scholarly journals Management of severe preeclampsia in the puerperium: development and scenario validation for clinical simulation

2021 ◽  
Vol 74 (6) ◽  
Author(s):  
Samyla Carla Nóbrega Silva ◽  
Beatriz Rodrigues de Alencar ◽  
Alecssandra de Fátima Silva Viduedo ◽  
Laiane Medeiros Ribeiro ◽  
Casandra Genoveva Rosales Martins Ponce de Leon ◽  
...  

ABSTRACT Objective: to develop and validate a scenario for clinical simulation in nursing education on the management of severe preeclampsia in the puerperium. Method: methodological study in five stages (overview, scenario, scenario design progression, debriefing and assessment), developed from March to December 2019, involving 10 volunteers (one professor, five actors and four judges). Data were analyzed using descriptive statistics and Content Validation Index. Results: the scenario was built from the definition of learning objectives that meet the needs of nursing education. From the completion of a Likert scale, by the judges in on-site validation, a Content Validity Index of 1.0 was reached, which indicates 100% agreement in the assessed items. Conclusion: the scenario was validated. It is expected that teaching by simulation will be expanded and that new studies of scenario validation will contribute to the preparation of future nurses, based on the most recent scientific evidence.

2022 ◽  
Vol 75 (3) ◽  
Author(s):  
Fernanda Coêlho do Nascimento ◽  
Ana Paula de Freitas Araújo ◽  
Alecssandra de Fátima Silva Viduedo ◽  
Laiane Medeiros Ribeiro ◽  
Casandra Genoveva Rosales Martins Ponce de Leon ◽  
...  

ABSTRACT Objectives: to validate a scenario for clinical simulation: prenatal nursing consultation for adolescents. Methods: methodological study developed from January to December 2019, in five stages (overview, scenario, scenario design, progression, debriefing and assessment). The validation involved four volunteer students, a teacher as a facilitator and four judges. The judges filled out a Likert scale with four responses. Data was analyzed using Microsoft Excel® software, version 2016. Absolute and relative frequencies and the content validity index were calculated, considering a minimum acceptable value of 1.0. Results: the preparation of the scenario was based on the proposed learning objectives. The scenario was validated with a global content validity index equal to 1.0. Final Considerations: the study achieved the proposed objective. This scenario can contribute to preparing nurses to work in the care of pregnant teenagers, a representative public in Brazil that requires specific care.


2019 ◽  
Vol 72 (3) ◽  
pp. 624-631 ◽  
Author(s):  
Priscyla de Oliveira Nascimento Andrade ◽  
Sheyla Costa de Oliveira ◽  
Sheila Coelho Ramalho Vasconcelos Morais ◽  
Tatiane Gomes Guedes ◽  
Geyslane Pereira de Melo ◽  
...  

ABSTRACT Objective: To construct and validate a clinical simulation setting for postpartum haemorrhage. Method: Quantitative research of methodological development, carried out from May to July of 2016 with 22 expert judges and 30 students. Analysis was performed from descriptive statistics, Binomial Test and Content Validity Index (CVI), considering CVI ≥ 80%. Results: Setting construction was based on learning objectives, fidelity, evaluation tool, pre-setting activities and debriefing. Agreement, regarding its validity, was satisfactory in the 23 items analyzed. Items evaluated by judges had CVI> 0.90; in the evaluation by students, CVI was > 0.95. Conclusion: It was considered validated and suitable for training and use by nursing students. Other studies should be carried out in order to test its effectiveness in the construction of theoretical and practical knowledge of both nursing students and nurses during Permanent Education.


Author(s):  
Luciana Mara Monti Fonseca ◽  
Juliana Cristina dos Santos Monteiro ◽  
Natália Del’Angelo Aredes ◽  
Juliana Villela Bueno ◽  
Aline Natália Domingues ◽  
...  

Objective: to develop and validate with a panel of experts a scenario of maternal-child clinical simulation, related to humanized childbirth and birth. Method: methodological study based on the Jeffries framework and standardized guides of the International Nursing Association for Clinical Simulation in Learning, which used analysis with descriptive statistics for general aspects of adherence to the aforementioned guide and inferential statistics for validating the checklist of actions through the Intraclass Correlation Coefficient (ICC). Results: the scenario contains learning objectives, necessary resources, prebriefing and debriefing of guidelines, description of the simulated situation, participants and roles, and checklist of expected actions. The validation obtained an agreement level above 80% in all aspects evaluated by 31 experts, highlighting realism of the environment and setting, vital sign parameters, alignment with scientific literature and encouragement of critical thinking and problem solving. In addition, the checklist of actions was validated with 0.899 agreement among experts, statistically analyzed by the ICC and Cronbach’s alpha 0.908 (95% confidence interval). Conclusion: the simulated scenario on humanized childbirth and birth can strengthen the articulation between women’s and children’s health disciplines, and was validated by experts.


