Daniela Fernanda dos Santos Alves

Validity and reliability of a pediatric patient classification instrument

OBJECTIVES: to assess the construct validity and reliability of the Pediatric Patient Classification Instrument. METHODS: correlation study developed at a teaching hospital. The classification involved 227 patients, using the pediatric patient classification instrument. The construct validity was assessed through the factor analysis approach and reliability through internal consistency. RESULTS: the Exploratory Factor Analysis identified three constructs with 67.5% of variance explanation and, in the reliability assessment, the following Cronbachs alpha coefficients were found: 0.92 for the instrument as a whole; 0.88 for the Patient domain; 0.81 for the Family domain; 0.44 for the Therapeutic procedures domain. CONCLUSIONS: the instrument evidenced its construct validity and reliability, and these analyses indicate the feasibility of the instrument. The validation of the Pediatric Patient Classification Instrument still represents a challenge, due to its relevance for a closer look at pediatric nursing care and management. Further research should be considered to explore its dimensionality and content validity.OBJETIVOS: evaluar la validez de constructo y la confiabilidad del Instrumento de Clasificacion de Pacientes Pediatricos. METODOS: estudio correlacional, desarrollado en un hospital de ensenanza. Fueron clasificados 227 pacientes pediatricos con la aplicacion del instrumento de clasificacion de pacientes pediatricos. La validez de constructo fue evaluada por el enfoque analitico de factor y la confiabilidad por la consistencia interna. RESULTADOS: el Analisis Factorial Exploratorio identifico tres constructos con el 67,5% de variancia de explicacion y, en la evaluacion de la confiabilidad, los valores del alfa de Cronbach encontrados fueron: 0,92 para el instrumento como un todo; 0,88 para el dominio del Paciente; 0,81 para el dominio Familia; 0,44 para el dominio Procedimientos terapeuticos. CONCLUSIONES: el instrumento mostro evidencias de validez de constructo y de confiabilidad, y esos analisis indican la factibilidad del instrumento. La validacion del Instrumento de Clasificacion de Pacientes Pediatricos todavia es un reto, debido a su relevancia para una mirada mas profunda sobre la atencion y la gestion en enfermeria pediatrica. Deberan ser considerados otros estudios para explorar su dimensionalidad y validez de contenido.

Stress related to care: the impact of childhood cancer on the lives of parents

OBJETIVOS: o objetivo foi avaliar o nivel de estresse dos pais de criancas com câncer e identificar correlacoes entre os dados sociodemograficos e os niveis de ansiedade. METODO: trata-se de estudo descritivo, transversal, realizado em duas instituicoes brasileiras, com 101 pais de criancas com câncer. Por meio de entrevista, os pais responderam a dois instrumentos: Pediatric Inventory for Parents - versao brasileira, que avalia niveis de estresse, e Inventario de Ansiedade Traco-Estado, para medida da ansiedade. As correlacoes entre os instrumentos e as variaveis sociodemograficas dos pais e das criancas foram avaliadas pelo coeficiente de correlacao de Spearman. RESULTADOS: os maiores niveis de estresse e ansiedade foram evidenciados por pais jovens, de criancas pequenas e com menos tempo de diagnostico. O medo da morte e do impacto da doenca na vida da crianca foram os eventos considerados mais estressantes para os pais. CONCLUSOES: na pratica clinica, o enfermeiro que consegue identificar a ocorrencia desses sintomas torna-se capaz de planejar assistencia de enfermagem que inclua a familia nas decisoes sobre o cuidado. Alem disso, pode fornecer subsidios para auxiliar os pais a gerenciar seus niveis de estresse e enfrentar positivamente a doenca dos seus filhos.OBJECTIVES The objective was to assess the stress levels of parents of children with cancer and to identify correlations among demographic data and anxiety levels. METHODS A descriptive, cross-sectional study, conducted in two Brazilian institutions, with 101 parents of children with cancer. Through interviews, parents responded to two instruments: Pediatric Inventory for Parents - Brazilian version, which assesses stress levels, and State-Trait Anxiety Inventory, for the measurement of anxiety. The correlations between the instruments and the sociodemographic variables of the parents and children were evaluated using the Spearman correlation coefficient. RESULTS Higher levels of stress and anxiety were seen by young parents, young children and with less time since diagnosis. The fear of death and the disease impact on the life of a child were the events considered the most stressful for the parents . CONCLUSIONS In clinical practice, the nurse who can identify the occurrence of these symptoms becomes capable of planning nursing care that includes the family in decisions about the care. Moreover, she can provide support to help parents manage their stress levels and positively face the illness of their children.

