scholarly journals Classificação de pacientes pediátricos para o cuidado de enfermagem: validação de instrumento reestruturado

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Amparito Del Rocío Vintimilla Castro ◽  
Ana Paula Almeida
Keyword(s):  
Nursing Care ◽  
Delphi Technique ◽  
Pediatric Patients ◽  
Interobserver Reliability ◽  
Patient Classification ◽  
Methodological Study ◽  
High Complexity ◽  
The Third ◽  
Agreement Coefficient

Objetivo: Validar um conteúdo reestruturado de instrumento de classificação de pacientes internados pediátricos para classificá-los segundo a complexidade. Métodos: Estudo metodológico, convergente assistencial, realizado em um hospital escola. Foram utilizadas a técnica Delphi e a escala Likert, e o consenso foi ≥0,70. Dez juízes analisaram 15 indicadores de cuidado. Dois juízes avaliaram a confiabilidade em cem pacientes. Resultados: No terceiro ciclo Delphi, dez juízes validaram o conteúdo do instrumento reestruturado com 16 indicadores, com consenso geral de 95,8%. A confiabilidade de dois juízes apresentou intervalo de confiança geral de 0,96, Kappa de Cohen geral de 0,88 e Gwet’s agreement coefficient 1 equivalente a 0,96. A classificação como alta dependência se deu em 39,5%, semi-intensivo em 29,9%, intensivo em 16%, intermediário em 14,4% e cuidado mínimo em 0,2%. Conclusão: O instrumento reestruturado para classificar pacientes pediátricos internados de alta complexidade foi validado após a terceira fase Delphi.Descritores: Classificação; Estudo de Validação; Enfermagem Pediátrica Classification of pediatric patients for nursing care: restructured instrument validationObjective: To validate the restructured content of a hospitalized pediatric patient classification instrument to classify them according to their complexity. Methods: Methodological study, convergent care in a teaching hospital. Delphi technique was used, as well as a Likert scale, with consensus of ≥0.70. Ten judges analyzed 15 indicators of care. Two judges evaluated reliability in on hundred patients. Results: In the third Delphi cycle, ten judges validated the content of the restructured instrument with 16 indicators, with overall consensus of 95.8%. The interobserver reliability of two judges showed a general confidence interval of 0.96, general Cohen Kappa of 0.88 and Gwet’s agreement coefficient 1 equivalent to 0.96. Classification as highly dependent occurred in 39.5%, as semi-intensive in 29.9%, intensive in 16%, intermediate in 14.4% and minimum care in 0.2%. Conclusion: The restructured instrument to classify hospitalized pediatrics patients of high complexity was validated after the third Delphi phase.Keywords: Classification; Validation Study; Pediatric Nursing Clasificación de pacientes pediátricos para el cuidado de enfermería: validación de instrumento reestructuradoObjetivo: Validar el contenido reestructurado de instrumento de classificación de pacientes pediátricos hospitalizados para clasificarlos según la complejidad. Métodos: Estudio metodológico, convergente asistencial en hospital escuela. Fueron utilizadas la técnica Delphi y la escala de Likert y el consenso fue ≥0,70. Diez juezes analisaron 15 indicadores de cuidado, dois evaluaron la confiabilidad en cien pacientes. Resultados: Dez juezes validaron el contenido del instrumento con 16 indicadores, con un consenso general del 95,8%. La confiabilidad interobservadores de dos juezes presentó intervalo de confiança general de 0,96; Kappa del Cohen general de 0,88 y Gwet’s agreement coefficient 1 equivalente a 0,96. La clasificación como alta dependencia fue 39,5%, como semi-intensivo en 29,9%, intensivo en 16%, intermediario en 14,4% y cuidado mínimo en 0,2%. Conclusión: El instrumento reestructurado para clasificar pacientes pediátricos hospitalizados de alta complejidad fue validado después de la tercera fase Delphi.Descriptores: Clasificación; Estudio de Validación; Enfermería Pediátrica

scholarly journals Adaptation of an instrument to classify neonatal patients into care categories

2021 ◽  
Vol 55 ◽  
Author(s):  
Ariane Polidoro Dini ◽  
Andrezza de Cassia Vannucci de Oliveira ◽  
Beatriz Pera de Almeida-Hamasaki ◽  
Norma Mejias Quinteiro ◽  
Elenice Valentim Carmona
Keyword(s):  
Intensive Care ◽  
Pediatric Patients ◽  
Weighted Kappa ◽  
Kappa Coefficient ◽  
Patient Classification ◽  
Methodological Study ◽  
Validity Index ◽  
Nursing Team ◽  
Agreement Coefficient ◽  
Weighted Kappa Coefficient

