Banca de DEFESA: WILMA FERREIRA GUEDES RODRIGUES

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : WILMA FERREIRA GUEDES RODRIGUES
DATE: 22/02/2021
TIME: 14:00
LOCAL: https://video.rnp.br/portal/transmission?idItem=98635 (Rede Nacional de Ensino e Pesquisa - RNP)
TITLE:

CONSTRUCTION AND VALIDATION OF A HOSPITAL CARE QUALITY SCALE IN THE PUERPERIUM (EQUAP). 

KEY WORDS:

Validation Study; Hospital Care; Evaluation Study; Postpartum Period.

PAGES: 172
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Introduction: The puerperium is a period of physical and mental transformation that begins after childbirth and ends when breastfeeding ends. This process of involution to the pre-gravid condition can cause more severe complications and evolve to death; however, 92% of the cases of maternal deaths in this phase are avoidable, mainly at the hospital level, when related to bleeding, puerperal infection and hypertension. In this context, the evaluation of the quality of puerperal hospital care is fundamental for monitoring possible complications. However, the indicator that evaluates this type of assistance does not include the intercurrences susceptible to complications, or the specific causes related to maternal deaths. Objective: To develop and validate scale for evaluating the quality of hospital care in the puerperium. Method. Methodological study, developed in two stages: theoretical foundation and theoretical analysis. In the theoretical foundation stage, an instrument based on the Theory of General Systems was developed, proposed by Adevis Donabedian and a review of the scope that allowed the construction of the items of the instrument from the constitutive, operational and behavioral definitions. The second stage began with the evaluation of expert judges in the field. They agreed or disagreed with the items based on the following criteria: objectivity, simplicity, clarity, relevance, precision and variety. The inclusion of expert judges was based on the following criteria: having published and researched on the subject and being an expert in the construction of an instrument. Those who presented incorrect or incomplete answers were excluded. To assess the level of agreement between judges on a given item, the Content Validity Index (CVI) and the Kappa Index were used. The relevance criterion of the study was CVI>0.80 and Kappa>0.61. The sample was made up of ten judges. In addition, the instrument was submitted to a lexical and grammatical correction in order to adapt it to another language. After the lexical and grammatical analysis and validation of the expert judges, the evaluation of puerperal women (target population) was carried out. They agreed or disagreed with the items from the following criteria: item easy to understand and I did not understand the item. This step allowed the evaluation by the smallest cognitive stratum of the target population. For convenience and at random, 10 puerperal women admitted to the Flavio Ribeiro Coutinho maternity hospital in Santa Rita, Paraíba, were selected. The inclusion criteria for women were: being over 18, knowing how to read and write and being in the puerperium. Exclusion criteria: puerperal complication, some against medical indication and/or with suspicion of COVID-19. At this stage, the Content Validity Index and the Kappa Index were also used. The relevance criterion was CVI>0.80 and Kappa>0.61. The instrument underwent a second evaluation by expert judges, to validate the final version of the instrument. The method chosen for the construction and theoretical validation of this assessment instrument followed Pasquali's recommendations. It should be noted that this study was submitted to the Research Ethics Committee (REC) of the Federal University of Rio Grande do Norte (UFRN), in accordance with resolution 466/2012 and obtained a favorable opinion under CAAE number 18967519.6.0000.5176. Results: At the end of this stage, eight items were removed from the instrument, 11 were unified and three had the wording modified. Performed the lexical and grammatical correction the scale was submitted to analysis of the target audience and presented CVI ≥ 0.9 in all items, except the items 16, 24, 34, 37, 38 with which presented CVI<80, however they were reformulated was not removed. Finally, a second round was held with the participation of judges and the scale obtained an CVI ≥0.9 on all items. The scale for evaluating the quality of hospital care provided in the puerperium is presented with theoretical validity, average of CVI = 0.99, with 49 items in total, 17 in the structure dimension, 23 in the process dimension, nine in the result dimension. It is concluded that the scale for assessing the quality of hospital care provided in the puerperium has theoretical validity. 

BANKING MEMBERS:
Interna - 4665456 - DANIELE VIEIRA DANTAS
Externo ao Programa - 3533060 - FLAVIO CESAR BEZERRA DA SILVA
Externa ao Programa - 2140865 - GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
Presidente - 2344942 - JOVANKA BITTENCOURT LEITE DE CARVALHO
Interna - 3168491 - NILBA LIMA DE SOUZA
Externo à Instituição - SERGIO RIBEIRO DOS SANTOS
Externo à Instituição - STELIO HENRIQUE MARTIM DANTAS