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ORIGINAL ARTICLE08-07-2023
Content validity of the Post-Stroke Guidance and Follow-up Booklet
Revista Brasileira de Enfermagem. 2023;76(3):e20220532
Abstract
ORIGINAL ARTICLEContent validity of the Post-Stroke Guidance and Follow-up Booklet
Revista Brasileira de Enfermagem. 2023;76(3):e20220532
DOI 10.1590/0034-7167-2022-0532
Views0See moreABSTRACT
Objectives:
to provide sources of content validity evidence for the Post-Stroke Guidance and Follow-up Booklet.
Methods:
a quantitative-qualitative approach, using two Delphi method and content analysis rounds. The Educational Content Validation Instrument in Health was sent to 53 independent judges. A Content Validity Index above 0.90 was considered.
Results:
of the 14 nurses who participated, 64.3% have experience with stroke care, 35.7% with primary care and 64.3% with educational material production. In content analysis, judges’ suggestions were stratified into four categories: material conformation, objectivity, accuracy and perception. Spelling changes were made to the images, addition of functionality scale, adequacy of technical terms and language. The Content Validity Index in the second round showed a concordance of 0.97.
Conclusions:
the booklet presented satisfactory content validity sources of evidence.
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ORIGINAL ARTICLE08-07-2023
Workload assessment: cross-cultural adaptation, content validity and instrument reliability
Revista Brasileira de Enfermagem. 2023;76(3):e20220556
Abstract
ORIGINAL ARTICLEWorkload assessment: cross-cultural adaptation, content validity and instrument reliability
Revista Brasileira de Enfermagem. 2023;76(3):e20220556
DOI 10.1590/0034-7167-2022-0556
Views0See moreABSTRACT
Objectives:
to adapt, validate the content and assess the reliability of the instrument National Aeronautics and Space Administration – Task Load Index, translated into Brazilian Portuguese.
Methods:
a methodological study, divided into five steps: translation; synthesis; back-translation; assessment of the Portuguese version by an expert committee; pre-test and content validity of the final version by health professionals working in inpatient units. The Content Validity Index (CVI) (minimum 0.80) and Cronbach’s alpha (minimum 0.70) were calculated.
Results:
in the first round, in the agreement analysis of the translated version, three items did not reach the minimum CVI value. It was decided to remove the statement. The instrument title and items “performance” and “effort” were changed. There was consensus and approval of the final version in the pre-test step.
Conclusions:
the NASA Task Load Index instrument, adapted to Brazilian Portuguese, presents reliability and content validity evidence.
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ORIGINAL ARTICLE08-07-2023
Construction and validity of the Interprofessional Communication in Health Scale
Revista Brasileira de Enfermagem. 2023;76(3):e20220483
Abstract
ORIGINAL ARTICLEConstruction and validity of the Interprofessional Communication in Health Scale
Revista Brasileira de Enfermagem. 2023;76(3):e20220483
DOI 10.1590/0034-7167-2022-0483
Views0See moreABSTRACT
Objectives:
to construct and validate the Interprofessional Communication Scale in Health.
Methods:
a psychometric study was carried out on a sample of 360 nurses from a hospital and university center in central Portugal. Reliability was assessed through internal consistency and construct validity through exploratory and confirmatory factor analysis.
Results:
the Interprofessional Communication in Health Scale, consisting of 27 items, is organized into 3 factors: “Teamwork”, “Conflict management” and “Leadership”, with a total variance of 51.1%. Good internal consistency was obtained, with a Cronbach’s alpha of 0.842, and adequate Goodness of Fit Index model.
Conclusions:
the Interprofessional Communication in Health Scale presents a factorial structure with adequate validity and reliability results, and may constitute a useful self-report instrument in assessing interprofessional communication in health.
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ORIGINAL ARTICLE08-07-2023
“Educational Material on HIV”: validity of health educational technology for people living with HIV
Revista Brasileira de Enfermagem. 2023;76(3):e20220549
Abstract
ORIGINAL ARTICLE“Educational Material on HIV”: validity of health educational technology for people living with HIV
Revista Brasileira de Enfermagem. 2023;76(3):e20220549
DOI 10.1590/0034-7167-2022-0549
Views0ABSTRACT
Objectives:
to validate the educational technology “Educational Material on HIV” (INPI – BR 10 2020 003765 0).
Methods:
a methodological study with 39 expert judges in HIV/AIDS, using a 5-point Likert scale for assessment. Data were tabulated, processed and analyzed through descriptive analysis. Cronbach’s alpha and McDonald’s omega tests were performed to analyze internal consistency, and the Intraclass Correlation Coefficient, for reliability. Agreement was established by a Level Content Validity Index greater than 0.90.
