Banca de DEFESA: AMANDA BARBOSA DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : AMANDA BARBOSA DA SILVA
DATA : 05/12/2017
HORA: 14:00
LOCAL: Departamento de enfermagem
TÍTULO:

VALIDATION OF NURSING RESULTS MOBILITY IN ELDERLY PATIENTS WITH CHIKUNGUNYA FEVER

PALAVRAS-CHAVES:

Chikungunya fever; Aged; Nursing outcomes; Validation studies.

PÁGINAS: 100
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

Chikungunya fever represents a problem with international renown for public health and epidemiology, because the aborvirus-transmitted disease is part of the group of infectious diseases with emerging and re-emerging potential. The study aimed to validate the Nursing Mobility Outcome in the elderly with Chikungunya Fever. Methodological study carried out in three stages: integrative literature review, semantic validation and clinical validation. The first stage of the study consisted of an integrative review of the literature with the objective of adapting the instrument constructed and validated by Moreira (2011), to the elderly population with Chikungunya Fever. The integrative review occurred from February to April 2017, in the databases, namely: CINAHL, COCHRANE, LILACS, PubMed, SCOPUS, Science direct and Web of science. There was an uncontrolled search of the scientific productions, without temporal cut, by the indexed and non-indexed descriptors and the 12 indicators of the Nursing Outcomes Classification for the Nursing Outcome Mobility. Then, for the semantic validation stage, the instrument was delivered to 12 nurses working in primary health care. Subsequently, the third step consisted in the clinical validation of the instrument adapted to the elderly population affected by Chikungunya Fever. The study was carried out in seven health units belonging to the Municipal Health Department of the Municipality of Natal / RN. The data collection occurred in July and August of 2017 in 90 elderly patients affected by Chikungunya Fever evaluated by two pairs of nurse evaluators. For the analysis of the textual content of the integrative revision, the software Interface of Routles Analyzes Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) version 0.7 Alpha 2 was used. The data of the semantic and clinical validation were organized in spreadsheet in the program Microsoft Office Excel 2012 and exported to the statistical program Statistical Package for Social Sciences version 22.0 for Windows. In the semantic validation, a binomial test with agreement equal or superior to 85% was applied. For clinical validation, descriptive analyzes were calculated on the measures of the distribution center and its variabilities. The Friedman test was used to verify divergence between evaluators with previous post hoc analysis by the method of least significant difference in cases of statistically significant difference. The intraclass correlation coefficient was calculated to compare the correlation between the evaluations performed by the nurses evaluators and the Cronbach's alpha coefficient to verify the internal consistency of the double evaluators. The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte under CAAE nº 64880017.9.0000.5537. In the Integrative Review, the Descending Hierarchical Classification pointed out two main axes related to Chikungunya Fever related to articles that prioritize clinical evidences of the acute phase and by signs, long-lasting symptoms and disabilities of the subacute and chronic phase. The articular pain indicator was added because it was considered important in the literature through word cloud. As for the semantic validation stage, the instrument was considered intelligible for evaluation by the nurses. Eight indicators reached or exceeded the agreement index of 0.85 with the exception of the transfer performance indicator, since the agreement was 0.83 and p <0.05. Thus, the need to revise the Performance indicator in the transference regarding the intelligibility criterion. It is concluded that the study allowed to adapt the instrument validated for the elderly population with Chikungunya. In this way, it was possible to observe that the instrument applies to the population in question and its adaptation will contribute to measure the impact of the assistance provided by the nurses to the attacks of the Chikungunya Fever. The validity of the indicators capable of measuring the mobility of the elderly patients affected by Chikungunya Fever by the nurses was also verified, however, the need for improvement of the transfer performance indicator was verified.

MEMBROS DA BANCA:
Presidente - 1552864 - ALLYNE FORTES VITOR
Externo ao Programa - 3567192 - FABIANE ROCHA BOTARELI
Interno - 1352508 - MARCOS ANTONIO FERREIRA JUNIOR
Externo à Instituição - RAFAELLA PESSOA MOREIRA - UNILAB