Construção e validação de instrumento histórico de enfermagem para Unidade de Terapia Intensiva Pediátrica
One of the tools used by nurses in their work process is the Nursing History, the first stage of the Nursing Process, known as the research phase, which consists of collecting data to identify real or potential problems of people who need care. For data collection, the nurse needs an instrument t...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/50907 |
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| Resumo: | One of the tools used by nurses in their work process is the Nursing History, the first stage of
the Nursing Process, known as the research phase, which consists of collecting data to identify
real or potential problems of people who need care. For data collection, the nurse needs an
instrument that will serve as a guide and that reproduces the needs of the person being cared
for. The objective of this study was to build and validate a Nursing History instrument for a
Pediatric Intensive Care Unit of a University Hospital. It is a methodological study, with a
quantitative approach that used Wanda Horta's Theory of Basic Human Needs as a theoretical
framework and Pasquali (2010) as a methodological framework, which emphasizes the
importance of the instrument validation process. The study it was be developed from three poles
or stages: the first consisted of the Theoretical polo, with a scoping review in order to select the
results to compose the construction items of the instrument for Nursing History, guided by the
framework of the Theory of Basic Human Needs by Wanda Horta and construct elaboration;
the second, consists of empirical procedures, was based on the judgment of the content and
appearance of the construct by 15 judges, experts in the field of Nursing, using a Likert-type
scale and semantic evaluation of items and domains through the Brainstorming technique; the
third consists of statistical procedures with statistical analysis and validation of the final version
of the instrument through the content validity index (CVI) and Kappa concordance coefficient
(k). As a result, six studies were obtained in the first pole, which made up the final sample of
the scoping review and through which the first version of the instrument was organized, with
seven domains and 78 items. In the second pole, the Judges and experts validated the content
and appearance using a Delphi technique round, where two items obtained an agreement index
below the cutoff point (<0.64). The instrument did not change after the semantic assessment of
the items and domains using the Brainstorming technique, since the participants demonstrated
understanding of all items, with agreement above the cutoff point (>0.70) for all items. At the
end of the evaluation, the final instrument contains seven domains and 79 validated and
understandable items to be used in the Pediatric ICU. It is believed that the Nursing History
instrument contributes to improving the quality of Nursing care provided to patients admitted
to a Pediatric ICU, in addition to optimizing the time spent by the professional in nursing care
and favoring communication between team members. |
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