Validação de instrumento de avaliação da segurança de pacientes renais em hemodiálise

Abstract

Resumo Objetivo Construir e validar um instrumento de avaliação da segurança de pacientes renais crônicos em hemodiálise. Métodos Estudo metodológico que abrangeu elaboração do instrumento e validação de conteúdo por 14 juízes; e avaliação da compreensão, por nove enfermeiros. A construção foi fundamentada na legislação sanitária sobre hemodiálise e padrões internacionais de segurança de pacientes. Para análise da concordância dos juízes, foi calculado o Coeficiente de Correlação Intraclasse, Índice de Validade de Conteúdo e teste binomial. Resultados Os itens do instrumento do tipo Likert foram distribuídos nas seis metas internacionais de segurança de pacientes, obtiveram Coeficiente de Correlação Intraclasse de 0,98. O instrumento final ficou com 57 itens com Índice de Validade de Conteúdo de 0,96 e teste binomial ≥0,86. Conclusão O instrumento foi considerado compreensível, relevante e condizente com os padrões de segurança, tendo demonstrado validade de conteúdo e compatibilidade para avaliar a segurança do paciente em ambientes de tratamento hemodialítico.

Meaning and Dimensionality of State of Comfort in Patients With Chronic Hemodialysis Kidney Disease

“…Thus, it is understood that the nursing team achieves the function by comforting patients during hemodialysis sessions, by ensuring an environment free of risks and damage and promoting comfort measures. 22…”

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

“…The instrument to be filled out for the assessment was built on Google Docs, with initial information for the characterization of the participant and the items of the instrument. Each item had a space where the judges could provide suggestions for change and improvement (14) .…”

Nursing care of the chronic renal patient on hemodialysis using double lumen catheter / Cuidados de enfermagem ao paciente renal crônico em hemodiálise em uso de cateter duplo lúmen

“…However, due to the complications that may arise with the use of the CDL, this is a method used on an emergency basis, commonly maintained until a long-term access is established in the patient, such as the arteriovenous fistula and / or the long-term catheter (Permcath). [2][3] In view of this aspect, the use of CDL is subject to complications, such as obstruction, thrombosis and infections, which contribute to increased morbidity and mortality in chronic renal patients, and increased hospitalization costs. Some of these injuries are preventable, and are directly related to nursing care, which is directly involved with the care of the CDL, as it is the professional who frequently handles this device.…”

“…Some of these injuries are preventable, and are directly related to nursing care, which is directly involved with the care of the CDL, as it is the professional who frequently handles this device. [1][2][3][4] CDL infection is one of the most frequent complications and is associated with intrinsic factors linked to the patient himself, such as the migration of microorganisms from the patient's flora, as well as the state of immunosuppression. Exogenous factors are linked to environmental conditions, especially the transfer of microorganisms from the hands of caregivers, both at the time of catheter implantation and during subsequent care.…”

“…In addition, patient education to develop a catheter preservation habit is also part of nursing care. 2 Thus, it is considered that nursing care in hemodialysis is complex and specialized, and requires an appropriate physical structure and trained professionals for a safe care practice, which, if not respected, may cause harm to the patient. It appears, therefore, that the identification of gaps in patient care for hemodialysis makes it possible to reorganize care, leading to the improvement of processes and results.…”