Banca de DEFESA: MANACÉS DOS SANTOS BEZERRIL

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : MANACÉS DOS SANTOS BEZERRIL
DATE: 31/03/2023
TIME: 13:30
LOCAL: Departamento de Enfermagem
TITLE:

Construction, validation, and effect of a course for training nurses in the training of expert patients.

KEY WORDS:

Health education; Self-management of care; Primary Health Care; Nurse; Patient safety.

PAGES: 162
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

The object of the study is the development of a course for nurses in the training of expert patients. And it aims to evaluate the effect of the course for the training of Primary Health Care nurses in the training of expert patients. It is a research structured in two stages: the first is a methodological investigation, which sought to build and validate the course for training Primary Health Care nurses in the formation of expert patients, based on theoretical, empirical and analytical procedures; to this end, a Scoping Review was carried out, in addition to visits to active health schools by an expert patient for the construction of the course; then, a Google Forms was created with the course content based on criteria adapted from Pasquali, to be evaluated by specialists using the Delphi technique for course validation; finally, from the application of the Content Validation Coefficient, it was possible to assess the agreement between the judges. The second stage, quasi-experimental research of the before-after type with intervention with a single group of participants that proposed to evaluate the effect of the course, which had the participation of nurses from Basic Health Units in the city of Natal, Rio Grande do Norte, who participated in the course itself. Data collection was carried out with the application of multiple-choice pre- and post-tests and scales associated with the simulation scenarios present in three of the six meetings of the course. The information obtained through the instruments was tabulated in the Statistical Package for Social Science for Windows software, analyzed in a simple descriptive way and through inferential tests. The research follows the ethical precepts of the National Health Council with approval by the Research
Ethics Committee (CAAE: 46980621.2.0000.5537). The Scoping Review resulted in a sample of 234 studies, identifying Diabetes Mellitus (110; 39.9%) as the most prevalent chronic disease and physical activity (234; 08.7%) among the main self-care actions. The course was structured in the following sessions: characterization, syllabus, objectives, contents, methodologies, evaluation, programming, references, and appendices, following the principles of Andragogy, the Theory of Meaningful Learning and the Theory of Self-efficacy. In validation, two Delphi rounds were performed: the first had nine judges and a total Content Validation Coefficient above 0.90, while the second with six and a total Content Validation Coefficient of 0.99. The effectiveness assessment had seven nurses, with a predominance of females (06; 85.7%) and time working in Primary Health Care between one and ten years (04; 57.1%). The pre and posttest ratio reached a statistically significant result (p-value=0.008830). The Student Satisfaction and Self-Confidence in Learning Scale showed an average greater than 4.5 (±0.5) in two items of satisfaction and four of self-confidence; the Debriefing Experience Scale showed two items on the teacher's ability to conduct the debriefing and one on the appropriate guidance from the teacher, with an average of 5.0 (±0.0); and the Simulation Design Scale, an average of 5.0(±0.0) in only one item pertaining to objectives and information, and two related to Feedback/Reflection. It was concluded that the course built and validated is considered effective for training Primary Health Care nurses in training the expert patient.

COMMITTEE MEMBERS:
Presidente - 1220598 - VIVIANE EUZEBIA PEREIRA SANTOS
Interna - 1999246 - ISABELLE CAMPOS DE AZEVEDO
Interna - 1506238 - QUENIA CAMILLE SOARES MARTINS
Externo à Instituição - FRANCISCA SANCHEZ AYLLON
Externa à Instituição - ANA LUISA PETERSEN COGO
Externo à Instituição - MARCOS ANTONIO FERREIRA JUNIOR