Construção e validação de instrumentos para a sistematização da assistência de enfermagem em uma clínica de enfermagem em estomaterapia

• Autor(a) principal: Santos, Déborah Machado dos
• Data de Publicação: 2018
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11107
• topic: Nursing process; Stomatherapy; Innovation; Technological development; Sistematização da assistência de enfermagem; Estomaterapia; Inovação; Desenvolvimento tecnológico; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

The study object deals with the elaboration and validation of instruments for the development of the systematization of nursing care in a stomatherapy nursing clinic, as well as the creation of a software and a mobile application to facilitate the work process in this care setting. In the context of outpatient care, characterized by the need to cure biopsychosocial disorders of individuals and families, it is necessary to ensure a quality care, supported by a nursing care methodology in order to guide the actions in this scope of the health service. In particular, patients assisted in stomatherapy situations can be mentioned, so as to offer them an individualized care according to the needs of each person with ostomies, acute and chronic wounds, fistulas, drains, catheters and anal and urinary incontinence. The general objective of this study is: to elaborate and validate the instruments that make up the systematization of nursing care in a stomatherapy nursing clinic. The specific objectives are: 1) to elaborate the instruments for the development of the systematization of nursing care applied to people in a stomatherapy situation; 2) to test, through the validation of judges, the applicability of the instruments produced that will compose the systematization of nursing care in the context of stomatherapy; 3) to produce a software and a mobile application to socialize the instruments for the development of the systematization of nursing care to people with wounds, ostomies and incontinence. The theoretical framework was based on the conceptions of Gordon, the North-American Nursing Diagnosis Association (NANDA), and the on knowledge of stomatherapy, and the conceptual bases of this study were the nursing care for people with wounds, ostomies and incontinence. It is a methodological study, which is defined as the investigation of methods of obtaining, organizing and analyzing data, as well as the elaboration, validation and evaluation of the instruments and research techniques. The study was developed in four stages. On the first stage (1), the construction of the instruments was carried out, which consisted of three structured scripts for the systematization of the consultations, in a checklist format, composed of 100 items divided into six blocks (identification, physical examination, nursing diagnosis, evolution, interventions and expected results), which correspond to the steps of the systematization of care for wounds, ostomies and incontinence. On the second stage (2), the identification, selection and invitation to the specialists was carried out in order to have the items of the instruments evaluated by them; and the third stage (3) corresponded to the validation of the instruments content with the verification of the level of concordance between the judges and semantic analysis for later confection of the software. The fourth stage (4) was characterized by the construction of the software and mobile application with the contribution of computer technicians, who elaborated the sofware and the application layout from what had been consolidated in the development of systematization of nursing care instruments. The execution of this study was relevant to the stomatherapy area, since it combines in a single application all care situations for people with wounds, ostomies and incontinence, facilitating the work process in this care context.