Background: The Delirium Knowledge Test (DKT-ICN) is an instrument, already validated in the original language, that tests intensive care nurses' knowledge about Delirium. The score consists of 26 items that investigate several areas of Delirium. Although the literature has long emphasized the importance of early detection to avoid complications in terms of mortality and morbidity, in clinical care reality ICU Delirium is still undiagnosed. Factors hindering assessment are prevalence of the Hypoactive subtype and training gaps. Currently, no measurement tools with the same purposes as DKT-ICN are available in Italy. Aim: Italian cultural adaptation and content validation of DKT-ICN. Setting & participants: The study involved 13 experienced ICU nurses from Terni Hospital. Methods: The study consisted of two phases: an initial linguistic-cultural validation phase followed by a content validation. Content validity was performed by calculating the Content Validity Ratio (CVR) and Content Validity Index (I-CVI = Item-CVI and S-CVI = Scale-CVI) according to expert opinion. The study was conducted in accordance with the Declaration of Helsinki and Regulation (EU) 2016/679 of the European Parliament and of the Council of April 27, 2016. Results: The DKT-ICN-ITA achieved a good degree of agreement among evaluators (Fleiss's K 81%). In content validity, scores above the cut-off value were achieved (CVR > 0.57; S-CVI/UA = 0.96; S-CVI/AVE = 0.9; I-CVI ≥ 0.78). Conclusions: The translation and validation steps yielded satisfactory results. This study, while having limitations (absence of face validity, construct validity, and reliability), aimed to provide the Italian scientific community with a validated tool to test skills on Delirium in ICU nurses: the level of education of nurses, in fact, improves the quality of care by reducing comorbidities and, consequently, health care spending.
Translation, cultural adaptation and validation in Italian language of the dkt-icn-ita (delirium knowledge test) for intensive care nurses: preliminary data
Ramacciati N;
2025-01-01
Abstract
Background: The Delirium Knowledge Test (DKT-ICN) is an instrument, already validated in the original language, that tests intensive care nurses' knowledge about Delirium. The score consists of 26 items that investigate several areas of Delirium. Although the literature has long emphasized the importance of early detection to avoid complications in terms of mortality and morbidity, in clinical care reality ICU Delirium is still undiagnosed. Factors hindering assessment are prevalence of the Hypoactive subtype and training gaps. Currently, no measurement tools with the same purposes as DKT-ICN are available in Italy. Aim: Italian cultural adaptation and content validation of DKT-ICN. Setting & participants: The study involved 13 experienced ICU nurses from Terni Hospital. Methods: The study consisted of two phases: an initial linguistic-cultural validation phase followed by a content validation. Content validity was performed by calculating the Content Validity Ratio (CVR) and Content Validity Index (I-CVI = Item-CVI and S-CVI = Scale-CVI) according to expert opinion. The study was conducted in accordance with the Declaration of Helsinki and Regulation (EU) 2016/679 of the European Parliament and of the Council of April 27, 2016. Results: The DKT-ICN-ITA achieved a good degree of agreement among evaluators (Fleiss's K 81%). In content validity, scores above the cut-off value were achieved (CVR > 0.57; S-CVI/UA = 0.96; S-CVI/AVE = 0.9; I-CVI ≥ 0.78). Conclusions: The translation and validation steps yielded satisfactory results. This study, while having limitations (absence of face validity, construct validity, and reliability), aimed to provide the Italian scientific community with a validated tool to test skills on Delirium in ICU nurses: the level of education of nurses, in fact, improves the quality of care by reducing comorbidities and, consequently, health care spending.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
