Validation of an educative manual for patients with head and neck cancer submitted to radiation therapy

Abstract

Objective: develop the content and face validation of an educative manual for patients with head and neck cancer submitted to radiation therapy. Method: descriptive methodological research. The Theory of Psychometrics was used for the validation process, developed by 15 experts in the theme area of the educative manual and by two language and publicity professionals. A minimum agreement level of 80% was considered to guarantee the validity of the material. Results: the items addressed in the assessment tool of the educative manual were divided in three blocks: objectives, structure and format, and relevance. Only one item, related to the sociocultural level of the target public, obtained an agreement rate <80%, and was reformulated based on the participants' suggestions. All other items were considered appropriate and/or complete appropriate in the three blocks proposed: objectives - 92.38%, structure and form - 89.74%, and relevance - 94.44%. Conclusion: the face and content validation of the educative manual proposed were attended to. This can contribute to the understanding of the therapeutic process the head and neck cancer patient is submitted to during the radiation therapy, besides supporting clinical practice through the nursing consultation.

Telenursing manual for providing care to patients using clean intermittent urinary catheterization

“…The development of educational material or protocols 29,30 that assist and systematize the practice of nursing is essential to ensuring improved quality of health care and is a way to encourage the search for qualification on the part of professionals to perform qualified care. Additionally, it aids in the teaching-learning process and in the dissemination of knowledge, essential for the development of nursing.…”

Construction and validation of clinical contents for development of learning objects

“…Health education directed to the self-management of patients diagnosed with head and neck cancer is shown to favor adaptive processes, since this cancer generates, in the great majority of cases, irreversible structural, functional and aesthetic changes. Invariably, patients undergo multiple therapeutic procedures, surgeries, radiotherapy, and cytotoxic chemotherapy (3)(4) . Depending on the advanced state of the disease at diagnosis, procedures may be aggressive and result in facial disfigurements, speech and swallowing changes, tracheostomy, prostheses and catheters.…”

“…Depending on the advanced state of the disease at diagnosis, procedures may be aggressive and result in facial disfigurements, speech and swallowing changes, tracheostomy, prostheses and catheters. These conditions predict a worse quality of life and a higher prevalence of anxiety and depression symptoms, with significant impairment in the physical, practical, social and emotional domains (3)(4) . In the diagnostic phase, many initiate cancer treatment without awareness of the long-term repercussion of these sequels (5)(6) .…”

“…The educational objectives to be achieved by the target population must be carefully described. In addition, this content must be attractive, accessible and clear, as well as meaningful and consistent with the user's reality, as well as presenting a vocabulary appropriate to the target audience, stimulating it to reflection (2,4,7) . Next, a script of the learning object and a storyboard, composed of scenes, in the form of drawings, that translate the object, must be made.…”

The construction of assistance protocols in nursing work

“…1 Nesse sentido, a adoção dos protocolos para o cuidado é pertinente e dá suporte para organizar e gerenciar o trabalho de enfermagem. 2 Algumas instituições lançam mão dos protocolos para organizar o serviço, otimizar o trabalho e padronizar condutas, incorporando-as à prática assistencial e arranjando-se a partir dos recursos disponíveis. Outrossim, não é incomum encontrar protocolos nas gavetas das unidades ou em arquivos de computador, pouco acessados pelas equipes.…”