Risk of pressure injury in the ICU: transcultural adaptation and reliability of EVARUCI

• Published in: Acta paulista de enfermagem Vol. 31; no. 2; pp. 201 - 208
• Main Authors: de Souza, Mariana Fernandes Cremasco, Zanei, Suely Sueko Viski, Whitaker, Iveth Yamaguchi
• Format: Journal Article
• Language: English
• Published: Sao Paulo Universidade Federal de São Paulo, Escola Paulista de Enfermagem 01-03-2018
• Subjects: Adaptation; Agreements; Correlation coefficient; Correlation coefficients; Critical care; Evaluation; Health risks; Injuries; Intensive care; Medical personnel; Patients; Pressure; Pressure ulcers; Risk assessment; Translation
• ISSN: 0103-2100; 1982-0194
• DOI: 10.1590/1982-0194201800029

Objective: Perform a transcultural adaptation of the current risk assessment scale for pressure injuries in intensive care (Escala de Valoración Actual del riesgo de desarrollar Úlceras por presión en Cuidados Intensivos - EVARUCI) to Brazilian Portuguese and analyze its reliability among intensive care unit (ICU) patients. Methods: Methodological study for transcultural adaptation and reliability analysis of the EVARUCI. Internal consistency was verified using Cronbach's alpha coefficient. Inter-rater agreement was verified using the simultaneous application of the final version of the EVARUCI by 3 nurses and analyzed by the intraclass correlation coefficient (ICC). Results: In the translation and back-translation processes, disagreements were related to the use of synonyms and writing style. In the evaluation of the expert committee, the terms 'conscious,' 'supine decubitus,' and 'shift' did not reach a 90.0% agreement. The internal consistency of the EVARUCI was acceptable (α=0.782). Inter-rater agreement was excellent (ICC=0.980). Conclusion: The transcultural adaptation of the EVARUCI to Brazilian Portuguese was satisfactory in terms of internal consistency and inter-rater agreement, indicating that it is a specific instrument for ICUs that can be easily and quickly used in the evaluation of risk for pressure injuries in critically ill patients.