Banca de DEFESA: BARBARA COELI OLIVEIRA DA SILVA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : BARBARA COELI OLIVEIRA DA SILVA
DATE: 31/05/2021
TIME: 14:00
LOCAL: Google meet - https://meet.google.com/fmn-omma-qvq
TITLE:

CONSTRUCTION AND VALIDATION OF AN INSTRUMENT TO OPERATIONALIZE THE NURSING PROCESS FOR AIDS PATIENTS IN THE CONTEXT OF HOSPITAL ADMISSION
.

KEY WORDS:

Nursing Process. Nursing Theory. Standardized Nursing Terminology. Acquired Immunodeficiency Syndrome. Hospitalization. Validation Study.

PAGES: 385
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

The nurse is paramount in caring for people living with AIDS. To this end, in view of the peculiarities of this clientele, the professional needs to provide systematized care during hospitalization in order to meet biological to psychosocial nuances, reduce complications during treatment, assist in adaptation and self-care, and even carry out appropriate interventions according to the presented problem. In addition, the standardization of the nursing process aimed at this clientele enables agile reasoning in decision-making for specialized and scientific care. Thus, health services, including those that care for people with AIDS, need an instrumentalized nursing process. The study aims to construct and validate an instrument to operationalize the nursing process for AIDS patients in the context of hospital admission in the light of Wanda Horta’s Theory of Basic Human Needs. This is a methodological research. The instrument was systematized according to the model proposed by Pasquali et al., namely: theoretical, empirical and analytical procedures. The theoretical procedures aimed at the construction of the instrument, being divided as follows: two scoping reviews, the first for the research stage and the second for diagnosis, followed by cross-mapping to check the diagnoses extracted with the NANDA-I 2018-2020 Nursing Diagnoses version, with subsequent consultation to the books Nursing Outcomes Classification and Nursing Interventions Classification to extract the results and interventions referring to the planning and implementation stages of the instrument respectively. After that, the Alafaro-LeFevre book was consulted for insertion of the items of the evaluation stage. It is worth underlining that the instrument followed the five steps of the Alfaro-LeFevre nursing process and the principles of Wanda Horta’s Theory of Basic Human Needs. In the empirical procedures, the content validation steps were conducted with nurse judges by means of the Delphi technique using Google Forms. Finally, in the analytical procedures, in order to validate the content of the instrument, the content validity coefficient for validation (≥ 0.7) was calculated. Kappa (>0.80) was applied to evaluate only the degree of agreement of the judges on the evaluation of the analyzed items. Cronbach’s alpha (≥ 0.7) was used to evaluate the internal conscience among the items of the instrument. Regarding the global validation of the instrument, Delphi 1 obtained the items: investigation (Content Validity Coefficient 0.97 and Kappa 0.97), diagnosis (Content Validity Coefficient 0.95 and Kappa 0.94), planning (Content Validity Coefficient 0.93 and Kappa 0.82), implementation (Content Validity Coefficient 0.91 and Kappa 0.78) and evaluation (Content Validity Coefficient 0.88 and Kappa 0.73); in turn, Delphi 2: investigation (Content Validity Coefficient 0.99 and Kappa 0.99), diagnosis (Content Validity Coefficient 1.00 and Kappa 1.00), planning (Content Validity Coefficient 0.97 and Kappa 0.94), implementation (Content Validity Coefficient 0.97 and Kappa 0.94) and evaluation (Content Validity Coefficient 0.96 and Kappa 0.87). As for the overall reliability of the instrument, Delphi 1 obtained the items: investigation (Cronbach’s alpha 0.94), diagnosis (Cronbach’s alpha 0.81), planning (Cronbach’s alpha 1.00), implementation (Cronbach’s alpha 1.00) and evaluation (Cronbach’s alpha 0.98); with regard to Delphi 2: investigation (Cronbach’s alpha 0.96), diagnosis (Cronbach’s alpha 1.00), planning (Cronbach’s alpha 1.00), implementation (Cronbach’s alpha 1.00) and evaluation (Cronbach’s alpha 1.00). The instrument based on a validated theory represents a care technology for nurses who work in the care of AIDS patients in the context of hospital admission, in addition to having valid content and reliability to safely adopted in care practice.

BANKING MEMBERS:
Presidente - 1299781 - ALEXSANDRA RODRIGUES FEIJAO
Externa à Instituição - ALINE RODRIGUES FEITOZA - UNIFOR
Interna - 1675334 - ANA LUISA BRANDAO DE CARVALHO LIRA
Externa ao Programa - 2140865 - GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
Externa à Instituição - PATRÍCIA PERES DE OLIVEIRA - UFSJ
Interna - 1220598 - VIVIANE EUZEBIA PEREIRA SANTOS