Creation of complexity assessment tool for patients receiving home care

Abstract

Objective:To create and validate a complexity assessment tool for patients receiving home care from a public health service. Method: A diagnostic accuracy study, with estimates for the tool's validity and reliability. Measurements of sensitivity and specificity were considered when producing validity estimates. The resulting tool was used for testing. Assessment by a specialized team of home care professionals was used as the gold standard. In the tool's reliability study, the authors used the Kappa statistic. The tool's sensitivity and specificity were analyzed using various cut-off points. Results: On the best cut-off point-21-with the gold standard, a sensitivity of 75.5% was obtained, with the limits of confidence interval (95%) at 68.3% and 82.8% and specificity of 53.2%, with the limits of confidence interval (95%) at 43.8% and 62.7%. Conclusion: The tool presented evidence of validity and reliability, possibly helping in service organization at patient admission, care type change, or support during the creation of care plans.

Demanda Do Enfermeiro Na Clínica Médica De Um Hospital Público Do Distrito Federal

“…A realização de curativos no domicílio foi o procedimento mais realizado pela equipe de enfermagem (FABRÍCIO et al, 2004;CORDEIRO et al, 2016a;FIGUEIREDO;MAROLDI, 2012;VILLAS BÔAS;SANCHES, 2016).…”