Problems related to the original version of the scale
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The application of the scale were not understood
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Title clarification
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X
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X
|
X
| |
The word oxygen used to describe both oxygen supply and oxygen saturation
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Wording changes to distinguish between SaO2 and FiO2
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X
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X
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X
|
X
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Scale uses both “corrected gestational age” and “gestational age” which respondents found confusing.
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Changed to “corrected gestational age” throughout the scale
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X
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X
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X
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X
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Unclear in step 2 which time frame that should be used for assessment
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Clarification which 30 s that are to be used
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X
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X
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X
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X
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The term “vital sign” is not explained in the scale
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Changed to “physiological indicators”
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X
| |
X
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X
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In step 3 unclear when to include score for corrected GA and behavioral state
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Clarifications on when these factors should be included
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X
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X
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X
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X
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Unclear time frame for when to give points for additional oxygen
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Clarification that it is the first 30 s that are to be assessed
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X
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X
|
X
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Problems related to the translated versions of the scale
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Baseline not a familiar term
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Change of wording
| | |
X
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X
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Not understanding the facial indicator “Brow Bulge”
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Change of wording
| | | |
X
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Not understanding the facial indicator “Naso-labial furrow”
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Change of wording
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X
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X
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X
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X
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Explanatory word for the different categories (eg minimal, maximal) not making sense
|
Change of wording
|
X
|
X
| | |
Problems that can be solved with education and training
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Unclear if you should assess baseline behavioral state once or several times
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Education and training
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X
| | | |
Unclear if it is duration or intensity of pain that is to be assessed
|
Education and training
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X
|
X
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X
|
X
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Difficult to assess several parameters at the same time
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Education and training
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X
|
X
|
X
|
X
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Would like a guiding instruction for the acquired pain score/a pain algorithm
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Education and training
|
X
|
X
|
X
|
X
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Uses mean heart rate/oxygen saturation instead of highest/lowest
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Education and training
| |
X
| | |
The “+” sign before each scoring category is confusing
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Education and training
| |
X
| | |
Difficulties distinguishing between the different behavioral states categories
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Education and training
| |
X
|
X
|
X
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Unsure about how to assess a decrease in heart rate
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Education and training
| | |
X
|
X
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Difficult to understand how to score if fiO2 is increased
|
Education and training
| | |
X
| |
Scores for the time when the reaction occurs and not the duration of the reaction
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Education and training
| | |
X
| |
Difficult to separate “Brow bulge” from “Eye squeeze” since they are highly correlated
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Education and training
| | |
X
| |