BibTex Citation Data :
@article{NMJN81024, author = {Abeer Almutairi and Faridah Said}, title = {Delphi Validation of a Pain Management E-Learning Module for Critical Care Nurses in Saudi Arabia}, journal = {Nurse Media Journal of Nursing}, volume = {16}, number = {1}, year = {2026}, keywords = {Critical care nursing; Delphi method; e-learning; pain management; Saudi Arabia}, abstract = { Background: Critical care nurses play a central role in pain management; however, persistent gaps in knowledge and competency continue to affect patient outcomes globally, including in Saudi Arabia. Despite the growing adoption of e-learning in nursing education, no context-specific, expert-validated module exists for critical care pain management in this context. Purpose: This study aimed to develop and content-validate a context-specific e-learning module on pain management to enhance critical care nurses’ competency in a regional health cluster in Saudi Arabia. Methods: A three-round modified Delphi technique was employed. An initial needs assessment was conducted through a literature review and input from an expert focus group, then refined over three rounds with a panel of five multidisciplinary critical care specialists (7–23 years of experience). Experts rated content relevance on a four-point scale. Content validity was assessed using the Content Validity Ratio (CVR) and Content Validity Index (CVI), with retention thresholds set at CVR ≥ 0.99 and I-CVI ≥ 0.80. Results: The Delphi process achieved 100% response retention across all rounds. Of the 25 initial content items, 24 met the CVR and I-CVI cutoffs (CVR = 1.00, I-CVI = 1.00) and were retained. One item, “Non-pharmacological interventions,” did not meet the CVR cutoff (CVR = 0.60) and was excluded. The final curriculum comprised six modules totaling 2.5 hours, covering pain basics and assessment; clinical aspects of pain; pharmacological management; interdisciplinary practice; case-based application; and assessment of knowledge and skills. New items suggested by the experts and included in the final curriculum were risk stratification, complication monitoring, and documentation protocols. The final scale-level CVI was 1.00. Conclusion: This Delphi study produced an expert-validated, content-valid e-learning module on critical care pain management. Although strong content validity was established, the small panel size and single-region representation limit generalizability. Following pilot testing and outcomes evaluation, this e-learning module may be used as an effective educational intervention to improve knowledge and potentially clinical practice related to pain management. }, issn = {2406-8799}, doi = {10.14710/nmjn.v16i1.81024}, url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/81024} }
Refworks Citation Data :
Background: Critical care nurses play a central role in pain management; however, persistent gaps in knowledge and competency continue to affect patient outcomes globally, including in Saudi Arabia. Despite the growing adoption of e-learning in nursing education, no context-specific, expert-validated module exists for critical care pain management in this context.
Purpose: This study aimed to develop and content-validate a context-specific e-learning module on pain management to enhance critical care nurses’ competency in a regional health cluster in Saudi Arabia.
Methods: A three-round modified Delphi technique was employed. An initial needs assessment was conducted through a literature review and input from an expert focus group, then refined over three rounds with a panel of five multidisciplinary critical care specialists (7–23 years of experience). Experts rated content relevance on a four-point scale. Content validity was assessed using the Content Validity Ratio (CVR) and Content Validity Index (CVI), with retention thresholds set at CVR ≥ 0.99 and I-CVI ≥ 0.80.
Results: The Delphi process achieved 100% response retention across all rounds. Of the 25 initial content items, 24 met the CVR and I-CVI cutoffs (CVR = 1.00, I-CVI = 1.00) and were retained. One item, “Non-pharmacological interventions,” did not meet the CVR cutoff (CVR = 0.60) and was excluded. The final curriculum comprised six modules totaling 2.5 hours, covering pain basics and assessment; clinical aspects of pain; pharmacological management; interdisciplinary practice; case-based application; and assessment of knowledge and skills. New items suggested by the experts and included in the final curriculum were risk stratification, complication monitoring, and documentation protocols. The final scale-level CVI was 1.00.
Conclusion: This Delphi study produced an expert-validated, content-valid e-learning module on critical care pain management. Although strong content validity was established, the small panel size and single-region representation limit generalizability. Following pilot testing and outcomes evaluation, this e-learning module may be used as an effective educational intervention to improve knowledge and potentially clinical practice related to pain management.
Article Metrics:
Last update:
Last update: 2026-04-21 15:10:36
In order for the Department of Nursing, Faculty of Medicine, Universitas Diponegoro to publish and disseminate research articles, we need non-exclusive publishing rights (transferred from the author(s) to the publisher). This is determined by a publishing agreement between the author(s) and the Department of Nursing, Faculty of Medicine, Universitas Diponegoro. This agreement involves the transfer or licensing of the copyright for publishing to the publisher, while authors still retain significant rights to use and share their own published articles. The Department of Nursing, Faculty of Medicine, Universitas Diponegoro supports the need for authors to share, disseminate, and maximize the impact of their research through these rights in any databases.
As the author(s), you have rights to a wide range of uses of your article, including use by your employing institution or company. These author rights can be exercised without the need to obtain specific permission. Authors publishing in the Nurse Media Journal of Nursing have extensive rights to use their works for teaching and scholarly purposes without needing to seek permission, including (but not limited to):
Authors, readers, and third parties can copy and redistribute the material in any medium or format, as well as remix, transform, and build upon the material for any purpose, even commercially, but they must give appropriate credit (including the name of the creator and attribution parties, detailed information about the authors, a copyright notice, an open access license notice, a disclaimer notice, and a link to the material), provide a link to the license, and indicate if changes were made. The publisher will indicate any modification of the material (if any) and retain an indication of previous modifications using a CrossMark Policy and information about Erratum-Corrigendum notifications.
Authors, readers, and third parties can read, print, and download, redistribute or republish the article (e.g., display it in a repository), translate the article, download it for text and data mining purposes, reuse portions or extracts from the article in other works, sell or reuse it for commercial purposes, remix, transform, or build upon the material. They must distribute their contributions under the same license as the original Creative Commons Attribution-ShareAlike (CC BY-SA).
The Authors submitting a manuscript do so on the understanding that if accepted for publication, non-exclusive right for publishing (publishing right) of the article shall be assigned/transferred to Publisher of the Nurse Media Journal of Nursing (Department of Nursing, Faculty of Medicine, Universitas Diponegoro).
Upon acceptance of an article, authors will be asked to complete a 'Copyright Transfer Agreement for Publishing (CTAP)'. An e-mail will be sent to the Corresponding Author confirming receipt of the manuscript together with a 'Copyright Transfer Agreement for Publishing' form by online version of this agreement.
Nurse Media Journal of Nursing and Department of Nursing, Faculty of Medicine, Universitas Diponegoro, the Editors and the Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in the Nurse Media Journal of Nursing are sole and exclusive responsibility of their respective authors and advertisers.
Please note that even though we ask for a transfer of copyright for publishing (CTAP), our journal Author(s) retain (or are granted back) significant scholarly rights as mentioned before.
The Copyright Transfer Agreement for Publishing (CTAP) Form can be downloaded here: [Copyright Transfer Agreement for Publishing (CTAP) Form NMJN 2024]
The copyright form should be signed electronically and send to the Editorial Office in the form of original e-mail below:
Dr. Sri Padma Sari (Editor-in-Chief)Editorial Office of Nurse Media Journal of Nursing Department of Nursing, Faculty of Medicine, Universitas Diponegoro Jl. Prof. Soedarto, Tembalang, Semarang, Central Java, Indonesia 50275Telp.: +62-24-76480919; Fax.: +62-24-76486849E-mail: media_ners@live.undip.ac.id
(This policy statements has been updated at 24th January 2024)