Contribuciones de las escalas en salud como herramientas que influencian decisiones en el cuidado de los pacientes

Acelas, Alba Luz Rodríguez; Cañón-Montañéz, Wilson

doi:10.15649/cuidarte.v9i1.498

Cited by 9 publications

(6 citation statements)

References 6 publications

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“…Outras das razões podem ser: desconhecimento por parte de alguns profissionais; dificuldade de aplicação na prática por inexistência de ferramentas próprias incorporadas no sistema de informação clínica e a gestão do tempo disponível para cada consulta; e o âmbito curativo e terapêutico da intervenção, ou seja, o atual modelo assistencial em uso, comprome-tendo, assim, a assistência holística e promotora de saúde da população idosa. Estudos comprovam que alguns profissionais veem a aplicação de escalas como mais uma tarefa a realizar na prática, que requer um investimento de tempo acrescido e, portanto, como uma sobrecarga de trabalho (16) . Porém, há diferenças na sua aplicação por enfermeiros, pois o próprio conhecimento e utilização de escalas na prática são distintos (17) .…”

Section: Discussionunclassified

Consensus on scales for an interdisciplinary health assessment tool for the elderly population

2022

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Objective: to describe the consensus of the content of an instrument for assessing interdisciplinary health care of the elderly population. Methods: consensus study conducted among physicians, nurses, and social workers, contemplating the construction of instrument and the pre-test for selection of scales for use in practice. Questionnaire consisting of questions that identified representative scales in the assessment of the elderly. The scales that obtained consensus criterion of equal to or greater than 75% were considered selected by the experts. Sample was composed through snowball sampling, resulting in 101 participants. Results: of the 13 scales submitted,the professionals indicated that eight were suitable for use and two were already applied within their practice. The excluded became part of the recommendations for good practices in elderly care. A discrepancy was identified between what they consider to be useful and of interest versus what is applied in practice. Conclusion: consensus among experts allowed us to identify and select interdisciplinary assessment data for a proposed instrument to support the care process. Contributions to practice: this contributes to awareness about the use of recommended scales for the elderly and to avoid the overlapping of the same interventions by several professionals, with significant gains for this population.

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Section: Discussionunclassified

Consensus on scales for an interdisciplinary health assessment tool for the elderly population

2022

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“…Another contribution is attributed to the increase of scales validated for use in the health field with scope in the various scenarios of health professionals such as teaching, research, management, and clinical practice being a low-cost tool for its use. (29) The self-reporting methodology employed by questionnaires may be vulnerable to biases in self-esteem and social desirability. Nevertheless, questionnaires have the advantage of ease of administration over a wide range of potential scenarios.…”

Section: Discussionmentioning

confidence: 99%

Portuguese validation of the Regret Intensity Scale (RIS-10) for measuring the intensity of regret associated with the provision of attention in health

Smiderle

Silva

Castro

et al. 2021

invest. educ. enferm

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Objective. The aim of the study was to adapt and validate the Regret Intensity Scale-10 (RIS-10) for Brazilian health professionals. Methods. The validation study took place in two phases, in which the first was the translation of the instruments and the second, the field validation using psychometric properties validity and reliability of the scale with 341 professionals (doctors, nurses and physiotherapists) linked to hospitals. Validity was assessed using content validities (six judges evaluation), criteria (correlation with the Life Satisfaction Scale - SWLS and Self-Reporting Questionnaire 20 -SRQ-20) and construct (exploratory analysis using the rotation method Promax, based on the slope graph and the Kaiser criterion and confirmatory using the structural equation model) after applying the questionnaire to professionals.Reliability was measured by Cronbach's α coefficient and retest test over a maximum period of 30 days. Reproducibility was calculated by intraclass correlation. Results. A total of 341 professionals participated, with an average age of 38.6 ± 9.2 years. The content validity index (CVI) was 1.00, for all items of the scale in the proportion of agreement of the judges. Exploratory factor analysis showed a satisfactory correlation (Kaiser-Meyer-Olkin = 0.88), suggesting a two-factor model, which comprises the main components of the emotion of regret (Factor I – emoticons, Factor II - feelings), accounting for 64% of the total variation of the first factor. In the confirmation, the index standardized root mean squared residual = 0.063 was close to the acceptable and other values were below. The scale correlated positively with SRQ-20 (p < 0.001) and negatively with SLWS (p = 0.003). Reliability showed (Cronbach’s α = 0.863) and test–retest reliability showed lower values than expected. The Bland-Altman graph showed a mean bias of -1.5 with lower and upper limits of 15.8 to 12.8 respectively. Conclusion. The RIS-10 adapted for the population performed adequately in the psychometric properties evaluated for the assessment of the intensity of regret related to the provision of health care.

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“…They are used to carry out systematic and accurate assessments, helping the multidisciplinary team in decision-making and health care planning (4,5) . It is known that the final score of the application of risk prediction scales, often performed manually and on paper forms, guides the diagnostic reasoning of nurses, as well as the implementation of preventive and treatment measures for each individual, contributing to higher quality care and safety for patients (4,6) . Thus, risk prediction scales are important elements in the Nursing Process (NP), as they are part of patient data collection which, in turn, is based on the diagnosis and prescription of nursing interventions, in the search for the best possible outcomes.…”

Section: Introductionmentioning

confidence: 99%

Computerization of risk prediction scale: strategy for safety and quality of care

Franco

Moura

Rosa

et al. 2023

Rev. Gaúcha Enferm.

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Objective: To describe the development of computerization of risk prediction scales used by nursing in the AGHUse® system. Method: An experience report of technological production at a university hospital, which followed the phases of conception, detailing, construction and prototyping. Results: Different scales were computerized, with emphasis on the Braden and Braden Q, which assess the risk of pressure injuries, and the Severo-Almeida-Kuchenbecker, which assesses the risk of falls. The process of computerization and implementation took place through registration of the scales in the software, application of them in care practice, integration and visualization of their scores with the other functionalities of the electronic medical record. Final considerations: The functionalities developed in the computerization of risk prediction scales favored its operation, reflecting positively on nursing practice and patient safety.

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Contribuciones de las escalas en salud como herramientas que influencian decisiones en el cuidado de los pacientes

Cited by 9 publications

References 6 publications

Consensus on scales for an interdisciplinary health assessment tool for the elderly population

Consensus on scales for an interdisciplinary health assessment tool for the elderly population

Portuguese validation of the Regret Intensity Scale (RIS-10) for measuring the intensity of regret associated with the provision of attention in health

Computerization of risk prediction scale: strategy for safety and quality of care

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