Results:
the assessment instrument showed high internal consistency (Cronbach’s alpha of 0.89; McDonald’s omega of 0.91) with reliable values. Based on the Intraclass Correlation Coefficient, judges’ answers showed acceptable reliability, mean score 0.89 (p<0.001). Agreement among judges was greater than 0.90 in the three assessed dimensions (objectives, presentation and relevance).
Conclusions:
the technology was considered a qualified and adequate tool by the judges regarding its objectives, presentation and relevance.
Keywords:Acquired Immunodeficiency SyndromeEducational TechnologyHealth EducationHIVValidation StudySee more -
REVIEW08-07-2023
Instruments for assessing foot self-care of people with diabetes: a scoping review
Revista Brasileira de Enfermagem. 2023;76(3):e20220555
Abstract
REVIEWInstruments for assessing foot self-care of people with diabetes: a scoping review
Revista Brasileira de Enfermagem. 2023;76(3):e20220555
DOI 10.1590/0034-7167-2022-0555
Views0See moreABSTRACT
Objectives:
to map, in the world literature, instruments for assessing foot self-care of people with diabetes.
Methods:
a scoping review in Scopus by Elsevier, MEDLINE via PubMed, LILACS, SciELO databases and gray literature, using the controlled words diabetic foot, self care, questionnaire. Search was carried out in February and March 2021, according to JBI recommendations and PRISMA-ScR extension.
Results:
fifteen studies made up the review, 14 articles and one thesis, published between 2000 and 2020. 16 instruments were identified: five with an emphasis on general self-care and 11 on foot self-care. Inspection, hygiene, washing and drying between the toes, lotion application and use of proper shoes and socks were the main self-care measures presented.
Final Considerations:
foot self-care is assessed by knowledge, social support and frequency with which measures are being put into practice, encouraging professional practice.
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ORIGINAL ARTICLE08-07-2023
King’s Parkinson’s Disease Pain Questionnaire: reliability and convergent construct validity
Revista Brasileira de Enfermagem. 2023;76(3):e20220379
Abstract
ORIGINAL ARTICLEKing’s Parkinson’s Disease Pain Questionnaire: reliability and convergent construct validity
Revista Brasileira de Enfermagem. 2023;76(3):e20220379
DOI 10.1590/0034-7167-2022-0379
Views0See moreABSTRACT
Objectives:
to assess the evidence of reliability and convergent construct validity of the King’s Parkinson’s Disease Pain Questionnaire.
Methods:
psychometric study of 75 older adults with Parkinson’s disease. The instrument was applied by two researchers separately and reapplied by one researcher 15 days later. In terms of reliability, internal consistency was assessed using the Cronbach’s alpha test and stability using the intraclass correlation coefficient. Scores of the King’s Parkinson’s Disease Pain Questionnaire were compared to those of the Geriatric Pain Measure in the assessment of construct validity.
Results:
the mean Cronbach’s alpha obtained between the three assessments was above 0.60, the intraclass correlation between the three assessments was above 0.90, and there was a weak but significant correlation between the two applied scales.
Conclusions:
the instrument showed adequate evidence of convergent construct validity and reliability, and can be used in clinical practice.
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ORIGINAL ARTICLE08-07-2023
The relationship of general, physical, and psychological violence with depressive symptoms and cognition in elders (cross-sectional study)
Revista Brasileira de Enfermagem. 2023;76(3):e20220375
Abstract
ORIGINAL ARTICLEThe relationship of general, physical, and psychological violence with depressive symptoms and cognition in elders (cross-sectional study)
Revista Brasileira de Enfermagem. 2023;76(3):e20220375
DOI 10.1590/0034-7167-2022-0375
Views0See moreABSTRACT
Objectives:
to analyze the relationship of general, physical, and psychological violence with depressive symptoms and cognition in the elderly.
Methods:
quantitative, cross-sectional study, carried out with 323 elders from the Brazilian northeast. Data collection used a sociodemographic instrument; the Conflict Tactics Scales Form R; the Geriatric Depression Scale; and the Mini-Mental State Examination. The analysis employed descriptive and inferential statistics.
Results:
as violence increases, so do the depressive symptoms; the opposite was true when comparing violence with cognitive involvement. There is a correlation between physical and psychological violence and depressive symptoms; more depressive elders are from 1.96 to 3.00 times more likely to be the victims of psychological and physical violence, respectively.
Conclusions:
general, physical, and psychological violence is associated with depressive symptoms; those with less cognitive alterations are more vulnerable to abuse. Elders with depressive symptoms are more likely to suffer psychological and physically violence.
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ORIGINAL ARTICLE08-07-2023
Nursing students’ knowledge and attitude in relation to COVID-19 prevention behavior
Revista Brasileira de Enfermagem. 2023;76:e20220588
Abstract
ORIGINAL ARTICLENursing students’ knowledge and attitude in relation to COVID-19 prevention behavior
Revista Brasileira de Enfermagem. 2023;76:e20220588
DOI 10.1590/0034-7167-2022-0588
Views0See moreABSTRACT
Objectives:
to determine the correlation between nursing students’ level of knowledge and attitudes toward COVID-19 prevention behavior.
