Construction validation of an instrument for nursing care related to cutaneous xerosis

Abstract

Objective: Describe the construct validation process of the instrument “Nursing care for the assessment, prevention and treatment of cutaneous xerosis in the elderly”. Method: Methodological study carried out with 101 nurses in four hospitals in the great João Pessoa, between July and September 2018. Construct validation was performed through exploratory and confirmatory factor analysis, in addition to the consistency check by Cronbach’s alpha. Results: Through the factorial analysis, three factors of the instrument construct were defined: treatment performed for cutaneous xerosis, preventive care for cutaneous xerosis and skin evaluation, with a total explanation variance of 47.77%. In Bartlett’s sphericity test, p <0.001 was obtained, and the general Cronbach’s alpha was 0.811. Conclusion: The instrument proved to be valid and reliable, contributing to the training and practice of nurses as an integral part in the process of caring for the elderly.

Escala Do Risco De Lesões Por Xerose Em Pessoas Idosas Hospitalizadas: Desenvolvimento E Evidências De Validade

“…Sobre a temperatura da água, estudo de validação de constructo com 101 enfermeiros de um estado do nordeste brasileiro constatou a importância de orientar a equipe de enfermagem acerca da temperatura adequada da água, que, quando aquecida, deve estar entre 34 e 36°C, pois a água em elevadas temperaturas resseca e remove a oleosidade natural 6 .…”

“…Nesse contexto, os enfermeiros desempenham relevante papel ao avaliar a pele, definir estratégias de prevenção e tratar as questões inerentes à manutenção da integridade cutânea, sobretudo quando direcionadas à população idosa. Dessa forma, torna-se mister ampliar conhecimentos e desenvolver, entre esses profissionais, habilidades e atitudes sobre anatomia, fisiologia e fatores de risco dessa condição, bem como em relação às etapas do processo de cicatrização da pele 6 .…”

Scale of Injuries Risk Due to Xerosis in Hospitalized Elderly People: Development and Evidence Validity

“…Regarding water temperature, a construct validation study with 101 nurses from a northeastern Brazilian state found the importance of guiding the nursing team about the appropriate water temperature, which, when heated, should be between 34 and 36°C, as water at high temperatures dries out and removes natural oil 6 .…”

“…In this context, nurses play an essential role in evaluating the skin, defining prevention strategies and treating issues inherent to maintaining skin integrity, mainly when aimed at the elderly. Therefore, it is necessary to expand knowledge and develop, among these professionals, skills and attitudes about anatomy, physiology and risk factors for this condition, as well as the stages of the skin healing process 6 . Therefore, instruments that allow skin assessment based on nursing theories must be present in the systematization of nursing care and the nursing process to support nurses' practice in caring for older adults.…”

Prevenção De Lesões Relacionadas a Xerose Cutânea Em Pessoas Idosas

“…A prevenção e tratamento de lesões de pele são processos dinâmicos e devem acompanhar as evoluções científica e tecnológica. Os enfermeiros encontram no Processo de Enfermagem (PE) o percurso metodológico que possibilita identificar, acompanhar, compreender, descrever e explicar as necessidades de uma pessoa, pois orienta, direciona e organiza o cuidado profissional (3) .…”