Contexto: O reconhecimento da qualidade dos instrumentos que procuram verificar e avaliar um fenómeno através do processo de validação de conteúdo, é fundamental para a legitimidade e credibilidade dos resultados de uma pesquisa. Objetivos: Investigar a aplicação do modelo de validação de conteúdo de Pasquali nas pesquisas brasileiras em Enfermagem nos últimos cinco anos. Metodologia: Revisão integrativa de literatura realizada no período de julho a agosto de 2013, nas bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Base de Dados de Enfermagem (BDENF), com uso de descritores controlados e não-controlados. Resultados: Os estudos adotaram o referencial metodológico de Pasquali baseados nos três procedimentos (teóricos, empíricos e analíticos), que exigiu o cumprimento de etapas, tais como construção do instrumento, parecer dos juízes e aplicação de procedimentos estatísticos para a validação de conteúdo. Conclusão: O processo de validação de conteúdo ocorreu no procedimento teórico e houve associação a outros tipos de validação para percorrer os procedimentos empíricos e analíticos, a fim de alcançar uma validação eficaz. Palabras clave: estudios de validación; investigación en enfermería; enfermería. Background: The recognition of the quality of instruments that aim at verifying and assessing a given phenomenon, through the process of content validation, is essential for the legitimacy and credibility of research results. Objectives: To analyse the application of the Pasquali's model of content validation to Brazilian research studies in the Nursing field conducted over the past five years. Methodology: Integrative literature review performed between July and August, 2013, using the Latin American and Caribbean Health Sciences Literature database (LILACS) and Nursing Database (BDENF), with controlled and uncontrolled descriptors. Results: The studies adopted the Pasquali's methodological reference model based on three procedures (theoretical, empirical, and analytical). This required the completion of different steps, such as the construction of the instrument, feedback from judges and application of statistical procedures for content validation. Conclusion: The process of content validation occurred during the theoretical procedure, in association with other types of validation to comply with the empirical and analytical procedures and achieve an effective validation.
Objectives: to investigate the association between the scores of the patient safety climate and socio-demographic and professional variables. Methods: an observational, sectional and quantitative study, conducted at a large public teaching hospital. The Safety Attitudes Questionnaire was used, translated and validated for Brazil. Data analysis used the software Statistical Package for Social Sciences. In the bivariate analysis, we used Student's t-test, analysis of variance and Spearman's correlation of (α=0.05). To identify predictors for the safety climate scores, multiple linear regression was used, having the safety climate domain as the main outcome (α=0.01). Results: most participants were women, nursing staff, who worked in direct care to adult patients in critical areas, without a graduate degree and without any other employment. The average and median total score of the instrument corresponded to 61.8 (SD=13.7) and 63.3, respectively. The variable professional performance was found as a factor associated with the safety environment for the domain perception of service management and hospital management (p=0.01). Conclusion: the identification of factors associated with the safety environment permits the construction of strategies for safe practices in the hospitals.
Objectives:to evaluate and classify patients according to the Risk Assessment Scale for Perioperative Pressure Injuries; verify the association between sociodemographic and clinical variables and the risk score; and identify the occurrence of pressure injuries due to surgical positioning. Method:observational, longitudinal, prospective and quantitative study carried out in a teaching hospital with 278 patients submitted to elective surgeries. A sociodemographic and clinical characterization questionnaire and the Risk Assessment Scale for Perioperative Pressure Injuries were used. Descriptive, bivariate and logistic regression analyses were applied. Results:the majority of patients (56.5%) presented a high risk for perioperative pressure injury. Female sex, elderly group, and altered body mass index values were statistically significant (p < 0.05) for a higher risk of pressure injuries. In 77% of the patients, there were perioperative pressure injuries. Conclusion:most of the participants presented a high risk for development of perioperative decubitus ulcers. The female sex, elderly group, and altered body mass index were significant factors for increased risk. The Risk Assessment Scale for Perioperative Pressure Injuries allows the early identification of risk of injury, subsidizing the adoption of preventive strategies to ensure the quality of perioperative care.
Estudo descritivo, transversal desenvolvido com objetivo de associar aspectos socio demográficos e clínicos aos domínios de qualidade de vida relacionada à saúde (QVRS), para avaliar pacientes onco-hematológicos submetidos à quimioterapia. Na coleta de dados utilizou-se um instrumento sociodemográfico e clínico e o European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC) QLQ-C-30. A amostra foi constituída de 32 pacientes, sendo oito (25%) com diagnóstico de linfoma de Hodgkin, nove (28,12%) linfoma não Hodgkin e 15 (46,87%) leucemia. Os dados foram analisados pelo software Statistical Package for Social Science (SPSS). O QLQ-C-30 mostrou média das funções física, cognitiva, emocional, social e desempenho de papel de 54,81 a 41,18, demonstrando um nível pouco satisfatório. Nas escalas de sintomas, houve predomínio de fadiga média 64,57 seguida de insônia (56,90) e perda de apetite (50,71). Esses sintomas interferiram nas funções físicas, emocionais e cognitivas demonstrando que efeitos colaterais do tratamento influenciam negativamente na QVRS dos pacientes.
Objective to evaluate the effect of relaxation therapy with guided imagery on state anxiety and cortisol in the immediate preoperative period in patients submitted to bariatric surgery by videolaparoscopy.Method a randomized, triple-blind clinical trial in a large teaching hospital in the interior of Minas Gerais. Twenty-four patients who would undergo video-laparoscopic bariatric surgery were randomly allocated in two groups, namely 12 in the control group and 12 in the experimental group. State anxiety was assessed by the State-Trait Anxiety Inventory, and blood cortisol levels were measured before and after the intervention or standard care. Descriptive analyzes were used for the quantitative variables and Student’s t-test for independent samples, in the analysis of the differences between the state anxiety scores and cortisol levels.Results the experimental group presented a statistically significant reduction of the state anxiety scores (p = 0.005) as well as of cortisol levels (p <0.001) after the intervention.Conclusion guided imagery relaxation therapy is an effective nursing intervention for the reduction of state anxiety and blood cortisol levels in the preoperative period in patients undergoing video-laparoscopic bariatric surgery. Brazilian Registry of Clinical Trials: .
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