Validação do Nursing Work Index-Revised entre auxiliares e técnicos de enfermagem

Objective: To assess the reliability and validity of the Brazilian version of the Nursing Work Index-Revised among nursing aides and technicians. Methods: A methodological cross-sectional study was conducted in two teaching hospitals. The sample consisted of 150 subjects and data were collected with the use of a personal and professional information sheet, the Brazilian version of the Nursing Work Index-Revised for nursing aides and technicians and the Maslach Burnout Inventory. Results: Cronbach’s alpha varied from 0.58 to 0.77 among the subscales of the Nursing Work Index-Revised and all its subscales obtained significant correlation with the subscales of the Maslach Burnout Inventory and the “job satisfaction,” “intention to leave the job,” and “nurse perception of quality of care” variables. Conclusion: The instrument presented reliability and validity for evaluating the practice environment of these professionals.

TRANSLATION AND ADAPTATION OF THE BATES-JENSEN WOUND ASSESSMENT TOOL FOR THE BRAZILIAN CULTURE

Methodological study aimed at translating and adapting The Bates-Jensen Wound Assessment Tool for the Brazilian culture, through five stages: translation, synthesis, back translation, review by an expert panel, and, testing of the translated version. The Portuguese version was evaluated by 28 nurses who tested the understanding and practicality of the items. The expert panel evaluated the equivalence between the original and translated versions, resulting in concordance lower than 80% for seven items of the General Guidelines, which were modified. In the instrument, 13 items obtained a concordance rate exceeding 80%, except for Wound Status Continuum, which achieved 40%. Testing the translated version indicated good practicality. The Bates-Jensen Wound Assessment Tool is available in Brazil for research and use in clinical practice. Reliability and validity testing should be considered in future studies. DESCRIPTORS: Translation. Nursing, methodology research. Wound healing. Nursing assessment.

Estresse relacionado ao cuidado: o impacto do câncer infantil na vida dos pais

OBJETIVOS: o objetivo foi avaliar o nivel de estresse dos pais de criancas com câncer e identificar correlacoes entre os dados sociodemograficos e os niveis de ansiedade. METODO: trata-se de estudo descritivo, transversal, realizado em duas instituicoes brasileiras, com 101 pais de criancas com câncer. Por meio de entrevista, os pais responderam a dois instrumentos: Pediatric Inventory for Parents - versao brasileira, que avalia niveis de estresse, e Inventario de Ansiedade Traco-Estado, para medida da ansiedade. As correlacoes entre os instrumentos e as variaveis sociodemograficas dos pais e das criancas foram avaliadas pelo coeficiente de correlacao de Spearman. RESULTADOS: os maiores niveis de estresse e ansiedade foram evidenciados por pais jovens, de criancas pequenas e com menos tempo de diagnostico. O medo da morte e do impacto da doenca na vida da crianca foram os eventos considerados mais estressantes para os pais. CONCLUSOES: na pratica clinica, o enfermeiro que consegue identificar a ocorrencia desses sintomas torna-se capaz de planejar assistencia de enfermagem que inclua a familia nas decisoes sobre o cuidado. Alem disso, pode fornecer subsidios para auxiliar os pais a gerenciar seus niveis de estresse e enfrentar positivamente a doenca dos seus filhos.OBJECTIVES The objective was to assess the stress levels of parents of children with cancer and to identify correlations among demographic data and anxiety levels. METHODS A descriptive, cross-sectional study, conducted in two Brazilian institutions, with 101 parents of children with cancer. Through interviews, parents responded to two instruments: Pediatric Inventory for Parents - Brazilian version, which assesses stress levels, and State-Trait Anxiety Inventory, for the measurement of anxiety. The correlations between the instruments and the sociodemographic variables of the parents and children were evaluated using the Spearman correlation coefficient. RESULTS Higher levels of stress and anxiety were seen by young parents, young children and with less time since diagnosis. The fear of death and the disease impact on the life of a child were the events considered the most stressful for the parents . CONCLUSIONS In clinical practice, the nurse who can identify the occurrence of these symptoms becomes capable of planning nursing care that includes the family in decisions about the care. Moreover, she can provide support to help parents manage their stress levels and positively face the illness of their children.

