Assessment of content validity for a Neonatal Near miss Scale in the context of Ethiopia

Figures & data

Table 1. Sociodemographic data of the expert panel on phase one scale from the public health hospital of Amhara Regional State, northwest Ethiopia, 2020

Panel	Designation	Expertise	Organization	Experience
1	Ph.D. (Asso.professor)	Public health	IPH,University of Gondar (UOG)	>20 years
2	MD(Asst.professor)	Pediatrician	School of Medicine,UOG	>9 years
3	MSc(Lecturer)	Pediatrics and child health nursing	School of Nursing,UOG	>12 years
4	Asso.professor	Clinical midwifery and epidemiology	School of Midwifery,UOG	>17 years
5	BSc(Practitioner)	Neonatal nurse	Neonatology ward,UOG	>7 years
6	MSc(Practitioner)	Clinical midwifery	Maternity ward,UOG	>8 years
7	Asst.professor	Ph.D. student and clinical midwifery	School of Midwifery,UOG	>11 years
8	Asst.professor	Ph.D. student and clinical midwifery	School of Midwifery,UOG	>10 years
9	Asst.professor	Pediatrics and child health nursing	School of Nursing,UOG	13 years

Figure 1. Steps for development and assessment of content validity for a neonatal near miss scale in the context of Ethiopia

Table 2. Sociodemographic data of the expert panel on phase two scale in the public health hospital of Amhara Regional State, northwestern Ethiopia, 2020

Panel	Designation	Expertise	Organization	Experience
1	PhD(Asst.professor)	RH and epidemiologist	IPH,University of Gondar (UOG)	>12 years
2	MD(Asst.professor)	Pediatrician	School of Medicine,UOG	>5 years
3	MD(Asst.professor)	Pediatrician	School of Medicine,UOG	>6 years
4	Asst.professor	Pediatrics and child health	School of Nursing,UOG	>12 years
5	BSc(practitioner)	Senior midwife	Maternity ward,UOG,hospital	>7 years
6	BSc(practitioner)	Neonatal nurse	Neonatology ward,UOG	>5 years
7	Asst.professor	Clinical midwifery	School of Midwifery,UOG	>10 years
8	Asst.professor	Clinical midwifery	School of Midwifery,UOG	>11 years
9	Asst.professor	Epidemiologist and Ph.D. student	Institute of Public Health,UOG	>10 years
10	Asst.professor	Clinical midwifery and Ph.D. student	School of Midwifery,UOG	>16 years

Table 3. CVR for items from each domain with a number of experts who gave a scoring rate for an item in the public health hospital of Amhara Regional State, northwest Ethiopia, 2020

Domains	Items	Expert1	Expert2	Expert3	Expert 4	Expert5	Expert6	Expert 7	Expert8	Expert9	Expert10	Ne	CVR
Pragmatic	APGAR score<7 at 5 m	3	3	3	3	3	3	3	1	3	3	9	0.8
	Birth weight <1,750 g	3	3	3	3	3	3	3	3	3	3	10	1
	Gestational age <34 weeks	3	3	3	3	3	3	3	2	3	3	9	0.8
	Auxiliary temperature (12–24 hours)	3	3	3	3	3	3	3	3	3	3	10	1
Clinical	Absence of regular breathing	3	3	3	3	3	3	3	2	3	3	9	0.8
	Cardiac arrest(asystole)	2	3	3	3	3	3	3	3	3	3	9	0.8
	Respiratory rate >70 bpm	3	3	3	3	3	3	3	3	3	3	10	1
	Bradycardia<80 bpm	3	3	3	3	3	3	3	3	3	3	10	1
	Jaundice duringfirst 24 hours	3	3	3	3	3	3	3	3	3	3	10	1
	Tachycardia >180 bpm	2	3	3	3	3	3	3	3	3	3	9	0.8
	Recurrent seizures(three or more episodes)	2	3	3	3	3	3	3	3	3	3	9	0.8
	Inability to suck within 12 hours	1	3	3	3	3	3	3	3	3	3	9	0.8
	Nural tube defects	2	3	3	3	3	3	2	3	3	3	8	0.6
	Haematuria	1	3	3	3	3	3	2	3	3	2	7	0.4
	Persistent central cyanosis	3	3	3	3	3	3	3	2	3	3	9	0.8
	Non passage of urine >24 hours	2	3	3	3	3	3	3	3	3	3	9	0.8
	Vomiting(threeand more episodes)	3	3	3	3	3	3	3	3	3	3	10	1
Management	Nasal CPAP	2	3	3	3	3	3	3	3	3	3	9	0.8
	Phototherapy within 24 hours	3	3	3	3	3	3	3	3	3	3	10	1
	Chest compression	3	3	3	3	3	3	3	3	3	3	10	1
	Positive pressure ventilation	3	3	3	3	3	3	3	3	3	2	9	0.8
	Use of any vasoactive drugs	2	3	3	3	3	3	3	3	3	3	9	0.8
	Use of anticonvulsants	2	3	3	3	3	3	3	2	3	3	8	0.8
	Blood exchange transfusion	2	3	3	3	3	3	3	3	3	3	9	0.8
	Use of corticosteroid for hypoglycemia	3	3	3	3	3	3	3	3	3	3	9	1
	Major surgery in the first week	3	3	3	3	3	3	3	2	3	3	9	0.8
	Intubation for suctioning	3	3	3	3	3	3	3	3	3	3	10	1
Lab-investigation	Hgb<10 g/dl	3	3	3	3	3	3	3	2	3	3	9	0.8
	WBC <4,000cells/mm^3	3	3	3	3	3	3	3	3	3	3	10	1
	Serum blirubinelevel>10 mg/dl within 24 hours	3	3	3	3	3	3	3	2	3	3	9	0.8
	Was blood culture positive?	3	3	3	3	3	3	3	3	3	3	10	1
	Blood glucose level <40 mg/dl in 24 hours	3	3	3	3	3	3	3	3	3	3	10	1

