Phát triển và đánh giá tính giá trị, độ tin cậy của bộ câu hỏi khảo sát kiến thức, thái độ, thực hành cấp cứu ngoại viện của điều dưỡng tại Việt Nam

Pre-hospital emergency care is a critical component of healthcare, where nurses play a pivotal role in initial assessment and intervention, directly impacting patient outcomes. Assessing their knowledge, attitudes, and practices (KAP) is crucial for evaluating competency and guiding training strategies. However, in Vietnam, there is a notable absence of standardized, culturally appropriate tools for this purpose. Existing international instruments are often ill-suited for the unique operational specificities of the Vietnamese healthcare system, limiting their direct applicability. To bridge this critical gap and facilitate effective assessment and improvement of nursing practice, this study focuses on developing and rigorously evaluating the validity and reliability of a dedicated questionnaire for nurses involved in pre-hospital emergency care in Vietnam.

Healthcare professionals, nursing educators, researchers in emergency medicine, and policymakers involved in pre-hospital care in Vietnam.

This study aimed to develop and comprehensively evaluate a valid and reliable questionnaire to assess the knowledge, attitudes, and practices (KAP) of nurses providing pre-hospital emergency care in Vietnam. The methodology involved three distinct phases: initial questionnaire development, rigorous content validity assessment, and subsequent reliability evaluation. The questionnaire, initially adapted from international instruments, underwent meticulous translation and cultural adaptation, then refined by a multidisciplinary expert panel to ensure its relevance and appropriateness for the Vietnamese context. The final instrument comprised 55 items covering general information, knowledge, attitudes, and practices. Content validity was demonstrated to be excellent, with all items achieving high scores on the Content Validity Index (CVI, I-CVI, S-CVI/Ave, and S-CVI/UA), ranging from 0.83 to 1, indicating strong expert consensus. For reliability, internal consistency was confirmed through Cronbach’s Alpha, which ranged impressively from 0.83 to 0.89 across different domains. Furthermore, test-retest reliability, evaluated after a two-week interval using the Intraclass Correlation Coefficient (ICC), yielded high stability and consistency over time, with values between 0.84 and 0.89. In conclusion, the developed questionnaire is a highly valid and reliable tool, making it exceptionally well-suited for the accurate assessment and evaluation of nursing practice in pre-hospital emergency care in Vietnam. Its robust psychometric properties provide a scientific foundation for informing training programs, policy development, and ultimately enhancing the quality and effectiveness of pre-hospital emergency services across the nation. This contributes significantly to a standardized approach in this critical healthcare area.