Construção e validação de conteúdo de um instrumento de enfermagem para recuperação pós-anestésica

• Autor(a) principal: Soares, Imaculada Pereira
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal de Alagoas (UFAL)
• Texto Completo: http://www.repositorio.ufal.br/handle/riufal/7316
• topic: Processo de enfermagem; Sala de recuperação; Cuidados pós- operatórios; Enfermagem em pós-anestésico; Nursing Process; Perioperative Care; Recovery Room; Validation Study; Nursing Theory; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: The post-anesthetic recovery room (PACU) is a space designed to admit patients in the immediate postoperative period. As a result, nursing assistance based on the use of instruments is necessary, which ensure that the basic human needs of patients are met. Objective: to build and validate the content of a nursing instrument for the post-anesthetic recovery room. Methodology: This is a methodological research, with a quantitative approach, based on content validation through the application of the Delphi technique. Divided into two stages: the first stage was the construction of a nursing instrument based on SAEP and based on the theory of basic human needs by Wanda de Aguiar Horta; in the second stage, the content validation of the instrument was performed by judges, who were trained by nurses working in perioperative care and teachers of the Portuguese language. The analysis of the judges took place in a quantitative way through the content validation index (CVI) adopted in this research with the agreement parameter ≥ 75% as well as the adoption of the Kappa agreement coefficient. Qualitatively, through item by item analysis, checking the relevance of the suggested changes. Results: the construction of the instrument in its first version included 4 domains, 14 items and 78 sub-items. Thus, in the first round, 12 judges were selected to participate in the study and the assessment of the 78 subitems was established as follows: 65 subitems had a CVI ≥ 0.75 (75%) and 13 subitems obtained an CVI <0.75 (75%). Kappa's coefficient of agreement had 56 sub-items with excellent agreement, 16 sub-items with substantial agreement, 5 sub-items with moderate agreement and 1 sub-item with considerable agreement. Sub-items that had CVI <0.75 (75%) were rewritten or eliminated. Qualitatively, the first round received 42 suggestions for changes, 21 for exclusion suggestions and 14 for inclusion suggestions. The second round of evaluation included 9 judges and 12 sub-items, of which 10 sub-items had a CVI ≥ 0.75 (75%) and 2 sub-items had an CVI <0.75 (75%). Kappa's coefficient of agreement had 5 sub-items with excellent agreement and 7 sub-items with substantial agreement. Sub-items that had CVI <0.75 (75%) were eliminated from the final version of the instrument. Qualitatively, the second round received 15 suggestions for changes, 9 suggestions for exclusion and 6 suggestions for inclusion. Conclusion: The construction of the instrument was entitled “Nursing Consultation in the Post – Anesthetic Recovery Room” in 11 pages, organized in 4 domains, 14 items and 75 sub-items, which when completing the methodological conditions indicated in the literature, granted the final version validated. Therefore, the manufactured instrument has content validity to assess the basic human needs of the PACU surgical patient, making its use available for this purpose.