O objetivo deste estudo foi realizar a validação de conteúdo de um instrumento para avaliação da capacitação em ressuscitação cardiopulmonar para profissionais da saúde. Trata-se de uma validação de conteúdo e aparência de um instrumento de coleta de dados, constituído pelas etapas de ajuizamento e elaboração da versão final do instrumento. Participaram cinco avaliadores/juízes e a representatividade dos itens em relação ao conteúdo abordado foi mensurada por meio do índice de validade de conteúdo (IVC), calculado pelo número de avaliadores concordante com o item pelo número total de avaliadores. Foram realizadas as readequações do instrumento de coleta de dados em concordância com as contribuições advindas dos avaliadores e análise da literatura científica. O instrumento elaborado com base nas diretrizes internacionais de ressuscitação cardiopulmonar, em sua versão final, após o processo de validação de conteúdo e aparência, apresenta 18 itens voltados para a avaliação do impacto e da qualidade das capacitações de profissionais da saúde no atendimento à vítima em parada cardiorrespiratória. Palavras-chave: Enfermagem; Estudos de Validação; Educação em Saúde; Reanimação Cardiopulmonar.
Aims and objectives: We created and validated a checklist for nursing care of patients in the immediate postoperative period of cardiac surgery. Background: Cardiovascular diseases (CVD) account for about 30% of all deaths recorded in Brazil. There is an arsenal of clinical and surgical treatments for CVD, with a significant number of patients evolving to surgical treatment. Thus, health professionals working in the perioperative period of cardiovascular surgeries need to be updated, trained and qualified to provide adequate and safe care to patients. Design: We developed a checklist that defined essential parameters for quality care, to ensure greater agility and patient safety. Methods: This methodology validation study comprised two stages: checklist creation for care provided by nurses to patients in the IPO of cardiac surgery, and content validation using the Delphi method. Participants were selected through an advanced survey conducted on the Lattes Platform website of the National Council for Scientific and Technological Development. The STROBE checklist was used to guide the study. Results: Three rounds of analysis by specialists resulted in average CVIs of: 95.8% for objectivity, 97.9% for simplicity, 91.0% for clarity, 93.1% for relevance and 96.5% for variety, suggesting high agreement among specialists. Conclusions: The checklist focused on nursing care of patients in the IPO of cardiac surgery and was validated with three topics, four categories, 16 items and 86 subitems of care assignments to be applied in clinical practice. Relevance to clinical practice: This is a validated instrument that guides nurses' actions by admitting postoperative cardiac surgery patients to the ICU based on evidence, which provides more scientific and professional support to health teams' performance, with the objective of strengthening roles and establishing routines; thus presenting a powerful tool for planning nursing actions, providing quality care to patients, and facilitating communication between teams, thereby minimising risks. 4172 | BATISTINI eT Al. 1 | INTRODUC TI ON Cardiovascular diseases (CVD) are responsible for a significant mortality rate on a global scale, especially acute coronary syndrome and heart failure (Pagidipati & Gaziano, 2013; Stewart, Manmathan, & Wilkinson, 2017). Among the set of treatments for CVD, special attention is drawn to clinical and surgical treatments, with high incidence of surgical procedures driven by technological progress and improved techniques used in the field (Furtado et al., 2017). Considering the high complexity involved in the immediate postoperative period (IPO) of cardiac surgery, quality of care becomes the main premise of health assistance, since nurses must identify haemodynamic changes and implement appropriate interventions quickly and effectively, minimising the incidence of errors (Santos,
Objectives:To assess an in situ simulation-based cardiopulmonary resuscitation training strategy, with emphasis on debriefing and follow-up assessment of knowledge after training. Method:This was an educational intervention study to measure intraparticipant variability. The simulation-based teaching techniques consisted of nine steps.This research followed STROBE recommendations for the methodological development of observational studies, "See Supplementary File 1".Results: Significant differences (p < 0.05) were observed between the pre-test and post-theory assessments, and between the prepractical phase and 60 days post-training. However, no differences were observed (p<0.05) between the post-theory and post-practical phases, showing that after participating in the training strategy, after the pre-test assessment, the participants seemed to have carried over the knowledge displayed in the post-theory to the post-practical time, with considerable reduction in performance 60 days after the training program. Conclusion:Theoretical emphasis coupled with simulation practice displayed the best results in performance when compared to theoretical training alone, even at 60 days post-training.
Objetivo: validar critérios de um instrumento para avaliação da capacitação de enfermeiros em ressuscitação cardiopulmonar. Método: estudo metodológico para validação de critério de um instrumento previamente validado quanto ao conteúdo. Realizou-se a aplicação de um instrumento pré e pós-teste de uma capacitação com 20 enfermeiros de um hospital do interior do Estado de São Paulo. Resultados: realizou-se a análise das respostas do pré e pós-teste sobre o entendimento dos participantes antes e após a realização de teoria atrelada a simulação sobre ressuscitação cardiopulmonar. Foram avaliadas as variáveis objetividade, simplicidade, clareza e pertinência, destacando-se que os participantes concordaram que os critérios citados foram atendidos. Conclusão: o instrumento investigado possui relação com os padrões definidos, sendo comprovadamente validado. Ao utilizar-se deste instrumento durante a avaliação de capacitações em ressuscitação cardiopulmonar, as equipes de trabalho, alunos e pacientes serão beneficiados, garantindo a padronização e melhor efetividade no atendimento a PCR.
Background: chest pain, of multicausal etiology, associated with a cardiac cause or not, is one of the most frequently presented symptoms by patients in Emergency Care Units. Despite its high prevalence in health services, there is still a deficiency in care standardization, which raises difficulties in acute coronary syndrome diagnosis and delay in treatment. The objective was to assess the efficiency of professional training of nursing teams in Emergency Care Units on the use of a flowchart to care for patients with chest pain. Methods and Findings: this educational intervention study was conducted with 25 nursing team professionals. It has been developed in four steps: Step 1 referred to prior application of the validated research instrument. Step 2 comprised training to use the flowchart with an expository lesson on care of patients with chest pain and guidance regarding the flowchart to be implemented. Step 3 reapplied the validated instrument after class. Step 4 reapplied the instrument after 2 months of training for flowchart implementation. When comparing the results of the instrument applied to nursing team professionals, post-training and follow-up performance surpassed that of pre-training. It was observed that professionals with less than five years of experience showed better performance. This study had as limitation the small sample of health professionals participating in the offered training. Conclusion: training was satisfactory and significant, and professionals demonstrated content assimilation, obtaining higher scores than at the beginning of the research.
RESUMO: Mediante análise documental, com abordagem descritivo-exploratória das ações realizadas por docentes-enfermeiros nos quase 13 anos de existência do Curso de Enfermagem da Faculdade de Ciências da ABSTRACT: A documental analysis, which describes and explains actions taken by teachers-nurses in nearly 13 years of the Nursing Course in the College of Health at the Universidade do Vale do Paraíba (CE-FCS-
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
334 Leonard St
Brooklyn, NY 11211
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.