ABSTRACT Objective: To adapt and validate a patient classification instrument for neonatal units. Method: Methodological study, with adaptation of the Pediatric Patients Classification Instrument for neonatal patients. After content validation by judges, the instrument was tested for reliability, applied to 33 neonates by two nurses, simultaneously. To assess the agreement among nurses regarding the scores of each patient on the classification scale, an intraclass agreement coefficient was applied. To assess the agreement regarding the classification in care categories, the weighted Kappa coefficient was calculated. Results: The adapted instrument consisted of a total of nine indicators, with three care categories: high dependence on care, semi-intensive care and intensive care. The Content Validity Index varied between 0.85 and 0.92 for items of the instrument. The intraclass agreement was 0.87 and the weighted Kappa for care categories was 0.56. Conclusion: An instrument that allows neonatal patients to be classified into care categories, with satisfactory reliability was validated to support the dimensioning of the nursing team.

scholarly journals Development and content validity of the new version of a patient classification instrument

2011 ◽  
Vol 19 (1) ◽  
pp. 58-66 ◽  
Author(s):  
Marcia Galan Perroca
Keyword(s):  
Nursing Care ◽  
Content Validity ◽  
Delphi Technique ◽  
Electronic Mail ◽  
Reliable Data ◽  
Nursing Workload ◽  
Management Decision ◽  
Patient Classification ◽  
Workload Measurement ◽  
Management Decision Making

The purpose of this study was to reconstruct Perroca's patient classification instrument; and to assess the content validity of the new version. A group of experts comprising ten nurses appraised the instrument, using the Delphi technique. Data collection took place from March 2008 to February 2009 by means of structured questionnaires sent by electronic mail. The new version contained nine nursing care areas. Agreement levels on the instrument structure amounted to > 90%, and ranged between 80 and 96% in the nursing care areas. The refinement of classification instruments is of great importance to generate valid and reliable data, supporting management decision making on nursing care planning as well as nursing workload measurement.

scholarly journals Validity of an instrument on Nursing care for people with chronic wounds

Rev Rene ◽  
2022 ◽  
Vol 23 ◽  
pp. e71367
Author(s):  
Maria Helloysa Herculano Pereira de Oliveira Araújo Gonzaga ◽  
Lidiany Galdino Felix ◽  
Ana Elza Oliveira de Mendonça ◽  
Ana Cristina de Oliveira e Silva ◽  
Simone Helena dos Santos Oliveira ◽  
...  
Keyword(s):  
Primary Care ◽  
Nursing Care ◽  
Content Validity ◽  
Delphi Technique ◽  
Chronic Wounds ◽  
Total Content ◽  
Methodological Study ◽  
Stages Of Development ◽  
Validity Coefficient

Objective: to build and validate the content of an instrument to investigate changes in the Nursing care provided to people with chronic wounds. Methods: methodological study, consisting of the stages of development and content validity, according to the criteria of clarity and relevance, by six judges, using the Delphi technique in two rounds. A Coefficient of Content Validity ≥ 0.8 was considered adequate. Results: the first version of the instrument contained 15 questions and after the judges’ evaluation it was reduced to 11, addressing the periods before and during the pandemic. In the second round of evaluation, it was verified that the instrument showed a total content validity coefficient equal to 0.96. Conclusion: the instrument showed evidence of content validity and can be used to investigate possible changes resulting from the pandemic of COVID-19 in the Nursing care of people with chronic wounds in Primary Care.

scholarly journals Competences in the training of nurses to assist the airway of adult patients in urgency and emergency situations

2021 ◽  
Vol 29 ◽  
Author(s):  
Fernanda Berchelli Girão Miranda ◽  
Gerson Alves Pereira-Junior ◽  
Alessandra Mazzo
Keyword(s):  
Delphi Technique ◽  
Adult Patients ◽  
Entrustable Professional Activities ◽  
Clinical Settings ◽  
Prior Training ◽  
Methodological Study ◽  
Professional Activities ◽  
Emergency Situations ◽  
The Third ◽  
Simulated Environments

Objective: construction and validation in appearance and content of the competence frameworks and of the Entrustable Professional Activities to develop skills in the training of nurses to assist the airway of adult patients in urgency and emergency situations. Method: a descriptive and methodological study developed in four phases: in the first, a workshop was held, composed of experts, for the construction of the competence frameworks; in the second, the material was validated using the Snowball Technique and the Delphi Technique, in the third, content analysis and calculation of the Content Validation Index were conducted; and in the fourth phase, the Entrustable Professional Activities were built, validated in simulated workshops. Results: the competence frameworks were built and validated, with a resulting CVI≥0.85 in all the items. The Entrustable Professional Activities were validated by experts regarding their applicability; of these, 44% stated they were applicable in simulated environments, 100% that they were useful content and with appropriate language, 22% suggested the insertion of new items to assess competence, 11% reported the difficulty of assessing competence individually in the clinical settings, and 11% of the experts referred to the need for prior training of the teacher/facilitator to use it. Conclusion: the study resulted in the construction of competence frameworks and six Entrustable Professional Activities relating them to the domains of essential competences in the training of nurses to assist the airway of adult patients in urgency and emergency situations. The participation of experts in the construction and validation of this material was essential to guarantee the theoretical and practical relevance of the result.

