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Translation and Validation of the Modified A-DIVA Scale to European Portuguese: Difficult Intravenous Access Scale for Adult Patients

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  • Paulo Santos-Costa

    (Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, Portugal
    Doutorando em Enfermagem, Instituto de Ciências da Saúde da Universidade Católica Portuguesa, 4169-005 Porto, Portugal)

  • Liliana B. Sousa

    (Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, Portugal)

  • Fredericus H.J. van Loon

    (Department of Anesthesiology and Intensive Care, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands
    Department of Technical and Anesthesia Nursing Sciences, Fontys University of Applied Sciences, 5631 BN Eindhoven, The Netherlands)

  • Anabela Salgueiro-Oliveira

    (Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, Portugal)

  • Pedro Parreira

    (Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, Portugal)

  • Margarida Vieira

    (Instituto de Ciências da Saúde (Porto), Universidade Católica Portuguesa, 4169-005 Porto, Portugal)

  • João Graveto

    (Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, Portugal)

Abstract

(1) Background: In Portugal, no accurate and reliable predictive instruments are known that could assist healthcare professionals in recognizing patients with difficult venous access. Thus, this study aimed to translate and validate the Modified A-DIVA scale to European Portuguese. (2) Methods: A methodological and cross-sectional study was conducted in two phases: translation of the Modified A-DIVA scale to European Portuguese following six stages proposed by Beaton and collaborators, and assessment of its psychometric properties in a non-probability sample of 100 patients who required peripheral intravenous catheterization in a Portuguese hospital. (3) Results: The European version of the Modified A-DIVA scale (A-DM scale) showed excellent inter-rater accordance scores, k = 0.593 (95% CI, 0.847 to 0.970), p < 0.0005. The A-DM scale’s criterion and construct validity was assessed through predictive, convergent, and correlational analysis with variables identified in the literature as associated with difficult peripheral intravenous access, with moderate to large magnitudes and statistical significance. (4) Conclusions: The A-DM scale is a reliable and valid instrument that can support healthcare professionals and researchers in the early identification of patients at risk of difficult peripheral intravenous access. Future validation studies are needed to test the A-DM scale’s applicability across clinical settings and in different patient cohorts.

Suggested Citation

  • Paulo Santos-Costa & Liliana B. Sousa & Fredericus H.J. van Loon & Anabela Salgueiro-Oliveira & Pedro Parreira & Margarida Vieira & João Graveto, 2020. "Translation and Validation of the Modified A-DIVA Scale to European Portuguese: Difficult Intravenous Access Scale for Adult Patients," IJERPH, MDPI, vol. 17(20), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7552-:d:430410
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    References listed on IDEAS

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    1. Pedro Parreira & Beatriz Serambeque & Paulo S. Costa & Lisete S. Mónico & Vânia Oliveira & Liliana B. Sousa & Fernando Gama & Rafael A. Bernardes & David Adriano & Inês A. Marques & Luciene M. Braga &, 2019. "Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study," IJERPH, MDPI, vol. 16(18), pages 1-12, September.
    2. Michela Piredda & Jacopo Fiorini & Gabriella Facchinetti & Valentina Biagioli & Anna Marchetti & Fabio Conti & Laura Iacorossi & Diana Giannarelli & Maria Matarese & Maria Grazia De Marinis, 2019. "Risk factors for a difficult intravenous access: A multicentre study comparing nurses' beliefs to evidence," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(19-20), pages 3492-3504, October.
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    Cited by:

    1. Paulo Santos-Costa & Mariana Alves & Carolina Sousa & Liliana B. Sousa & Filipe Paiva-Santos & Rafael A. Bernardes & Filipa Ventura & Anabela Salgueiro-Oliveira & Pedro Parreira & Margarida Vieira & J, 2022. "Nurses’ Involvement in the Development and Usability Assessment of an Innovative Peripheral Intravenous Catheterisation Pack: A Mix-Method Study," IJERPH, MDPI, vol. 19(17), pages 1-14, September.
    2. Pedro Parreira & Liliana B. Sousa & Inês A. Marques & Paulo Santos-Costa & Sara Cortez & Filipa Carneiro & Arménio Cruz & Anabela Salgueiro-Oliveira, 2020. "Study Protocol for Two-Steps Parallel Randomized Controlled Trial: Pre-Clinical Usability Tests for a New Double-Chamber Syringe," IJERPH, MDPI, vol. 17(22), pages 1-11, November.

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