Validez y confiabilidad de un instrumento de clasificación de pacientes pediátricos

OBJECTIVES: to assess the construct validity and reliability of the Pediatric Patient Classification Instrument. METHODS: correlation study developed at a teaching hospital. The classification involved 227 patients, using the pediatric patient classification instrument. The construct validity was assessed through the factor analysis approach and reliability through internal consistency. RESULTS: the Exploratory Factor Analysis identified three constructs with 67.5% of variance explanation and, in the reliability assessment, the following Cronbachs alpha coefficients were found: 0.92 for the instrument as a whole; 0.88 for the Patient domain; 0.81 for the Family domain; 0.44 for the Therapeutic procedures domain. CONCLUSIONS: the instrument evidenced its construct validity and reliability, and these analyses indicate the feasibility of the instrument. The validation of the Pediatric Patient Classification Instrument still represents a challenge, due to its relevance for a closer look at pediatric nursing care and management. Further research should be considered to explore its dimensionality and content validity.OBJETIVOS: evaluar la validez de constructo y la confiabilidad del Instrumento de Clasificacion de Pacientes Pediatricos. METODOS: estudio correlacional, desarrollado en un hospital de ensenanza. Fueron clasificados 227 pacientes pediatricos con la aplicacion del instrumento de clasificacion de pacientes pediatricos. La validez de constructo fue evaluada por el enfoque analitico de factor y la confiabilidad por la consistencia interna. RESULTADOS: el Analisis Factorial Exploratorio identifico tres constructos con el 67,5% de variancia de explicacion y, en la evaluacion de la confiabilidad, los valores del alfa de Cronbach encontrados fueron: 0,92 para el instrumento como un todo; 0,88 para el dominio del Paciente; 0,81 para el dominio Familia; 0,44 para el dominio Procedimientos terapeuticos. CONCLUSIONES: el instrumento mostro evidencias de validez de constructo y de confiabilidad, y esos analisis indican la factibilidad del instrumento. La validacion del Instrumento de Clasificacion de Pacientes Pediatricos todavia es un reto, debido a su relevancia para una mirada mas profunda sobre la atencion y la gestion en enfermeria pediatrica. Deberan ser considerados otros estudios para explorar su dimensionalidad y validez de contenido.

Estrés relacionado al cuidado: el impacto del cáncer infantil en la vida de los padres

OBJETIVOS: o objetivo foi avaliar o nivel de estresse dos pais de criancas com câncer e identificar correlacoes entre os dados sociodemograficos e os niveis de ansiedade. METODO: trata-se de estudo descritivo, transversal, realizado em duas instituicoes brasileiras, com 101 pais de criancas com câncer. Por meio de entrevista, os pais responderam a dois instrumentos: Pediatric Inventory for Parents - versao brasileira, que avalia niveis de estresse, e Inventario de Ansiedade Traco-Estado, para medida da ansiedade. As correlacoes entre os instrumentos e as variaveis sociodemograficas dos pais e das criancas foram avaliadas pelo coeficiente de correlacao de Spearman. RESULTADOS: os maiores niveis de estresse e ansiedade foram evidenciados por pais jovens, de criancas pequenas e com menos tempo de diagnostico. O medo da morte e do impacto da doenca na vida da crianca foram os eventos considerados mais estressantes para os pais. CONCLUSOES: na pratica clinica, o enfermeiro que consegue identificar a ocorrencia desses sintomas torna-se capaz de planejar assistencia de enfermagem que inclua a familia nas decisoes sobre o cuidado. Alem disso, pode fornecer subsidios para auxiliar os pais a gerenciar seus niveis de estresse e enfrentar positivamente a doenca dos seus filhos.OBJECTIVES The objective was to assess the stress levels of parents of children with cancer and to identify correlations among demographic data and anxiety levels. METHODS A descriptive, cross-sectional study, conducted in two Brazilian institutions, with 101 parents of children with cancer. Through interviews, parents responded to two instruments: Pediatric Inventory for Parents - Brazilian version, which assesses stress levels, and State-Trait Anxiety Inventory, for the measurement of anxiety. The correlations between the instruments and the sociodemographic variables of the parents and children were evaluated using the Spearman correlation coefficient. RESULTS Higher levels of stress and anxiety were seen by young parents, young children and with less time since diagnosis. The fear of death and the disease impact on the life of a child were the events considered the most stressful for the parents . CONCLUSIONS In clinical practice, the nurse who can identify the occurrence of these symptoms becomes capable of planning nursing care that includes the family in decisions about the care. Moreover, she can provide support to help parents manage their stress levels and positively face the illness of their children.