scholarly journals Determining workload and size of nursing team in the pediatric emergency department

2014 ◽  
Vol 12 (2) ◽  
pp. 217-222 ◽  
Author(s):  
Ana Cristina Rossetti ◽  
Raquel Rapone Gaidzinski ◽  
Mario Maia Bracco
Keyword(s):  
Nursing Care ◽  
Public Hospital ◽  
Pediatric Patients ◽  
Pediatric Emergency ◽  
Nursing Workload ◽  
Cross Sectional ◽  
Ratio Data ◽  
Patient Classification System ◽  
Activity Times

ObjectiveTo identify indicators of required nursing workload for pediatric patients care in an emergency department.MethodsThis cross-sectional quantitative study was carried out in a pediatric short-stay unit at a public hospital in São Paulo (SP), Brazil. The patient classification system and activity times of nursing care proposed by the Brazilian Federal Nurse Council were applied to all patients admitted over a 1-month period. The instruments were applied by two nurses in populations of 500 and 453 patients, respectively. Nursing workload was calculated in terms of hours and by nurse/patient ratio. Data were analyzed by descriptive statistics, and inter- and intraobserver reliability was assessed by using Kappa coefficient. Confidence intervals were measured to verify differences in numbers of patient among work shifts.ResultsThe average daily workload was 108.7 hours and the average amount of time spent on nursing care per patient was 7.9 hours. The nurse-patient ratio was 1:2.6.ConclusionThe application of the standardized classification instrument was adequate. It enabled the classification of pediatric patients and the measurement of amount of time needed for nursing care. The average number of nursing work hours per patient met the average time for semi-intensive care established by the Brazilian Federal Nurse Council.

scholarly journals Management tools in nursing care for children with pressure injury

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Carla Braga Oliveira Rodrigues ◽  
Thiago Nascimento do Prado ◽  
Luciana de Cássia Nunes Nascimento ◽  
Mariana Rabello Laignier ◽  
Cândida Caniçali Primo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nursing Care ◽  
Injury Risk ◽  
Pediatric Patients ◽  
Pediatric Hospital ◽  
Methodological Study ◽  
Management Tools ◽  
Human Needs ◽  
Pressure Injury ◽  
Basic Human Needs

ABSTRACT Objectives: to develop and validate management tools for the systematization of nursing care for children with pressure injuries. Methods: methodological study in which the focus group technique was used for validation of tools in three different groups of 17 nurses. Conducted in April and May 2018 at a large pediatric hospital. Results: two management tools were developed. The first was the Nursing care systematization instrument for children with pressure injury with three parts: a) risk factors; b) Psychobiological Basic Human Needs; c) signs of wound infection. The second was the Flowchart of pressure injury risk and prevention in pediatric patients with three categories: a) risk factors; b) Braden Q scale; c) nursing care. Final Considerations: the tools will support nurses in the care of children with pressure injuries by aiming at an individualized and systematized assessment based on a theoretical framework.

scholarly journals Construction and validation of an instrument for assessing the functionality of individuals with schistosomiasis

2022 ◽  
Vol 75 (3) ◽  
Author(s):  
Andréa Costa de Oliveira ◽  
Shirley Verônica Melo Almeida Lima ◽  
Álvaro Francisco Lopes-Sousa ◽  
Jader Pereira de Farias Neto ◽  
Karina Conceição Gomes Machado de Araújo
Keyword(s):  
Environmental Factors ◽  
Correlation Coefficient ◽  
Interobserver Reliability ◽  
The Body ◽  
Methodological Study ◽  
Final Version ◽  
Biopsychosocial Approach ◽  
The Subject ◽  
Three Stages

ABSTRACT Objectives: to construct and validate an instrument for assessing the functionality of individuals with schistosomiasis. Methods: methodological study, developed in three stages: 1) construction of the instrument and its association with categories of the International Classification of Functionality, which the study used to elaborate the questions; 2) validation of content, performed by judges experts in the subject; 3) application of the instrument by the test-retest technique in the population with schistosomiasis in 14 days. The study used the correlation coefficient kappa to calculate the degree of agreement between the judges kappa. Results: in its final version, the instrument consists of 27 items, 9 of which are from the Body functions component, 6 from Body structures, 4 from Activity and participation, and 8 from Environmental factors. Conclusions: the constructed instrument has a biopsychosocial approach, considering four components of the ICF, besides presenting good validity and interobserver reliability.

