title: [Factors associated with compliance to the semi-recumbent position in the patient on mechanical ventilation: CAPCRI-Q questionnaire].
abstract: OBJECTIVE
  To create a questionnaire (CAPCRI-Q) to determine the factors associated with the compliance of the semi-recumbent position in patients under mechanical ventilation.
  
  
  METHODS
  A closed questionnaire was created using a literature review and clinical practice. The initial version consisted of 61 items placed into 5 categories: patient factors, team and professionals factors, activity, educational and training factors, and equipment and resources. A Delphi method was used to prepare the questionnaire. Comprehension, relevance and importance of each item were evaluated, as well as the recommendations of experts. A qualitative pilot test with 9 healthcare professionals was performed, followed by a quantitative pilot test with 67 nurses from 6 intensive care units to test the internal consistency of the instrument.
  
  
  RESULTS
  Three rounds with 15 experts were required to reach a consensus. The final version of the questionnaire consisted of 36 items enclosed in the same categories as the initial version. The internal consistency analysis showed values greater than 0.800 for each independent item, each category, and for the global questionnaire (0.873; 95%CI: 0.825-0.913). The analysis of the nurses' responses emphasised the importance of the patient factors, as well as organisational and infra-structural factors, for the compliance of the recommendation.
  
  
  CONCLUSIONS
  The questionnaire created is reliable and appears to have content validity. The most influential factors for compliance are those related to the patient and the internal organisation. The results of the questionnaire can be used to evaluate the factors influencing the compliance and to establish improvement strategies.
authors.affiliation: Departamento de Enfermería, Universitat Rovira i Virgili, Tarragona, España. Electronic address: mireiallaurado@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Llauradó-Serra
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitario Joan XXIII, Tarragona, España.
authors.forename: R
authors.initials: R
authors.lastname: Güell-Baró
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitario Doctor Josep Trueta, Girona, España.
authors.forename: A
authors.initials: A
authors.lastname: Lobo-Cívico
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitario Doctor Josep Trueta, Girona, España; Departamento de Enfermería, Universitat de Girona, Girona, España.
authors.forename: A
authors.initials: A
authors.lastname: Castanera-Duro
authors.affiliation: Unidad de Cuidados Intensivos, Hospital de Sant Joan Despí Moissès Broggi, Sant Joan Despí, Barcelona, España.
authors.forename: M
authors.initials: M
authors.lastname: Pi-Guerrero
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitario Verge de la Cinta, Tortosa, Tarragona, España.
authors.forename: A
authors.initials: A
authors.lastname: Piñol-Tena
authors.affiliation: Unidad de Cuidados Intensivos, Hospital de Sant Pau i Santa Tecla, Tarragona, España.
authors.forename: C
authors.initials: C
authors.lastname: Paños-Espinosa
authors.affiliation: Unidad de Cuidados Intensivos, IDCSalud Hospital General de Cataluña, Sant Cugat del Vallès, Barcelona, España.
authors.forename: N
authors.initials: N
authors.lastname: Calpe-Damians
authors.affiliation: Facultad de Medicina, Universitat Rovira i Virgili, Reus, Tarragona, España; Institut d'Investigació Sanitària Pere Virgili, Tarragona, España; Servicio de Medicina Preventiva y Epidemiología, Hospital Universitario Joan XXIII, Tarragona, España.
authors.forename: M
authors.initials: M
authors.lastname: Olona
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitario Joan XXIII, Tarragona, España; Facultad de Medicina, Universitat Rovira i Virgili, Reus, Tarragona, España; Institut d'Investigació Sanitària Pere Virgili, Tarragona, España.
authors.forename: A
authors.initials: A
authors.lastname: Sandiumenge
authors.affiliation: Departamento de Enfermería, Universitat Rovira i Virgili, Tarragona, España.
authors.forename: M F
authors.initials: MF
authors.lastname: Jiménez-Herrera
mesh_terms: D032921:Consensus; D019983:Guideline Adherence; D006801:Humans; D007362:Intensive Care Units; D011187:Posture; D012121:Respiration, Artificial; D011795:Surveys and Questionnaires
keywords: Critical patients; Cuestionario; Factores relacionados; Healthcare workers; Mechanical ventilation; Paciente crítico; Posición semiincorporada; Profesionales sanitarios; Questionnaire; Related factors; Semi-recumbent position; Ventilación mecánica