Checklist validation for care provided to patients in the immediate postoperative period of cardiac surgery.

Autor: Batistini HC; Graduate Program in Nursing, Federal University of São Carlos, São Paulo, Brazil., de Sant'Anna ALGG; Graduate Program in Nursing, Federal University of São Carlos, São Paulo, Brazil.; Paulista School of Nursing, Federal University of São Paulo, Health Technology and Innovation Research Laboratory-LAPeTIS, São Paulo, Brazil., Dellacrode Giovanazzi RS; Paulista School of Nursing, Federal University of São Paulo, Health Technology and Innovation Research Laboratory-LAPeTIS, São Paulo, Brazil.; UNOESTE College of Medicine Jaú Campus, Presidente Prudente, São Paulo, Brazil.; Faculty of Medicine UNOESTE Campus Jaú, Presidente Prudente, São Paulo, Brazil., Rosa de Freitas V; UNOESTE College of Medicine Jaú Campus, Presidente Prudente, São Paulo, Brazil., Martins da Costa SAC; Paulista School of Nursing, Federal University of São Paulo, Health Technology and Innovation Research Laboratory-LAPeTIS, São Paulo, Brazil.; UNOESTE College of Medicine Jaú Campus, Presidente Prudente, São Paulo, Brazil.; Faculty of Medicine UNOESTE Campus Jaú, Presidente Prudente, São Paulo, Brazil., Machado RC; Graduate Program in Nursing, Federal University of São Carlos, São Paulo, Brazil.; Paulista School of Nursing, Federal University of São Paulo, Health Technology and Innovation Research Laboratory-LAPeTIS, São Paulo, Brazil.; Paulista School of Nursing, Federal University of São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Journal of clinical nursing [J Clin Nurs] 2020 Nov; Vol. 29 (21-22), pp. 4171-4179. Date of Electronic Publication: 2020 Sep 20.
DOI: 10.1111/jocn.15446
Abstrakt: Aims and Objectives: We created and validated a checklist for nursing care of patients in the immediate postoperative period of cardiac surgery.
Background: Cardiovascular diseases (CVD) account for about 30% of all deaths recorded in Brazil. There is an arsenal of clinical and surgical treatments for CVD, with a significant number of patients evolving to surgical treatment. Thus, health professionals working in the perioperative period of cardiovascular surgeries need to be updated, trained and qualified to provide adequate and safe care to patients.
Design: We developed a checklist that defined essential parameters for quality care, to ensure greater agility and patient safety.
Methods: This methodology validation study comprised two stages: checklist creation for care provided by nurses to patients in the IPO of cardiac surgery, and content validation using the Delphi method. Participants were selected through an advanced survey conducted on the Lattes Platform website of the National Council for Scientific and Technological Development. The STROBE checklist was used to guide the study.
Results: Three rounds of analysis by specialists resulted in average CVIs of: 95.8% for objectivity, 97.9% for simplicity, 91.0% for clarity, 93.1% for relevance and 96.5% for variety, suggesting high agreement among specialists.
Conclusions: The checklist focused on nursing care of patients in the IPO of cardiac surgery and was validated with three topics, four categories, 16 items and 86 sub-items of care assignments to be applied in clinical practice.
Relevance to Clinical Practice: This is a validated instrument that guides nurses' actions by admitting postoperative cardiac surgery patients to the ICU based on evidence, which provides more scientific and professional support to health teams' performance, with the objective of strengthening roles and establishing routines; thus presenting a powerful tool for planning nursing actions, providing quality care to patients, and facilitating communication between teams, thereby minimising risks.
(© 2020 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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