Banca de DEFESA: ALBA REGINA CARTAXO SAMPAIO THOMÉ

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ALBA REGINA CARTAXO SAMPAIO THOMÉ
DATE: 07/05/2021
TIME: 14:00
LOCAL: Sala Virtual - https://meet.google.com/brh-jyhn-ybo
TITLE:

CONSTRUCTION AND VALIDATION OF INSTRUMENT IN CHECKLIST FORMAT FOR USE IN SAFE HEART SURGERY

KEY WORDS:

Checklist; Thoracic surgery; Thoracic Surgical Procedures; Patient safety; Surgery.

PAGES: 96
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Introduction: cardiac surgery is a high-risk, intrinsic procedure with several stages, with interruption of workflow frequency, making communication a challenge. The use of a checklist-type instrument is a strategy to promote improved care for surgical patients, as it reduces complications. Developing ways to minimize or eliminate the risks of adverse events can help with patient safety. Objective: to validate an instrument in the checklist format for use in safe cardiac surgery, to identify the basic contents, to build in a three-phase format, identifying to whom the questions should be directed. Method: this is a methodological research to validate an instrument in a checklist format. The criteria defined by the theoretical procedures of Pasquali (1998) were used to validate the content, in view of his research on Brazilian nursing related to the construction and validation of an instrument. It was divided into 4 moments, 1) Literature review; 2) Construction of the instrument: Checklist for safe cardiac surgery assistance; 3) Analysis of experts by the snowball technique; 4) Validation of the instrument's content. Data analysis was performed using the agreement rate method in each domain. Results: the integrative review resulted in 8 eligible articles that supported the construction of version 1 with 49 items. The expert’s analysis using the snowball technique composed of 8 judges resulted in the (version 2) of the instrument with three excluded questions, six rewritten, twelve repositioned in the professional category respondent, and five rewritten and repositioned totaling 46 items. 14 judges with a high level of expertise classified by the Fehring criterion responded to the evaluation of the Version 2 instrument that resulted in content validity, regarding clarity, relevance, theoretical relevance, surgical and professional respondent phase, 182 comments and 25 suggestions were accepted in this phase. The final version of the checklist for safe cardiac surgery consists of 41 items distributed in Sign in (Before anesthetic induction) 1 to 27, Time out (Before skin incision) 28 to 32 and Sign out (Before leaving the room) 33 to 41. The decision to accept or not the suggestions was based on the relevant literature resulting in a checklist validated by the content. Conclusion: The Checklist was considered valid in terms of content and can be used to conduct safe care for surgical cardiac patients, directing questions to the stage in which it should happen and to the respondent professional, supporting actions that minimize risks to patient safety. It is a tool that can be used by nursing and surgical staff, ensuring safe care for patients undergoing cardiac procedures.

BANKING MEMBERS:
Externo ao Programa - 1698535 - JORGE ARTUR PECANHA DE MIRANDA COELHO
Externa ao Programa - 2422344 - PATRICIA DE ALBUQUERQUE SARMENTO
Presidente - 2582344 - THAIS HONORIO LINS BERNARDO