Translation, cross-cultural adaptation and content validation of the Global Trigger Tool surgical module

ABSTRACT Objective: to translate, cross-culturally adapt and validate the Global Trigger Tool surgical module content for Brazil. Method: this is methodological research, carried out between March/2018 and February/2019, following the steps of translation, synthesis, back-translation, validation by the Delphi technique, pre-test and presentation to developers. Two translators, two back-translators, six professionals participated in the expert committee. A pre-test was carried out with a retrospective analysis of 244 medical records of adult patients. The content validity index and Cronbach’s alpha were determined for data analysis. Results: the translation and cross-cultural adaptation allowed adjustments of items for use in Brazil. The mean Content Validity Index was 1.38, and the degree of agreement among experts was 92.4%. Cronbach’s alpha was 0.83 for the 11 surgical triggers and their guidelines. Conclusion: the module was translated, cross-culturally adapted for Brazil, with high reliability to identify surgical adverse events.摘要 研究目的：对全球触发工具（Global Trigger Tool）外科模块内容进行翻译、跨文化调适并针对巴西场景完成验证。研究方法：本研究为方法学研究，于2018年3月至2019年2月开展，遵循翻译、合成、回译、德尔菲（Delphi）技术验证、预试验及提交开发者审核的流程。研究团队包含2名译者、2名回译者及6名专家委员会成员。预试验阶段对244份成人患者的病历开展回顾性分析，数据分析采用内容效度指数与克朗巴赫α系数（Cronbach’s alpha）。研究结果：经翻译与跨文化调适后，完成了适配巴西使用需求的条目调整。专家平均内容效度指数为1.38，专家一致度达92.4%；针对11项外科触发事件及其指南的克朗巴赫α系数为0.83。研究结论：本研究完成了全球触发工具外科模块的翻译及巴西跨文化调适，其识别手术不良事件的信度较高。