Translation into Portuguese and cross-cultural adaptation for use in Brazil of the Canadian survey of mobilization of ICU patients
DOI:
https://doi.org/10.1590/1809-2950/20024728022021Keywords:
Intensive Care Units, Patient Care Team, Early Ambulation, Translations, Survey and QuestionnairesAbstract
This study aimed to translate and culturally adapt the “Canadian survey of mobilization of intensive care unit patients” questionnaire to Brazilian Portuguese. This instrument evaluates intensive care unit (ICU) professionals’
knowledge about early mobilization and its importance, their perceptions about barriers and rehabilitation practices with critically ill patients. The protocol includes the following steps: authorization and assignment of rights of use; translation of the instrument into Portuguese; reconciliation; back-translation to the original language; revision and harmonization of back-translation; approval from the main author of the original questionnaire; revision of the Portuguese version; cognitive debriefing; reconciliation; and preparation of the final version. Due to some conceptual and cultural differences between the two countries, some questions were discussed with the author of the original instrument, who agreed with the suggested alterations. During cognitive debriefing, the 10 selected professionals tested the questionnaire’s clarity, understanding, and acceptability, indicating any difficulties they had regarding its content. Many interviewees reported that the instrument raises important reflections on daily practices and the
benefits of early mobilization. The questionnaire entitled “Pesquisa de mobilização de pacientes em unidade de terapia intensiva: conhecimento, perspectivas e práticas atuais” was translated and culturally adapted to Brazilian Portuguese and can be used
to evaluate aspects of early mobilization by professionals who
participate in this process in adult and pediatric ICUs. Future studies using this version will be necessary to verify that the questionnaire provides reproducible and valid measurements.
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References
Diaz Ballve LP, Dargains N, Urrutia Inchaustegui JG, Bratos
A, Milagros Percaz M, Bueno Ardariz C, et al. Weakness
acquired in the intensive care unit. Incidence, risk factors and
their association with inspiratory weakness: observational
cohort study. Rev Bras Ter Intensiva. 2017;29(4):466-75. doi:
5935/0103-507X.20170063.
Jolley SE, Bunnell AE, Hough CL. ICU-Acquired weakness.
Chest. 2016;150(5):1129-40. doi: 10.1016/j.chest.2016.03.045.
Ferreira NA, Lopes AJ, Ferreira AS, Ntoumenopoulos G, Dias
J, Guimaraes FS. Determination of functional prognosis in
hospitalized patients following an intensive care admission.
World J Crit Care Med. 2016;5(4):219-27. doi: 10.5492/wjccm.
v5.i4.219.
Kress JP, Hall JB. ICU-acquired weakness and recovery from
critical illness. N Engl J Med. 2014;370(17):1626-35. doi: 10.1056/
NEJMra1209390.
Zang K, Chen B, Wang M, Chen D, Hui L, Guo S, et al. The effect
of early mobilization in critically ill patients: a meta-analysis.
Nurs Crit Care. 2020;25(6):360-67. doi: 10.1111/nicc.12455.
Tipping CJ, Harrold M, Holland A, Romero L, Nisbet T, Hodgson
CL. The effects of active mobilisation and rehabilitation in ICU
on mortality and function: a systematic review. Intensive Care
Med. 2017;43(2):171-83. doi: 10.1007/s00134-016-4612-0.
Dubb R, Nydahl P, Hermes C, Schwabbauer N, Toonstra A,
Parker AM, et al. Barriers and strategies for early mobilization
of patients in intensive care units. Ann Am Thorac Soc.
;13(5):724-30. doi: 10.1513/AnnalsATS.201509-586CME.
Hodgson CL, Capell E, Tipping CJ. Early mobilization of patients
in intensive care: organization, communication and safety
factors that influence translation into clinical practice. Crit
Care. 2018;22(1):77. doi: 10.1186/s13054-018-1998-9.
Berney SC, Rose JW, Bernhardt J, Denehy L. Prospective
observation of physical activity in critically ill patients who were
intubated for more than 48 hours. J Crit Care. 2015;30(4):658-
doi: 10.1016/j.jcrc.2015.03.006.
Bakhru RN, McWilliams DJ, Wiebe DJ, Spuhler VJ, Schweickert
WD. Intensive care unit structure variation and implications
for early mobilization practices: an international survey.
Ann Am Thorac Soc. 2016;13(9):1527-37. doi: 10.1513/
AnnalsATS.201601-078OC.
Fontela PC, Forgiarini LA Jr, Friedman G. Clinical attitudes
and perceived barriers to early mobilization of critically ill
patients in adult intensive care units. Rev Bras Ter Intensiva.
;30(2):187-94. doi: 10.5935/0103-507X.20180037.
Anekwe DE, Koo KK, de Marchie M, Goldberg P, Jayaraman
D, Spahija J. Interprofessional survey of perceived barriers
and facilitators to early mobilization of critically ill patients in
Montreal, Canada. J Intensive Care Med. 2019;34(3):218-226.
doi: 10.1177/0885066617696846.
Johnson K, Petti J, Olson A, Custer T. Identifying barriers to
early mobilisation among mechanically ventilated patients in a
trauma intensive care unit. Intensive Crit Care Nurs. 2017;42:51-54.
doi: 10.1016/j.iccn.2017.06.005.
Koo KK, Choong K, Cook DJ, Herridge M, Newman A, Lo V,
et al. Canadian critical care trials group: early mobilization of
critically ill adults: a survey of knowledge, perceptions and
practices of Canadian physicians and physiotherapists. CMAJ
Open. 2016;4(3):448-54. doi: 10.9778/cmajo.20160021.
Hoyer EH, Brotman DJ, Chan KS, Needham DM. Barriers to
early mobility of hospitalized general medicine patients:
survey development and results. Am J Phys Med Rehabil.
;94(4):304-12. doi: 10.1097/PHM.0000000000000185.
Harris CL, Shahid S. Physical therapy-driven quality
improvement to promote early mobility in the intensive
care unit. Proc (Bayl Univ Med Cent). 2014;27(3):203-7. doi:
1080/08998280.2014.11929108.
Jolley SE, Regan-Baggs J, Dickson RP, Hough CL. Medical
intensive care unit clinician attitudes and perceived barriers
towards early mobilization of critically ill patients: a crosssectional survey study. BMC Anesthesiol. 2014;14:84. doi:
1186/1471-2253-14-84.
Wild D, Grove A, Martin M, Eremenco S, McElroy S, VerjeeLorenz A, et al. Principles of good practice for the translation
and cultural adaptation process for patient-reported outcomes
(PRO) measures: report of the ISPOR task force for translation
and cultural adaptation. Value Health. 2005;8(2):94-104. doi:
1111/j.1524-4733.2005.04054.x.
Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation
of health-related quality of life measures: literature review and
proposed guidelines. J Clin Epidemiol. 1993;46(12):1417-32. doi:
1016/0895-4356(93)90142-n.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines
for the process of cross-cultural adaptation of self-report
measures. Spine (Phila Pa 1976). 2000;25(24):3186-91. doi:
1097/00007632-200012150-00014.
Donovan AL, Aldrich JM, Gross AK, Barchas DM, Thornton KC,
Schell-Chaple HM, et al. Interprofessional care and teamwork
in the ICU. Crit Care Med. 2018;46(6):980-990. doi: 10.1097/
CCM.0000000000003067.
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