Design and validation of a questionnaire on nursing competence in the notification of medication incidents

Abstract

Aim: To design and perform a face and content validation of a questionnaire to measure the competence of hospital RN to report medication incidents.

Methods: Content and face questionnaire validation descriptive study. A review of the literature was performed for the creation of ítems. A panel of six experts assessed the relevance of the inclusion of each ítem in the questionnaire by calculating the position index; ítems with position index >0.70 were selected. The questionnaire was piloted by 59 RN. Finally, a meeting was convened with experts, in order to reduce the length of the piloted questionnaire through review, discussion and decision by consensus on each item.

Results: From the literature review, a battery of 151 ítems grouped into three elements of competence: attitudes, knowledge and skills was created. 52.9% (n=80) of the ítems received a position index > 0.70. The response rate in the pilot study was 40.65%. The median time to complete the questionnaire was 23:35minutes. After reduction by the experts, the final questionnaire comprised 45 ítems grouped into 32 questions.

Conclusions: The NORMA questionnaire, designed to explore the competence of hospital RN to report medication incidents, has adequate face and content validity and is easy to administer, enabling its institutional implementation.

Keywords: Adverse drug reaction; Cuestionario; Enfermería; Error de medicación; Medication error; Nurses; Questionnaire; Reacción adversa a medicamentos; Validación; Validation.