The Nursing Working Group of the International Society of Pediatric Oncology developed baseline standards for pediatric oncology nursing care in low- and middle-income countries. The standards represent the foundational support required to provide quality nursing care and address barriers such as inadequate staffing, lack of support, limited access to education, and unsafe nursing environments. The purpose of the current study was to develop and validate an instrument to accurately measure the standards. Content validity was assessed by a panel of expert pediatric oncology nurses from all geographical regions of the World Health Organization. The experts were informed about the study's purpose and provided the publications used to develop the instrument. The experts rated how well each criterion measured the corresponding standard by using a 4-point scale. A content validity index (CVI) was computed by using the percentage of total standards given a score of 3 or 4 by the experts. A CVI of .98 was obtained from the panel's evaluation. A CVI of more than .80 is recommended for a newly developed instrument. On the basis of the panel's recommendations, minor modifications were made to the instrument. We developed and validated the content of an instrument to accurately measure baseline standards for pediatric oncology nursing care. This instrument will aid future research on the effect of nursing standards on clinical outcomes, including mortality and abandonment of treatment, with the potential to influence health policy decisions and improve nursing support in low- and middle-income countries.

中文翻译：

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用于衡量中低收入国家儿科肿瘤护理基线标准的仪器的开发和内容验证

国际儿科肿瘤学会护理工作组制定了中低收入国家儿科肿瘤护理的基线标准。这些标准代表了提供优质护理和解决诸如人员不足、缺乏支持、受教育机会有限和护理环境不安全等障碍所需的基础支持。当前研究的目的是开发和验证一种仪器来准确测量标准。内容有效性由来自世界卫生组织所有地理区域的儿科肿瘤科专家护士小组评估。专家们被告知该研究的目的，并提供了用于开发该工具的出版物。专家们使用 4 分制对每个标准衡量相应标准的程度进行了评估。内容效度指数 (CVI) 是通过使用专家给出的 3 或 4 分的总标准百分比来计算的。0.98 的 CVI 来自专家组的评估。对于新开发的仪器，建议 CVI 大于 0.80。根据专家组的建议，对该文书进行了细微的修改。我们开发并验证了一种仪器的内容，以准确测量儿科肿瘤护理的基线标准。该工具将有助于未来研究护理标准对临床结果的影响，包括死亡率和放弃治疗，