Adaptação E Validação De Checklist De Segurança Cirúrgica Na Cesárea

Boeckmann, Lara Mabelle Milfont; Rodrigues, Maria Cristina Soares

doi:10.1590/0104-070720180002780017

Cited by 11 publications

(14 citation statements)

References 15 publications

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“…Selection of participants mostly took into account criteria for title, experience and knowledge on the subject under study, in addition to studies in the field. Six studies made a selection based on the search for curricula in the Lattes Platform (4,6,13,(25)(26)(27) . three used scoring systems for curriculum assessment (4,6,13) ; three used snowball sampling (16,(28)(29) , in which one participant indicates the next; and the others did not detail the form of selection, only the inclusion and exclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

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Validation methods of nursing protocols: an integrative review

et al. 2020

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Objective: to identify scientific production about validation methods of nursing care protocols. Method: an integrative review with search at Scielo, Pubmed/MEDLINE, Virtual Health Library, Web of Science, Scopus, and EBSCOhost. The descriptors “validation studies”, “validation studies as topic”, “protocols”, “clinical protocols”, “practice guidelines as topic”, “nursing” and “nursing assessment” and the uncontrolled descriptor “validation” were used. Results: thirty-two articles were selected, most of them Brazilian. Content validation by experts was the most frequent method, with no consensus on the number of participants for the process. The collection instruments were mostly created by the authors. Data analysis was performed using descriptive statistics and Content Validity Index, with a variable consensus rate in the analyzed articles. Conclusion: protocols validated by experts are robust tools for use in clinical practice, with methodological rigor in development essential for its quality.

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Section: Resultsmentioning

confidence: 99%

“…Adaptação e validação de checklist de segurança cirúrgica na cesárea (27) 2018 Brazil Safe surgery checklist: cesarean section…”

Section: Delphi Technique 20unclassified

Validation methods of nursing protocols: an integrative review

et al. 2020

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“…Utilizou-se do coeficiente de confiabilidade ao instrumento, apresentando validade e confiabilidade com índice de validade de conteúdo geral de 0,9 e concordância interavaliadores de 1. O coeficiente total do alfa de Cronbach foi 0,86 (6) .…”

Section: Métodosunclassified

“…A adesão a este instrumento demonstrou ser eficaz em diversos países, ao estimular equipes cirúrgicas globalmente a padronizar procedimentos de segurança, pautados nas melhores evidências científicas e reduzir complicações e incidentes a pacientes (5) . Com vistas a seguir a recomendação da OMS, para adaptação do Checklist às diversas localidades existentes, este foi ajustado e validado para cesárea no Brasil, por ser cirurgia frequentemente realizada que eleva os riscos de morbimortalidade materna (6) . Ao considerar a importância que o Checklist de Segurança Cirúrgica na Cesárea (6) representa para realidade brasileira, pretendeu-se com este estudo verificar a aplicação desse instrumento, a fim de evidenciar em detalhes a situação da unidade de saúde investigada, norteado pela questão: qual a adesão das equipes aos itens do Checklist?…”

Section: Introductionunclassified

“…Com vistas a seguir a recomendação da OMS, para adaptação do Checklist às diversas localidades existentes, este foi ajustado e validado para cesárea no Brasil, por ser cirurgia frequentemente realizada que eleva os riscos de morbimortalidade materna (6) . Ao considerar a importância que o Checklist de Segurança Cirúrgica na Cesárea (6) representa para realidade brasileira, pretendeu-se com este estudo verificar a aplicação desse instrumento, a fim de evidenciar em detalhes a situação da unidade de saúde investigada, norteado pela questão: qual a adesão das equipes aos itens do Checklist? Assim, objetivou-se verificar a adesão de conformidade aos procedimentos de equipes de saúde em cesáreas.…”

Section: Introductionunclassified

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Compliance with the Cesarean Surgical Safety Checklis

2020

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Objective: to verify compliance with the procedures of health teams in cesarean surgery. Methods: cross-sectional, descriptive and analytical study, performed in an Obstetric Center of a public hospital, with 220 cesarean surgeries. The Tukey test and the Analysis of Variance were used, considering a significance of 5%. Results: the mean age of the patients was 28.8 years (± 6.06). The main indications for cesarean surgery were: fetal distress (12.8%), gestational diabetes (9.5%), interactivity (9.2%), previous cesarean surgery (8.2%) and severe pre-eclampsia (5.9 %). There was an absence of unified conduct and incipient communication among professionals. The compliance rates of the teams’ compliance with the items in the Checklist for Dimensions A, B and C were, respectively, 36.0%, 11.1% and 50.0%. Conclusion: there was a low compliance of teams to surgical safety procedures in cesarean surgeries.

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Surgical Safety Checklist Use and Post‐Caesarean Sepsis in the Lake Zone of Tanzania: Results from Safe Surgery 2020

et al. 2021

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Background Maternal sepsis accounts for significant morbidity and mortality in lower income countries, and caesarean delivery, while often necessary, augments the risk of maternal sepsis. The aim of this study was to investigate the effect of Safe Surgery 2020 surgical safety checklist (SSC) implementation on post-caesarean sepsis in Tanzania. Methods We conducted a study in 20 facilities in Tanzania's Lake Zone as part of the Safe Surgery 2020 intervention. We prospectively collected data on SSC adherence and maternal sepsis outcomes from 1341 caesarian deliveries. The primary outcome measure was maternal sepsis rate. The primary predictor was SSC adherence. Multivariable logistic regression was used to estimate independent associations between SSC adherence and maternal sepsis. Results Higher SSC adherence was associated with lower rates of maternal sepsis (\25% adherence: 5.0%; [75% adherence: 0.7%). Wound class and facility type were significantly associated with development of maternal sepsis (Wound class: Clean-Contaminated 3.7%, Contaminated/Dirty 20%, P = 0.018) (Facility Type: Health Centre 5.9%, District Hospital 4.5%, Regional Referral Hospital 1.7%, P = 0.018). In multivariable analysis, after controlling for wound class and facility type, higher SSC adherence was associated with lower rates of maternal sepsis, with an adjusted odds ratio of 0.17 per percentage point increase in SSC adherence (95% CI: 0.04, 0.79; P = 0.024). Conclusions Adherence to the SSC may reduce maternal morbidity during caesarean delivery, reinforcing the assumption that surgical quality interventions improve maternal outcomes. Future studies should continue to explore additional synergies between surgical and maternal quality improvement.

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Adaptação E Validação De Checklist De Segurança Cirúrgica Na Cesárea

Cited by 11 publications

References 15 publications

Validation methods of nursing protocols: an integrative review

Validation methods of nursing protocols: an integrative review

Compliance with the Cesarean Surgical Safety Checklis

Surgical Safety Checklist Use and Post‐Caesarean Sepsis in the Lake Zone of Tanzania: Results from Safe Surgery 2020

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