2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Eduardo Fernandes da Silva ◽  
Silvia Maria de Sá Basilio Lins ◽  
Joyce Martins Arimatea Branco Tavares ◽  
Cristiano Bertolossi Marta ◽  
Patrícia dos Santos Claro Fuly ◽  
...  

ABSTRACT Objectives: to validate a care protocol for the monitoring and prevention of arteriovenous fistula complications. Methods: a validation methodological study with a quantitative approach, developed in a university hospital in the city of Rio de Janeiro. Results: scientific evidence was gathered from 20 researches. A care protocol was developed, composed of 15 items and divided into 3 sessions. The protocol was validated by a group of 11 experts, obtaining a content validity index of 0.95. Conclusions: the protocol proposes nursing care capable of preventing and monitoring arteriovenous fistula complications, punctured with a traditional technique, taking into account the actions implemented from patients’ entry into the machine until the end of therapy.


2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Angélica Olivetto de Almeida ◽  
Sônia Regina Pérez Evangelista Dantas ◽  
Maria Angela Boccara de Paula ◽  
Juliany Lino Gomes Silva ◽  
Ednalda Maria Franck ◽  
...  

ABSTRACT Objectives: to build and validate three clinical simulation scenarios and report the application with candidates for the specialist’s degree in stomatherapy. Methods: methodological study, building three scenarios and evaluation checklists; content validation with judges, using content validity index and Modified Kappa Coefficient; pre-test and application. Results: scenarios built based on nursing care for: 1. insufficiency and venous ulcer; 2. demarcation of intestinal stomia; and 3. Clean intermittent catheterization. In the content validation of the 24 items appreciated, 83%, 80%, and 92% were validated without change. In the pre-test, the objectives and checklists were adjusted. In the application, to standardize the evaluation, actors and evaluators were trained previously, and each candidate passed the three stations. Conclusions: scenarios built and with validated content, based on evidence and covering the three areas of stomatherapy. The pre-test allowed for adjustments in the scenarios, and the candidates achieved the expected objectives.


2018 ◽  
Vol 12 (5) ◽  
pp. 1241
Author(s):  
Diequison Rite da Cunha ◽  
Rosimar Aparecida Alves Dutra ◽  
Geraldo Magela Salomé ◽  
Lydia Masako Ferreira

RESUMOObjetivo: descrever o desenvolvimento de um aplicativo móvel para tratamento de feridas com laserterapia. Método: estudo metodológico, desenvolvido entre abril e setembro de 2017, envolvendo revisão da literatura, planejamento e produção do conteúdo didático, definição da estrutura de navegação e construção de um ambiente para download e instalação do aplicativo em dispositivos móveis. Resultados: quinze artigos, dois livros e uma dissertação foram selecionados a partir de pesquisa da literatura. O aplicativo desenvolvido registra as características sociodemográficas do paciente e, a partir dos dados de avaliação da ferida e de fatores de risco obtidos pelo profissional de saúde, propõe os parâmetros a serem utilizados em laserterapia. Conclusão: o aplicativo desenvolvido tem potencial de utilização na prática clínica, podendo auxiliar na seleção de parâmetros de laserterapia no tratamento de feridas, bem como na educação em enfermagem. Descritores: Aplicativos Móveis; Software; Lasers; Ferimentos e Lesões; Avaliação; Algoritmos.ABSTRACT Objective: to describe the development of a mobile application for treatment of wounds with laser therapy. Method: this is a methodological study, developed between April and September 2017, involving literature review, planning and production of didactic content, definition of the navigation structure, and construction of an environment for downloading and installing the application on mobile devices. Results: fifteen articles, two books, and one dissertation were selected from literature research. The developed application registers the sociodemographic characteristics of the patient, and from the data of evaluation of the wound and of risk factors obtained by the health professional, the parameters to be used in laser therapy were propose. Conclusion: the developed application has potential for use in clinical practice, and may help in the selection of laser therapy parameters in wound treatment, as well as in nursing education. Descriptors: Mobile Applications; Software; Lasers; Wounds and Injuries, Evaluation; Algorithms.RESUMEN Objetivo: describir el desarrollo de un aplicativo móvil para tratamiento de heridas con terapia de laser. Método: estudio metodológico, desarrollado entre abril y setiembre de 2017, envolviendo revisión de la literatura, planeamiento y producción del contenido didáctico, definición de la estructura de navegación, y construcción de un ambiente para download e instalación del aplicativo en dispositivos móviles. Resultados: quince artículos, dos libros y una disertación fueron seleccionados a partir de investigación de la literatura. El aplicativo desarrollado registra las características sociodemográficas del paciente, y a partir de los datos de evaluación de la herida y de factores de riesgo obtenidos por el profesional de salud, proponen los parámetros a ser utilizados en laserterapia. Conclusión: el aplicativo desarrollado tiene potencial de utilización en la práctica clínica, pudiendo auxiliar en la selección de parámetros de laserterapia en el tratamiento de heridas, así como en la educación en enfermería. Descriptores: Aplicaciones Móviles; Programas Informáticos; Rayos Láser; Heridas y Lesiones, Evaluación, Algoritmos.