scholarly journals Bundle for the prevention and management of complications of neutropenia in cancer patients

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Rosilene Aparecida Costa Amaral ◽  
Patrícia Peres de Oliveira ◽  
Deborah Franscielle da Fonseca ◽  
Thalyta Cristina Mansano Schlosser ◽  
Juliano Teixeira Moraes ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Delphi Technique ◽  
Construction Material ◽  
Pilot Test ◽  
Content Validation ◽  
Methodological Study ◽  
High Complexity ◽  
Content Assessment ◽  
Management Of Complications ◽  
Valid Data

ABSTRACT Objectives: to construct and assess bundle content for the prevention and management of complications in neutropenia in cancer patients. Methods: a methodological study developed in four stages: scoping review; bundle construction; material assessment by experts (developed according to Pasquali’s psychometry); pilot test in a High Complexity Assistance Unit in Oncology. For content assessment, the Delphi technique was applied in two rounds and those items with Content Validation Coefficient (CVC)> 0.78 and agreement> 80.0% were considered valid. Data were analyzed using descriptive and inferential statistics. Results: all bundle requirements reached agreement between judges above 80.0%, in addition to statistically significant levels of assessment. At the end of the Delphi technique, bundle was significantly valid with CVC = 0.92 and CVC = 0.93, respectively. Conclusions: bundle content proved to be valid and highly credible.

scholarly journals Classification of patients seen at a hemodynamics unit according to the degree of dependence on nursing care

2008 ◽  
Vol 21 (1) ◽  
pp. 72-76
Author(s):  
Aline Hammermüller ◽  
Eneida Rejane Rabelo ◽  
Sílvia Goldmeier ◽  
Karina de Oliveira Azzolin
Keyword(s):  
Nursing Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Average Score ◽  
Patient Classification ◽  
Hospital Data ◽  
Cross Sectional ◽  
Significant Difference ◽  
Level Of Consciousness

OBJECTIVE: To classify patients in a hemodynamics healthcare unit, according to the degree of dependence on nursing care. METHODS: Cross-sectional study performed in June/2005 at the Hemodynamics unit of a university hospital. Data were collected during the first hour post-procedure, using Perroca's instrument of patient classification. RESULTS: Among 164 patients, 52% were female, aged 60 ± 14.8 years. The average score of classification was 31.9 ± 4.8, rated as intermediate. As for instrument indicators, patients submitted to gastroenterological procedures presented a significant difference regarding their level of consciousness (P<0.0001); as for motility, patients submitted to cardiologic procedures presented higher dependence scores (P<0.0001); there were no differences for locomotion between the different specialties. CONCLUSION: The dependence profile of patients seen in the hemodynamics unit was considered intermediate. Further studies may add more information when planning the size of hemodynamics units.

scholarly journals Elaboration and validation of an algorithm for treating peripheral intravenous infiltration and extravasation in children

2021 ◽  
Vol 29 ◽  
Author(s):  
Luciano Marques dos Santos ◽  
Katharinne de Jesus Nunes ◽  
Cleonara Sousa Gomes e Silva ◽  
Denise Miyuki Kusahara ◽  
Elisa da Conceição Rodrigues ◽  
...  
Keyword(s):  
Delphi Technique ◽  
Scientific Evidence ◽  
Signs And Symptoms ◽  
Hospitalized Children ◽  
Content Validation ◽  
Methodological Study ◽  
Intravenous Therapy ◽  
Chemotherapy Drugs ◽  
The Third ◽  
A Value

Objective: to elaborate and validate the content and appearance of an algorithm for treating infiltration and extravasation of non-chemotherapy drugs and solutions administered to children. Method: a methodological study of the technology formulation and validation type. To elaborate the algorithm, a bibliographic review was carried out to list the scientific evidence on the treatment of infiltration and extravasation. Content and appearance validation was in charge of 14 specialists in pediatric nursing, using the Delphi technique, adopting a value equal to or greater than 0.80 as Content Validation Index. Results: the algorithm was validated in the third evaluation by the judges, reaching a Global Content Validation Index of 0.99, being composed by the perception of the occurrence of the complication; discontinuation of intravenous therapy infusion; verification of signs and symptoms; measurement of edema; application of an infiltration and extravasation assessment scale and conduits to be used according to the characteristics of the fluid administered and the type of complication. Conclusion: the algorithm was validated and can be used in a practical and objective way by health professionals, in order to promote safety in the care of hospitalized children, with regard to reducing harms caused by infiltration and extravasation.

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