Autonomia e controle do ambiente de trabalho por profissionais de enfermagem reduzem índices de exaustão emocional

This study aimed at evaluating the professional practice environment and the burnout levels among nursing professionals, and to estimate the predictive effect of the practice environment on burnout. This is a cross-sectional study carried out with 215 nursing professionals from a teaching hospital in the countryside of the State of São Paulo. For the data collection, the personal and professional characterization form and the Nursing Work Index – Revised and the Maslach Burnout Inventory have been considered. Correlation analyzes were performed with the Spearman’s Correlation Coefficient, and multiple linear regression models. Significant correlations have been found between the variables of the practice environment and burnout. The autonomy and control over the environment subscales were considered as predictors of the emotional exhaustion, depersonalization and reduction of personal achievement. In environments where the professional reports greater autonomy and greater control over this environment, the levels of burnout were lower. It was concluded that the autonomy and the control over the environment of professional practice were considered predictors of burnout among nurses, assistants and nursing technicians.This study aimed at evaluating the professional practice environment and the burnout levels among nursing professionals, and to estimate the predictive effect of the practice environment on burnout. This is a cross-sectional study carried out with 215 nursing professionals from a teaching hospital in the countryside of the State of São Paulo. For the data collection, the personal and professional characterization form and the Nursing Work Index Revised and the Maslach Burnout Inventory have been considered. Correlation analyzes were performed with the Spearman’s Correlation Coefficient, and multiple linear regression models. Significant correlations have been found between the variables of the practice environment and burnout. The autonomy and control over the environment subscales were considered as predictors of the emotional exhaustion, depersonalization and reduction of personal achievement. In environments where the professional reports greater autonomy and greater control over this environment, the levels of burnout were lower. It was concluded that the autonomy and the control over the environment of professional practice were considered predictors of burnout among nurses, assistants and nursing technicians.

PERCEPÇÃO DO CLIMA DE SEGURANÇA PELA EQUIPE DE ENFERMAGEM EM UM HOSPITAL ESPECIALIZADO EM SAÚDE DA MULHER

Resumo O clima de segurança é uma das formas de medir a cultura de segurança e esta pesquisa teve como objetivo avaliar a percepção da equipe de enfermagem sobre este aspecto. Estudo transversal realizado em um hospital de ensino especializado com 112 profissionais de enfermagem. Os resultados apontaram uma baixa percepção dos profissionais quanto a presença de atitudes que favorecem a segurança do paciente, exceto para a satisfação no trabalho.

TRADUÇÃO E ADAPTAÇÃO DO BATES-JENSEN WOUND ASSESSMENT TOOL PARA CULTURA BRASILEIRA

Methodological study aimed at translating and adapting The Bates-Jensen Wound Assessment Tool for the Brazilian culture, through five stages: translation, synthesis, back translation, review by an expert panel, and, testing of the translated version. The Portuguese version was evaluated by 28 nurses who tested the understanding and practicality of the items. The expert panel evaluated the equivalence between the original and translated versions, resulting in concordance lower than 80% for seven items of the General Guidelines, which were modified. In the instrument, 13 items obtained a concordance rate exceeding 80%, except for Wound Status Continuum, which achieved 40%. Testing the translated version indicated good practicality. The Bates-Jensen Wound Assessment Tool is available in Brazil for research and use in clinical practice. Reliability and validity testing should be considered in future studies. DESCRIPTORS: Translation. Nursing, methodology research. Wound healing. Nursing assessment.