Development and validation of antisnake venom knowledge assessment tool (AKAT) for healthcare practitioners.
Development and validation of antisnake venom knowledge assessment tool (AKAT) for healthcare practitioners.
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DOI：
10.1016/j.toxcx.2020.100064
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Chedi BAZ
中科院分区：
文献类型：
--
作者：
Bala AA;Jatau AI;Yunusa I;Mohammed M;Mohammed AH;Isa AM;Sadiq WA;Gulma KA;Bello I;Malami S;Michael GC;Chedi BAZ
抗蛇毒（ASV）是世界范围内唯一针对蛇咬伤的标准治疗方法。抗蛇毒血清剂量，管理模式，可用性和物流的知识是必不可少的医疗从业者（HCPs）在蛇咬伤的管理。对于参与asv处理的医护人员来说，掌握其基本知识是至关重要的。ASV含有蛋白质，因此，如果处理不当，很容易变性，导致治疗效果不佳。临床医生也必须意识到ASV引起严重危及生命的超敏反应的倾向。目前还没有有效的工具来评估医务人员对ASV的了解。因此，我们开发并验证了一种评估医护人员对ASV知识的工具。工具中包含的项目首先是从全面的文献综述中生成的。面部效度是通过将起草的工具提交给10位主题专家来进行的。在医生、药剂师、护士、药学技术人员和一般公众中进行了验证性研究。本研究采用内容效度指数（CVI）对内容效度工具进行检验，采用对照法对建构效度工具进行检验，采用难度指数、可读性工具进行检验，采用重测法进行信度检验。我们开发并验证了包含33个项目的最终工具。该工具的面部效度有效，量表水平（平均）内容效度（S-CVI/Ave）为0.91。药师对ASV的了解程度高于医生、药学技术人员、护士和一般公众（p < 0.001），因此，建构效度有效。使用简单测量法（SMOG）确定该工具的可读性为7级。重测分析显示，每隔四周测得的平均知识得分差异无统计学意义（p = 0.916），信度极佳。AKAT已经证明了良好的心理测量特性，这将使其在广泛的医疗保健从业者之间的应用。开发并验证了一种评估抗蛇毒知识的工具。运用心理测量学方法对知识评估工具进行验证。该工具是可靠的一个简单的测量的Gobbledygook等级7级。该工具可以测量抗蛇毒知识的医护人员。
Antisnake venom (ASV) is the only specific and standard treatment for snakebite envenoming worldwide. The knowledge of antivenom dosage, mode of administration, availability, and logistics is essential to the healthcare practitioners (HCPs) in the management of snakebites. It is vital for the HCPs involved in the handling of ASVs to have its basic knowledge. The ASV contains proteins and can, therefore, easily get denatured if not handled appropriately, leading to poor therapeutic outcome. It is also essential for clinicians to be aware of the tendency of ASV to cause a severe life-threatening hypersensitivity reaction. There is currently no validated tool for assessing the knowledge of ASV among HCPs. Therefore, we developed and validated a tool for evaluating the HCPs knowledge of ASV. The items included in the tool were first generated from a comprehensive literature review. Face validity were conducted by presenting the drafted tool to ten experts on the subject matter. A validation study was conducted among doctors, pharmacists, nurses, pharmacy technicians, and the general public. The objectives of the study were to test the tool for content validity using the content validity index (CVI), construct validity using contrast group approach, difficulty index, readability, and reliability test using the test-retest method. We developed and validated a final tool containing thirty-three items. The tool was valid for face validity and had a scale-level (average) content validity (S-CVI/Ave) of 0.91. The ASV knowledge of pharmacists was higher than that of doctors, pharmacy technicians, nurses, and the general public (p < 0.001), thus, valid for construct validity. The readability of the tool using the Simple Measure of Gobbledygook (SMOG) was determined to be grade level 7. The test-retest analysis showed no significant difference between the mean knowledge scores measured at four weeks interval (p = 0.916), implying excellent reliability. The AKAT has demonstrated good psychometrical properties that would enable its application among a wide range of healthcare practitioners. A tool for assessing knowledge of anti-snake venom was developed and validated. Psychometrics approach was used in validating the knowledge assessment tool. The tool is reliable with a Simple Measure of Gobbledygook grade level 7. The tool can measure anti-snake venom knowledge among healthcare practitioners.
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影响因子：
15.8
作者：
Chippaux JP
通讯作者：
Chippaux JP
影响因子：
1.4
作者：
Fung, Hin T. J.;Lam, Shing K. T.;Simpson, Ian D.
通讯作者：
Simpson, Ian D.
影响因子：
3.3
作者：
Gnambs, Timo
通讯作者：
Gnambs, Timo
影响因子：
15.8
作者：
Kasturiratne A;Wickremasinghe AR;de Silva N;Gunawardena NK;Pathmeswaran A;Premaratna R;Savioli L;Lalloo DG;de Silva HJ
通讯作者：
de Silva HJ
影响因子：
3.5
作者：
Perneger, Thomas V.;Courvoisier, Delphine S.;Gayet-Ageron, Angele
通讯作者：
Gayet-Ageron, Angele