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. 2022 Jul 18;75(6):e20210859.
doi: 10.1590/0034-7167-2021-0859. eCollection 2022.

Translation, cross-cultural adaptation and content validation of the Global Trigger Tool surgical module

[Article in English, Portuguese]
Francine Taporosky Alpendre  1 , Elaine Drehmer de Almeida Cruz  1 , Josemar Batista  1 , Eliane Cristina Sanches Maziero  1 , Marilise Borges Brandão  1
Affiliations

Translation, cross-cultural adaptation and content validation of the Global Trigger Tool surgical module

[Article in English, Portuguese]
Francine Taporosky Alpendre et al. Rev Bras Enferm. .

Abstract
in English, Portuguese, Spanish

Objective: to translate, cross-culturally adapt and validate the Global Trigger Tool surgical module content for Brazil.

Method: this is methodological research, carried out between March/2018 and February/2019, following the steps of translation, synthesis, back-translation, validation by the Delphi technique, pre-test and presentation to developers. Two translators, two back-translators, six professionals participated in the expert committee. A pre-test was carried out with a retrospective analysis of 244 medical records of adult patients. The content validity index and Cronbach's alpha were determined for data analysis.

Results: the translation and cross-cultural adaptation allowed adjustments of items for use in Brazil. The mean Content Validity Index was 1.38, and the degree of agreement among experts was 92.4%. Cronbach's alpha was 0.83 for the 11 surgical triggers and their guidelines.

Conclusion: the module was translated, cross-culturally adapted for Brazil, with high reliability to identify surgical adverse events.

Objetivo:: traduzir, adaptar transculturalmente e validar o conteúdo do módulo cirúrgico do Global Trigger Tool para o Brasil.

Método:: pesquisa metodológica, realizada entre março/2018 e fevereiro/2019, seguindo os passos de tradução, síntese, retrotradução, validação pela técnica Delphi, pré-teste e apresentação para os desenvolvedores. Participaram dois tradutores, dois retrotradutores, seis profissionais para o comitê de especialistas. Realizou-se o pré-teste com análise retrospectiva de 244 prontuários de pacientes adultos. Determinou-se o índice de validade de conteúdo e alfa de Cronbach para análise dos dados.

Resultados:: a tradução e a adaptação transcultural permitiram ajustes dos itens para uso no Brasil. O Índice de Validade de Conteúdo médio foi 1,38, e grau de concordância entre os especialistas, 92,4 %. O alfa de Cronbach foi 0,83 para os 11 triggers cirúrgicos e respectivas orientações.

Conclusão:: o módulo foi traduzido e adaptado transculturalmente para o Brasil, com alta confiabilidade para identificar eventos adversos cirúrgicos.

Objetivo:: traducir, adaptar transculturalmente y validar el contenido del módulo quirúrgico Global Trigger Tool para Brasil.

Método:: investigación metodológica, realizada entre marzo/2018 y febrero/2019, siguiendo las etapas de traducción, síntesis, retrotraducción, validación por la técnica Delphi, pre-test y presentación a desarrolladores. En el comité de expertos participaron dos traductores, dos retrotraductores, seis profesionales. El pretest se realizó con un análisis retrospectivo de 244 historias clínicas de pacientes adultos. Para el análisis de los datos se determinó el índice de validez de contenido y el alfa de Cronbach.

Resultados:: la traducción y la adaptación transcultural permitieron ajustes de los ítems para uso en Brasil. El Índice de Validez de Contenido medio fue de 1,38 y el grado de acuerdo entre expertos fue del 92,4%. El alfa de Cronbach fue de 0,83 para los 11 disparadores quirúrgicos y sus orientaciones.

Conclusión:: el módulo fue traducido y adaptado transculturalmente para Brasil, con alta confiabilidad para identificar eventos adversos quirúrgicos.

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Figures

Figure 1
Figure 1. Flowchart of translation, cross-cultural adaptation and validation steps of the Global Trigger Tool surgical module for use in Brazil
See this image and copyright information in PMC

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