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Previous issue date: 2017-12-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Objetivou-se analisar a validade te?rica de instrumento para a coleta de dados no pr? e p?soperat?rio
de pessoas estomizadas intestinais ? luz do Modelo de Adapta??o de Roy. Estudo
metodol?gico, quantitativo desenvolvido em duas etapas: constru??o da vers?o preliminar de
um instrumento norteador de consulta de enfermagem fundamentado no Modelo de Adapta??o
de Roy, com aplicabilidade para o pr? e p?s-operat?rio de estomia (1? etapa), submiss?o do
instrumento para valida??o do seu conte?do aos especialistas (2? etapa). A amostra foi composta
por 11 ju?zes selecionados a partir dos crit?rios de inclus?o: atuar na pr?tica cl?nica na ?rea de
estomaterapia e/ou discentes a n?vel de mestrado e doutorado com conhecimento te?rico e de
pesquisa sobre estomias intestinais e/ou Modelo de Adapta??o de Callista Roy e aceitar
participar voluntariamente assinando o Termo de Consentimento Livre Esclarecido. Para
embasar a constru??o e valida??o do instrumento foi utilizada a teoria da psicometria, a qual se
baseia em tr?s polos: te?rico, experimental e anal?tico. Para fins de valida??o de conte?do, o
presente estudo deteve-se ao polo te?rico. A avalia??o dos itens do instrumento ocorreu a partir
da classifica??o em n?o tenho sugest?es para esse item, tenho sugest?es para melhoria do item
e o item deve ser retirado e a avalia??o geral de cada instrumento a partir de 10 requisitos. Ap?s
a avalia??o foi realizada a valida??o de conte?do com aplica??o do ?ndice Kappa (K) e ?ndice
de Validade de Conte?do (IVC), aceitando ?ndices superiores a 0,81 e 0,80, respectivamente.
O projeto de pesquisa obteve parecer favor?vel do Comit? de ?tica em Pesquisa/UFRN (CAAE
n? 65941517.8.0000.5537). Ap?s serem codificados e tabulados, os dados foram analisados por
meio de estat?stica descritiva. Dos 11 ju?zes que avaliaram o instrumento, 100% eram do sexo
feminino, com m?dia de idade de 34,4 (?9,1) anos, 88,9% possu?am mestrado acad?mico,
54,5% atuavam exclusivamente na assist?ncia e 36,4% disseram assistir e/ou pesquisar
estomias devido oportunidade de emprego/necessidade institucional. Em rela??o ao Modelo,
100,0% dos ju?zes responderam que consideram importante que o enfermeiro conhe?a o
processo adaptativo da pessoa estomizada, entretanto, apenas 72,7% tinham conhecimento. Na
avalia??o geral do instrumento, obteve-se ?ndices de IVC e Kappa de 0,90 e 0,96,
respectivamente, acima do considerado aceit?vel. A maioria dos itens avaliados obtiveram
n?veis de avalia??o da validade de conte?do dentro do estabelecido (IVC ?0,80 e Kappa?0,81)
sendo considerados adequados. Dez itens foram retirados, uma vez que n?o obtiveram n?vel de
concord?ncia dentro dos ?ndices estabelecidos. Foi levado em considera??o tamb?m as
sugest?es e justificativas individuais dos ju?zes para melhorar o item ou retira-lo. Algumas
sugest?es foram dadas por apenas um juiz, sendo analisadas, acatadas ou rejeitadas em fun??o
de sua pertin?ncia. Por fim, o instrumento foi reformulado baseando-se nos n?veis de
concord?ncia entre os ju?zes e a vers?o final apresenta 126 itens, mostrando-se v?lidos quanto
ao seu conte?do, permitindo sua aplica??o pr?tica, tanto pelos enfermeiros assistenciais como
tamb?m pelos graduandos de enfermagem a fim de identificar necessidades adaptativas das
pessoas estomizadas e subsidiar interven??es para promover a adapta??o. / The aim of this study was to analyze the theoretical validity of an instrument for the collection
of data in the pre and postoperative period of intestinal stomates in the light of Roy's Adaptation
Model. Methodological and quantitative study developed in two stages: construction of the
preliminary version of a nursing consultation guideline based on the Roy Adaptation Model,
with applicability for the pre and post-operative of the stommy (1st stage), submission of the
instrument for validation of its content to the experts (2nd stage). The sample consisted of 11
judges selected from the inclusion criteria: acting in the clinical practice in the area of
stomatherapy and/or students at master's and doctoral level with theoretical knowledge and
research on intestinal stomies and/or Callista's Adaptation Model Roy and agree to participate
voluntarily by signing the informed consent term. In order to base the construction and
validation of the instrument, the theory of psychometry was used, which is based on three poles:
theoretical, experimental and analytical. For purposes of content validation, the present study
was applied to the theoretical pole. The evaluation of the items of the instrument occurred from
the classification in I have no suggestions for this item, I have suggestions for improvement of
the item and the item should be withdrawn and the overall evaluation of each instrument from
10 requirements. After the evaluation, the content validation was applied with Kappa Index (K)
and Content Validity Index (IVC), accepting indexes above 0.81 and 0.80, respectively. The
research project obtained a favorable opinion from the Research Ethics Committee/UFRN
(CAAE n? 65941517.8.0000.5537). After being coded and tabulated, the data were analyzed by
means of descriptive statistics. Of the 11 judges who evaluated the instrument, 100% were
female, with a mean age of 34.4 (? 9.1) years, 88.9% had an academic master's degree, 54.5%
were exclusively on care and 36, 4% said attending and/or researching ostomies due to job
opportunity/institutional need. Regarding the Model, 100.0% of the judges answered that they
consider it important that the nurse knows the adaptive process of the stomized person,
however, only 72.7% were aware. In the general evaluation of the instrument, IVC and Kappa
indexes of 0.90 and 0.96, respectively, were obtained, above that considered acceptable. Most
of the evaluated items had levels of evaluation of the validity of content within the established
(IVC ?0.80 and Kappa ?0.81) being considered adequate. Ten items were withdrawn, since
they did not obtain level of agreement within the established indices. The judges' individual
suggestions and justifications were also taken into account to improve the item or to withdraw
it. Some suggestions were given by only one judge, being analyzed, accepted or rejected
according to their pertinence. Finally, the instrument was reformulated based on the levels of
concordance between the judges and the final version presents 126 items, proving valid as to
its content, allowing its practical application, both by nursing assistants as well as by
undergraduate nursing students to identify the adaptive needs of stommized people and to
support interventions to promote adaptation.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24741 |
| Date | 19 December 2017 |
| Creators | Queiroz, Cintia Galv?o |
| Contributors | 06605883403, Ara?jo , Gabriela de Sousa Martins Melo de, 05671050405, Silva, Mirian Alves da, 33576521453, Assun??o, Isabelle Katherinne Fernandes Costa |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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