Methods:
a cross-sectional study was carried out at the Private University in Indonesia. Accidental sampling was used to select 188 third-year bachelor’s nursing students as respondents. Data collection was conducted through an online questionnaire (Cronbach’s Alpha 0.799-0.959) consisting of 27 questions. The data were analyzed descriptively and inferentially.
Results:
as many as 49.5 % of respondents had high knowledge, 98.4 % had a positive attitude, and 89.9 % had positive behavior in preventing COVID-19 transmission. The Chi-square test revealed that knowledge has no correlation with COVID-19 prevention behavior (p-value 0.864), but attitude did (p-value 0.027).
Conclusions:
nursing students’ attitudes are related to behavior in preventing COVID-19. Nursing students are expected to maintain positive attitudes and behaviors toward COVID-19 prevention as future health workers at the forefront of health services.
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REVIEW09-21-2020
Middle range theory for the nursing diagnosis Excess Fluid Volume in pregnant women
Revista Brasileira de Enfermagem. 2020;73:e20190334
Abstract
REVIEWMiddle range theory for the nursing diagnosis Excess Fluid Volume in pregnant women
Revista Brasileira de Enfermagem. 2020;73:e20190334
DOI 10.1590/0034-7167-2019-0334
Views1See moreABSTRACT
Objective:
To stablish a middle range theory for the understanding of the causal mechanisms and clinical consequentes of the nursing diagnosis Excess Fluid Volume (00026) among pregnant women.
Method:
The Middle Range Theory was constructed in five stages: defining of construction approach, establishing main concepts, elaborating propositions, developing a pictorial diagram, and establishing the causal relationships and evidence for practice of the Middle Range Theory.
Results:
We identified 14 clinical indicators and 6 causal factors of Excess Fluid Volume. A pictorial diagram was developed and relationships between Excess Fluid Volume elements were established with 6 propositions for them.
Conclusion:
The Middle Range Theory included both physiological and pathological conditions to explain Excess Fluid Volume. This Middle Range Theory might help in the better understanding of interactions between causal factors and clinical indicators of Excess Fluid Volume.
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ORIGINAL ARTICLE12-21-2020
Development of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
Abstract
ORIGINAL ARTICLEDevelopment of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
DOI 10.1590/0034-7167-2019-0559
Views1ABSTRACT
Objectives:
to develop and evaluate the convergence of the instrument for the appearance validity of educational technologies in health.
Methods:
methodological study conducted in two steps. In step 1, the instrument items were developed, with subsequent content validity by nine specialists in the development of educational technologies in health. In step 2, the convergent validity between another instrument and the appearance instrument was performed. Correlation results above r> 0.3 and p <0.05 were considered as plausible convergent validity.
Results:
the ten items of the initial version of the appearance instrument were submitted to content validity that resulted in a final version with 12 items (Content Validity Index = 0.93). The correlation indexes were strong with the objective and appearance domains; moderate with motivation, organization and total; and weak with writing style.
Conclusions:
the appearance instrument demonstrated content validity and convergent validity, in addition to a strong correlation with the other instrument.
Keywords:Educational TechnologyHealth EducationMethodological Research in NursingTechnological DevelopmentValidation StudiesSee more -
EXPERIENCE REPORT08-19-2019
Hypothermia post-cardiopulmonary resuscitation with low inputs: an experience report
Revista Brasileira de Enfermagem. 2019;72(4):1114-1118
Abstract
EXPERIENCE REPORTHypothermia post-cardiopulmonary resuscitation with low inputs: an experience report
Revista Brasileira de Enfermagem. 2019;72(4):1114-1118
DOI 10.1590/0034-7167-2017-0771
Views1ABSTRACT
Objective:
to report the experience of conducting directed temperature control of a post-cardiopulmonary resuscitation patient, with reduced and basic inputs available at the institution.
Method:
an experience report of directed temperature control in patient (age 15 years), after four hours of cardiopulmonary resuscitation in an Intensive Care Unit of a hospital in São Paulo State countryside in 2016, according to the protocol suggested by the American Heart Association, in 2015. There were applications of cold compresses, plastic bags with crushed ice and rectal temperature control.
Results:
after eight hours, temperature had reached 93.2 ºF. Body cooling was maintained for 24 hours. However, bags with crushed ice were used in the first 6 hours.
Conclusion:
conduct of nurses to obtain the body cooling with reduced and basic inputs was effective during the stay at the Intensive Care Unit.
Keywords:Body Temperature RegulationCardiopulmonary ResuscitationHeart ArrestHypothermia InducedIntensive Care UnitsSee more -
ORIGINAL ARTICLE05-28-2021
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
Abstract
ORIGINAL ARTICLEManaged clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
DOI 10.1590/0034-7167-2020-0282
Views1See moreABSTRACT
Objectives:
to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.