*Note:Ne-number of panel experts indicated essential and CVR (Content Validity Ratio).

Table 4. Ratings on NNMAS by 10 experts’ items rated 3 or 4 on a 4-point relevant scale in the public health hospital of Amhara Regional State, northwestern Ethiopia, 2020

Domains	Item	Expert1	Expert2	Expert3	Expert4	Expert5	Expert6	Expert 7	Expert8	Expert9	Expert10	No. In Agreement	I-CVI	PC	Kappa Statistics
Pragmatic	1	4	4	3	4	4	4	4	2	4	4	9	0.9	0.00976	0.899
	2	3	4	4	4	4	4	4	3	4	4	10	1	0.000976	1
	3	4	4	4	4	4	4	4	4	4	4	10	1	0.000976	1
	4	4	4	4	3	4	4	4	3	4	4	10	1	0.000976	1
Clinical	5	4	4	4	3	4	4	4	3	4	4	10	1	0.000976	1
	6	3	4	4	3	4	4	4	4	4	4	10	1	0.000976	1
	7	4	4	4	4	4	4	3	3	3	4	10	1	0.000976	1
	8	4	4	4	4	4	4	4	4	4	4	10	1	0.000976	1
	9	4	4	4	4	4	4	4	3	3	4	10	1	0.000976	1
	10	2	4	4	4	4	4	3	4	4	4	9	0.9	0.00976	0.899
	11	3	4	4	4	4	4	3	3	3	4	10	1	0.000976	1
	12	1	4	4	4	4	4	4	3	4	4	9	0.9	0.00976	0.899
	13	3	4	4	4	4	4	3	4	3	4	10	1	0.000976	1
	14	1	4	4	4	4	2	3	4	4	2	7	0.7	0.703125	Negative
	15	3	4	4	4	4	4	4	3	4	4	10	1	0.000976	1
	16	4	1	3	4	4	4	3	4	3	3	9	0.9	0.00976	0.899
	17	4	4	4	4	4	4	4	4	4	4	10	1	0.000976	1
Management	18	4	4	3	4	4	3	4	3	4	2	9	0.9	0.00976	0.899
	19	2	4	4	4	4	4	4	4	4	4	9	0.9	0.00976	0.899
	20	1	4	4	4	4	4	4	3	4	4	9	0.9	0.00976	0.899
	21	2	4	4	4	4	3	4	4	4	4	9	0.9	0.00976	0.899
	22	3	4	4	4	4	4	4	3	4	4	10	1	0.000976	1
	23	4	4	4	4	4	4	4	3	3	4	10	1	0.000976	1
	24	4	4	4	4	4	4	4	4	4	4	10	1	0.000976	1
	25	4	4	4	4	4	4	4	4	4	4	10	1	0.000976	1
	26	4	4	4	4	4	4	3	3	4	4	10	1	0.000976	1
	27	3	4	3	4	4	4	3	4	4	3	10	1	0.000976	1
Labinvestigation	28	2	4	4	4	4	4	4	4	4	3	9	0.9	0.000976	0.899
	29	4	4	3	4	4	4	4	4	4	4	10	1	0.000976	1
	30	4	4	4	4	4	4	4	3	4	4	10	1	0.000976	1
	31	4	4	4	4	4	4	4	4	1	4	9	0.9	0.00976	0.899
	32	4	4	4	4	4	4	4	3	4	3	10	1	0.000976	1
S-CVI(un)		0.78	0.97	1	1	1	0.97	1	0.97	.97	1	S-CVI(ave) = 0.96

Note: S-CVI (un) = scale level content validity index (universal) and S-CVI (ave) = scale content validity index (average).