Design and Validation of Instruments to assess Knowledge, Self-efficacy, andComplications in Home Tracheostomy Care
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Keywords

caregivers
tracheostomy
knowledge
self-efficacy
nursing
validation study

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Design and Validation of Instruments to assess Knowledge, Self-efficacy, andComplications in Home Tracheostomy Care. (2026). Universitas Medica, 67. https://doi.org/10.11144/Javeriana.umed67.dvia
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Abstract

Introduction: Home-based care of adults with tracheostomy requires family caregivers to develop technical knowledge, clinical skills, and adequate levels of self-efficacy in order to prevent and detect complications associated with the procedure. Objective: To design and obtain the Content Validity Coefficient (CVC) of two questionnaires: one assessing knowledge related to home tracheostomy care and another assessing self-efficacy for tracheostomy management. In addition, to develop and validate two clinical rubrics to identify early and late complications in individuals with tracheostomy. Materials and methods: A methodological study developed in three phases: a literature review to identify conceptual and clinical content, the design and construction of the questionnaires and rubrics, and content validation using the CVC to evaluate the clarity, relevance, and pertinence of the developed instruments. Results: Both the questionnaires and the rubrics achieved CVC values greater than 0.90, which, according to the applied methodology, indicate excellent levels of validity and agreement. Conclusions: The developed instruments represent a significant contribution to both education and the assessment of knowledge and self-efficacy related to home tracheostomy care among family caregivers, as well as to the identification of complications in individuals with tracheostomy through the use of clinical rubrics.

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