Methods:
an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM.
Results:
the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).
Conclusions:
this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.
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ORIGINAL ARTICLE05-28-2021
Prevalence and severity levels of post-radical prostatectomy incontinence: different assessment instruments
Revista Brasileira de Enfermagem. 2021;74(2):e20200692
Abstract
ORIGINAL ARTICLEPrevalence and severity levels of post-radical prostatectomy incontinence: different assessment instruments
Revista Brasileira de Enfermagem. 2021;74(2):e20200692
DOI 10.1590/0034-7167-2020-0692
Views1See moreABSTRACT
Objectives:
to analyze urinary incontinence prevalence and severity in prostatectomized men assessed by three different instruments.
Methods:
a cross-sectional study was conducted with 152 men. The pad test, pad used, and International Consultation on Incontinence Questionnaire – Short Form (self-report) were considered. Data were analyzed using Spearman’s correlation, Kappa index, considering a significance level of 0.05.
Results:
urinary incontinence prevalence was 41.4%, 46.7% and 80.3% according to pad used, pad test and self-report. Positive correlations and moderate to poor agreement were found between the instruments. As for severity, most participants had mild incontinence. The largest number of cases of mild and severe incontinence was identified by self-report.
Conclusions:
the self-report showed higher values for prevalence of mild and severe severity levels. Through the identified differences, we propose that the objective assessment (pad used and pad test) be associated with individuals’ perception (self-report) to better estimate prevalence and severity.
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ORIGINAL ARTICLE05-28-2021
Cultural adaptation and validation of an instrument about nursing critical thinking skills
Revista Brasileira de Enfermagem. 2021;74(2):e20200720
Abstract
ORIGINAL ARTICLECultural adaptation and validation of an instrument about nursing critical thinking skills
Revista Brasileira de Enfermagem. 2021;74(2):e20200720
DOI 10.1590/0034-7167-2020-0720
Views1See moreABSTRACT
Objectives:
to validate the Nursing Critical Thinking in Clinical Practice Questionnaire regarding cultural aspects and metric properties.
Methods:
a methodological research carried out through cross-cultural adaptation, face and content validity, dimensional construct and known groups validity, test-retest reliability and internal consistency. 511 nurses from four hospitals participated in the study, of which 54 participated in retest.
Results:
the instrument validation for Brazilian Portuguese maintained equivalences, according to the original version. The dimensional validity demonstrated adjustment to the tetrafactorial structure of the original version (GFI=0.69). There were statistically significant differences in critical thinking skills between nurses with graduate degrees and who undertook training, reading articles, developing research and working in an institution with a longer time implementation of the Nursing Process. The instrument showed temporal stability (ICC 073-0.84; p<0.001) and adequate internal consistency (α=0.97).
Conclusions:
the instrument proved to be valid and reliable for the studied population.
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REVIEW07-09-2021
Breast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
Abstract
REVIEWBreast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
DOI 10.1590/0034-7167-2020-0995
Views1See moreABSTRACT
Objectives:
to analyze care strategies for breast cancer screening in Primary Health Care in Brazil.
Methods:
this is a systematic review following the Cochrane Collaboration recommendations.
Results:
among 355 manuscripts, five were eligible. The patient navigation program by Community Health Agent stood out with the best result, among the strategies: flexibility of goals considering viability; community engagement; team training; active search of the target population by Community Health Agent; request for mammography by physicians; actions integrated to women’s health; monitoring of mammography results, absent users, and population coverage by physician and nurse; and assessment of criteria for requesting screening mammography by means of an information system. The population coverage rate in the program ranged from 23% to 88%.
Conclusions:
Primary Health Care in Brazil presents devices with potential to induce the production of care for breast cancer screening.
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ORIGINAL ARTICLE07-30-2021
Curricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242
Abstract
ORIGINAL ARTICLECurricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242
DOI 10.1590/0034-7167-2020-1242
Views1See moreABSTRACT
Objectives:
to discuss the curricular reforms adopted for nursing teaching in Brazil, from 1969 to 2019.
Methods:
historical, qualitative approach using the thematic oral history and document research. 13 interviews were carried out with graduation nursing professors from a federal university in the South of Brazil. The document sources were the political-pedagogical projects of the course and their associated documents. Minayo’s thematic analysis was used.
Results:
nursing curricula delineates the profile of the professional that must be formed and are reviewed in order to be adapted to social and educational changes, showing the scientific and professional potential of the nurse. Curricular reforms consider the quality of nursing formation.
Final Considerations:
the structure of the curriculum and the reforms that took place emerged according to the historical, political, epidemiological and social context demanded from the profession, to attend to the demands of society and to the work market.
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