Banca de DEFESA: LAURA CARVALHEIRA DOURADO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : LAURA CARVALHEIRA DOURADO
DATE: 26/03/2025
TIME: 14:00
LOCAL: Sessão pública realizada no DNUT/UFRN e por videoconferência: meet.google.com/mxp-hqbt-dcr
TITLE:

Validation of NCP-QUEST: Instrument for auditing the Nutrition Care Process in Brazil.

 

KEY WORDS:

Validation Study. Process Assessment, Health Care. Clinical Audit

 

PAGES: 51
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUMMARY:

The Nutrition Care Process (NCP) is a systematized and standardized process that comprises four stages to address nutritional problems and provide effective and high-quality care to individuals. To document nutrition care, a standardized language is used for each stage, called the Nutrition Care Process Terminology (NCPT). To assess the application of the NCP/NCPT, audit instruments are used, with NCP-QUEST being the most updated and validated. In 2020, in Brazil, the "Consórcio para Pesquisa e Implementação do PCN no Brasil" was created, marking the beginning of an effort to implement the NCP/NCPT in the country. Thus, the objective of this study is to translate and validate the NCP-QUEST into Brazilian Portuguese. This is a methodological study divided into three stages: (1) Translation of the NCP-QUEST into Brazilian Portuguese, carried out by the "Consórcio para Pesquisa e Implementação do PCN no Brasil"; (2) Validation of the translated content; and (3) Assessment of the instrument's reliability. Content validity was analyzed using the Content Validity Index (CVI), both for individual items (CVI-I) and for the overall instrument (CVI-G), with acceptable values of CVI-I ≥ 0.78 and CVI-G ≥ 0.90. Reliability was assessed using α-Krippendorff, percentage agreement, and intraclass correlation coefficient (ICC), with acceptable values of α-Krippendorff > 0.667 and ICC > 0.50. The CVI-I ranged from 0.80 to 1.00, and the CVI-G was 0.988 in the first round and 0.992 in the second. The reliability among evaluators, for the total score, showed an ICC of 0.964 (95% CI = 0.850 – 0.992) for average measures and 0.930 (95% CI = 0.739 – 0.983) for single measures, with an α-Krippendorff of 0.66. When evaluating the items individually, some showed a low Krippendorff’s alpha (α = -0.21). Similar results were found in other validation studies of PCN audit instruments, which also reported lower agreement on items requiring greater interpretation or assessing multiple pieces of information simultaneously. Despite this, the NCP-QUEST is considered a valid and reliable audit instrument, ensuring its applicability in the national context.

COMMITTEE MEMBERS:
Presidente - 4659679 - SANCHA HELENA DE LIMA VALE
Externa ao Programa - 2374737 - INGRID WILZA LEAL BEZERRA - UFRNExterna ao Programa - 2549958 - LUCIA LEITE LAIS - UFRNExterna à Instituição - ESTELA IRACI RABITO - UFPR