Validation of a safety assessment instrument for chronic renal patients on hemodialysis

Abstract

Objective: To construct and validate a safety assessment instrument for chronic renal patients on hemodialysis. Methods: Methodological study that comprised the instrument's construction and content validation by 14 experts, and evaluation of its understanding by nine nurses. Construction was based on the health legislation on hemodialysis and international patient safety standards. For analysis of the experts' agreement, intraclass correlation coefficient, content validity index, and binomial test were calculated. Results: The items of the Likert-type scale were distributed into the six international patient safety goals, with 0.98 intraclass correlation coefficient. The final instrument had 57 items with a 0.96 content validity index, and binomial test ≥ 0.86. Conclusion: The assessment instrument was considered understandable, relevant, and compatible with safety standards, showing content validity and compatibility to assess patient safety in hemodialysis treatment environments.