faculty of Nursing, Universidad de Antioquia, Medellín, Colombia.
  • de Abreu Almeida M; Graduate Program in Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Schmarczek Figueiredo M; Nursing School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Monteiro Mantovani V; Graduate Program in Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Mattiello R; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.
  • Cañon-Montañez W; Faculty of Nursing, Universidad de Antioquia, Medellín, Colombia.
Res Nurs Health ; 44(4): 672-680, 2021 08.
Article em En | MEDLINE | ID: mdl-33974290
Healthcare-associated infections represent a public health problem, and they have repercussions for patient safety. The aim of this study was to determine the psychometric properties of the Rodríguez-Almeida-Cañon (RAC) adult infection risk scale, focusing on the construct and predictive validity and reliability. The study enrolled 278 patients at a large hospital in southern Brazil. The research process involved the following three phases: construct validation, assessing predictive validity, and assessing reliability. Confirmatory factor analysis showed a good fit using a two-factor model with 15 items. The logistic regression analysis showed an association between the scale score and prediction of developing healthcare-associated infections (odds ratio: 1.18; 95% confidence interval: 1.08-1.28). The Cronbach's alpha was 0.72 for intrinsic factors subscale and 0.71 for extrinsic factors subscale. A high level of inter-rater agreement (intraclass correlation coefficient ≥0.97) was found for both subscales. The Bland and Altman method showed narrow agreement limits, demonstrating good agreement between evaluators. The findings of this study showed that the RAC adult infection risk scale is a new, reliable, and psychometrically valid instrument to assess healthcare-associated infections risk. Future research using this scale may lead to a better understanding of the healthcare-associated infections risk and assist health professionals in decision-making for interventions to improve patient safety.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psicometria / Inquéritos e Questionários / Controle de Infecções / Segurança do Paciente / Pacientes Internados Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Res Nurs Health Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psicometria / Inquéritos e Questionários / Controle de Infecções / Segurança do Paciente / Pacientes Internados Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Res Nurs Health Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos