Banca de DEFESA: KARINELLE PEREIRA COSTA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : KARINELLE PEREIRA COSTA
DATE: 29/10/2020
TIME: 14:00
LOCAL: Escola de Saúde
TITLE:

CONSTRUCTION AND VALIDATION OF NURSING RECORD IN A PATIENT WITH CARDIORRESIRATORY STOP AT ONCOLOGICAL UNIT

KEY WORDS:

Nursing records. Cardio-respiratory arrest in oncological patient. Cardiopulmonary resuscitation.  

PAGES: 57
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUBÁREA: Enfermagem Médico-Cirúrgica
SUMMARY:

Nursing records must be objective, clear, concise and to follow a chronological order, describing assistance and observation given, mainly, when they are related to a more complex event, as a cardio-respiratory event. This study aims to make and validate a formulary to nursing staff records a cardio-respiratory arrest of oncologic patient. It consists on a methodological study with a quantitative approach type validation, developed in three steps. The first step is based on an integrative literature review; the second one is a descriptive study, with a transversal design and quantitative approach, developed with 38 nursing professionals from an oncological unit; the last one consists on validation of content and appearance by a panel of judges with 17 health professionals with expertise on oncology. Data analyzes occurs by descriptive statistic, presented in charts and tables, based on statistic program SPSS, 23.0 version. Data analyses related to the validation step is based on Content Validation Index (IVC) and Kappa coefficient of agreement (k). To initiate this research, it has Committee on Ethics in Research approval Nº 19368919.0.1001.5537. Some studies point records must follow a chronological order, with the following elements: patient identification; cardiac rhythm; immediate cause of cardio-respiratory arrest and medicine used, with time and posology. Related to the nursing professionals acting, this research points: sometimes or always they record time of proceedings during cardio-respiratory arrest (33.3%); sometimes or always they record name and quantity of medicine used (37.0%); but they never record category of professionals involved on cardiopulmonary resuscitation (37.0%), neither arrest cause (44.5%); sometimes they participate of the patient reanimation without indication (37.0%); they know do-not-resuscitate order (85.2%); sometimes patient (85.2%) and their families (63%) are conscious about exclusive palliation; sometimes nurses feel difficult to record all proceedings necessary during the event (48.1%); and they consider that is extremely important to use formulary to record objective data of those proceedings  (59.3%). According to those professionals, some items that cannot be absent of the formulary to record patient with reanimation with indication are:  initial and final arrest time (92.6%) and medicine used during the event (81.5%). Items that are important when patient has indication to reanimation are: death time (59.3%) and palliation recording on the handbook (55.6%). Related to the agreements of the content and appearance of the formulary, this study shows judges consider the formulary totally clear, extensive, relevant and it needs few revision, with IVC=1.0, Cronbach’s alpha = 0,82 and global kappa = 0,944. After judges’ review, considering 30 items, they suggest changes in 20 items, not changes in 10 items, exclusion of 5 items and 5 new ones. After those changings, it has the final version of the formulary. The perspective is that the technological product from this study increases security of the patient, it expands the legal support to take decisions, and it increases professional credibility. In addition to this, it can improve the quality of nursing records due to their standardization related to the attending of patients in cardio-respiratory arrest situation and palliative cares, promoting the evaluation of proceedings adopted during emergency event.

BANKING MEMBERS:
Interna - 3149599 - ANA CRISTINA ARAUJO DE ANDRADE GALVAO
Externo à Instituição - FERNANDA MARIA CHIANCA DA SILVA
Presidente - 2474945 - IZAURA LUZIA SILVERIO FREIRE
Externa ao Programa - 4177365 - JULIANA TEIXEIRA JALES MENESCAL PINTO