Xây dựng công cụ đánh giá kiến thức và thực hành của điều dưỡng về quy trình chăm sóc bệnh nhi có dẫn lưu não thất ngoài

External Ventricular Drainage (EVD) is a vital intervention for managing severe neurological conditions in pediatric patients, particularly those with intracranial hypertension. Despite its widespread application in specialized intensive care units, a significant gap exists in high-evidence research and standardized nursing protocols for EVD management. This deficiency can lead to inconsistencies in care quality and hinder early detection and management of complications. Addressing this critical need, the present study aims to develop and rigorously evaluate a comprehensive assessment tool to measure nurses' knowledge and practice concerning the care process for pediatric patients with external ventricular drainage, specifically within the Vietnamese healthcare context.

Nurses, nursing educators, healthcare administrators in pediatric and neurosurgical units, and nursing researchers focused on quality improvement and patient safety.

This study aimed to develop and comprehensively evaluate the `validity` and `reliability` of an assessment tool designed to measure nurses' `knowledge and practice` in caring for `pediatric patients` with `External Ventricular Drainage` (EVD) in Vietnam. Employing a cross-sectional descriptive design, the research involved 30 nurses from Children's Hospital 2, Ho Chi Minh City. The `nursing questionnaire` was meticulously developed by a research team and rigorously vetted by a panel of six experts through a two-round Delphi process to ensure robust content. Methodological assessment included the Scale-level Content Validity Index (S-CVI) for content validity, Exploratory Factor Analysis (EFA) for structural validity, Cronbach's alpha for internal consistency, and both Intraclass Correlation Coefficient (ICC) and Pearson's correlation for inter-rater and test-retest reliability. Results consistently showed high levels of `validity` and `reliability` for both the knowledge and practice components of the tool. Both questionnaires achieved an S-CVI of 1, indicating excellent content validity. EFA revealed eight distinct factors for each questionnaire, accounting for substantial portions of total variance (81.77% for knowledge and 84.46% for practice), affirming strong structural integrity. Internal consistency, measured by Cronbach's alpha, was 0.70 for knowledge and 0.81 for practice, while ICC values of 0.75 and 0.72, and Pearson's r values of 0.61 and 0.74, demonstrated significant inter-rater and test-retest `reliability`, respectively. This validated tool is highly applicable for clinical practice and `nursing research` in `pediatric EVD care`, offering a detailed and contextually relevant instrument to standardize assessment, improve `nursing practice`, and ultimately enhance patient outcomes by facilitating early detection and management of complications in Vietnamese healthcare settings.