2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Shirley Ribeiro dos Santos Linhares ◽  
Elisabete Pimenta Araújo Paz ◽  
Gisela Cordeiro Pereira Cardoso

ABSTRACT Objectives: to describe the steps of validation of the logical models of the Directly Observed Treatment and the Information System of the Directly Observed Treatment Short-Course Strategy. Methods: methodological study carried out from February to June 2018, in two stages. The content of the items that make up the models was based on scientific evidence and submitted to the experts for content validation. The Content Validity Index was applied, accepting the value ≥ 0.80. Results: the agreement, regarding its validity, was satisfactory in the 79 items analyzed. The logical models were considered valid with a Global Validity Index of 0.91 for the Directly Observed Treatment and 0.87 for the Information System. Conclusions: the logical models were considered valid in terms of content, being a useful and timely instrument to support managers in decision-making.


2019 ◽  
Vol 72 (6) ◽  
pp. 1519-1525 ◽  
Author(s):  
Marcela Maria de Melo Perdigão ◽  
Andrea Bezerra Rodrigues ◽  
Tayanne de Lima Magalhães ◽  
Fernanda Macedo Cartaxo Freitas ◽  
Lia Guedes Bravo ◽  
...  

ABSTRACT Objective: To construct and validate an educational technology (ET) on fatigue and non-pharmacological strategies for the management of this symptom in people with cancer undergoing outpatient antineoplastic chemotherapy. Method: This is a methodological study composed of three stages: 1) elaboration of the ET using the theoretical-methodological model of Doak, Doak and Root; 2) validation of content and appearance by seven nurses via the content validity index (CVI); and 3) a pilot test with 10 patients. Results: The ET “Knowing and coping with fatigue” contemplates the definition of fatigue, its causes and the interventions of physical exercise practice, sleep hygiene, energy conservation and behavioral intervention. The overall CVI obtained with the judges was 0.95. Conclusion: The ET presented content and appearance validity for health education regarding fatigue related to antineoplastic chemotherapy in outpatient cancer patients.


2018 ◽  
Vol 71 (6) ◽  
pp. 3020-3026 ◽  
Author(s):  
Carolina Martins Bezerra ◽  
Maria Vera Lúcia Moreira Leitão Cardoso ◽  
Grazielle Roberta Freitas da Silva ◽  
Elisa da Conceição Rodrigues

ABSTRACT Objective: To describe the process for creating and validating a checklist for blood transfusion in children. Method: Methodological study, conducted from November 2016 to May 2017, developed in two stages. The content of the items that compose the instrument was based on scientific evidence and submitted to specialized nurses for content validation. We applied the Content Validity index, considering the value ≥ 0.80. Results: The content was considered valid with global CVI of 0.87. Suggestions for adjustments, such as deletion, replacement, and addition of terms, were included in the final version, which consisted of 14 items and 56 subitems. Conclusion: The checklist for blood transfusion in children was considered a technology with valid content to be used in the transfusion performed by nurses, thus contributing to transfusion safety in children.


2017 ◽  
Vol 22 (4) ◽  
pp. 12-13
Author(s):  
LuAnn Haley ◽  
Marjorie Eskay-Auerbach

Abstract Pennsylvania adopted the impairment rating provisions described in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) in 1996 as an exposure cap for employers seeking predictability and cost control in workers’ compensation claims. In 2017, the Supreme Court of Pennsylvania handed down the Protz decision, which held that requiring physicians to apply the methodology set forth in the most recent edition of the AMA Guides reflected an unconstitutional delegation of legislative power to the American Medical Association. The decision eliminates the impairment-rating evaluation (IRE) mechanism under which claimants were assigned an impairment rating under the most recent edition of the AMA Guides. The AMA Guides periodically are revised to include the most recent scientific evidence regarding impairment ratings, and the AMA Guides, Sixth Edition, acknowledges that impairment is a complex concept that is not yet defined in a way that readily permits an evidence-based definition of assessment. The AMA Guides should not be considered standards frozen in time simply to withstand future scrutiny by the courts; instead, workers’ compensation acts could state that when a new edition of the AMA Guides is published, the legislature shall review and consider adopting the new edition. It appears unlikely that the Protz decision will be followed in other jurisdictions: Challenges to using the AMA Guides in assessing workers’ compensation claims have been attempted in three states, and all attempts failed.


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