Henrique Ceretta Oliveira

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.

Carga de trabalho de enfermagem em transplante de células-tronco hematopoiéticas: estudo de coorte

Objective Measure nursing workload required by patients submitted to autologous and allogeneic hematopoietic stem cell transplantation (HSCT) and analyze the Nursing Activities Score (NAS) of the nursing team during the hospitalization period for HSCT. Method A prospective cohort study conducted from January 2013 to April 2014 with 62 patients hospitalized in the HSCT unit of a university hospital in Campinas, São Paulo, Brazil. The workload was measured through NAS and data analysis was through chi-square test or Fishers exact test, Mann-Whitney test and Spearmans correlation coefficient; with 5% significance level. Results Mean nursing workload was 67.3% (SD of 8.2) in autologous HSCT patients and 72.4% (SD of 13.0) in allogeneic HSCT patients (p=0.1380).Monitoring and titration showed, in more than 50% of the time, patients demanded intensified care, requiring two hours or more in a nursing shift for reasons of safety, severity or therapy. Conclusion The nursing workload and the NAS items with the highest scores reflect the magnitude, complexity and specificity of care required by patients submitted to HSCT.Objective: Measure nursing workload required by patients submitted to autologous and allogeneic hematopoietic stem cell transplantation (HSCT) and analyze the Nursing Activities Score (NAS) of the nursing team during the hospitalization period for HSCT. Method: A prospective cohort study conducted from January 2013 to April 2014 with 62 patients hospitalized in the HSCT unit of a university hospital in Campinas, Sao Paulo, Brazil. The workload was measured through NAS and data analysis was through chi-square test or Fisher’s exact test, Mann-Whitney test and Spearman’s correlation coefficient; with 5% significance level. Results: Mean nursing workload was 67.3% (SD of 8.2) in autologous HSCT patients and 72.4% (SD of 13.0) in allogeneic HSCT patients (p=0.1380). Monitoring and titration showed, in more than 50% of the time, patients demanded intensified care, requiring two hours or more in a nursing shift for reasons of safety, severity or therapy. Conclusion: The nursing workload and the NAS items with the highest scores reflect the magnitude, complexity and specificity of care required by patients submitted to HSCT. DESCriPtorS

Nursing workload in hematopoietic stem cell transplantation: a cohort study.

Objective Measure nursing workload required by patients submitted to autologous and allogeneic hematopoietic stem cell transplantation (HSCT) and analyze the Nursing Activities Score (NAS) of the nursing team during the hospitalization period for HSCT. Method A prospective cohort study conducted from January 2013 to April 2014 with 62 patients hospitalized in the HSCT unit of a university hospital in Campinas, São Paulo, Brazil. The workload was measured through NAS and data analysis was through chi-square test or Fishers exact test, Mann-Whitney test and Spearmans correlation coefficient; with 5% significance level. Results Mean nursing workload was 67.3% (SD of 8.2) in autologous HSCT patients and 72.4% (SD of 13.0) in allogeneic HSCT patients (p=0.1380).Monitoring and titration showed, in more than 50% of the time, patients demanded intensified care, requiring two hours or more in a nursing shift for reasons of safety, severity or therapy. Conclusion The nursing workload and the NAS items with the highest scores reflect the magnitude, complexity and specificity of care required by patients submitted to HSCT.Objective: Measure nursing workload required by patients submitted to autologous and allogeneic hematopoietic stem cell transplantation (HSCT) and analyze the Nursing Activities Score (NAS) of the nursing team during the hospitalization period for HSCT. Method: A prospective cohort study conducted from January 2013 to April 2014 with 62 patients hospitalized in the HSCT unit of a university hospital in Campinas, Sao Paulo, Brazil. The workload was measured through NAS and data analysis was through chi-square test or Fisher’s exact test, Mann-Whitney test and Spearman’s correlation coefficient; with 5% significance level. Results: Mean nursing workload was 67.3% (SD of 8.2) in autologous HSCT patients and 72.4% (SD of 13.0) in allogeneic HSCT patients (p=0.1380). Monitoring and titration showed, in more than 50% of the time, patients demanded intensified care, requiring two hours or more in a nursing shift for reasons of safety, severity or therapy. Conclusion: The nursing workload and the NAS items with the highest scores reflect the magnitude, complexity and specificity of care required by patients submitted to HSCT. DESCriPtorS

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.

FATORES PREDITORES DAS EXPERIÊNCIAS E DA SATISFAÇÃO DOPACIENTE EM UNIDADES MÉDICO-CIRÚRGICAS

This study aimed to identify predictors of experiences and patient satisfaction with nursing care and compare the psychometric properties of the Brazilian ve...

PREDICTORS OF PATIENTS' EXPERIENCES AND SATISFACTION WITH NURSING CARE IN MEDICAL-SURGICAL WARDS

This study aimed to identify predictors of experiences and patient satisfaction with nursing care and compare the psychometric properties of the Brazilian ve...

FACTORES PREDICTORES DE LA EXPERIENCIA Y LA SATISFACCIÓN DE LOS PACIENTES EN LAS UNIDADES MÉDICO-QUIRÚRGICAS

This study aimed to identify predictors of experiences and patient satisfaction with nursing care and compare the psychometric properties of the Brazilian ve...

Carga del trabajo de enfermería en trasplante de células madre hematopoyéticas: estudio de cohorte

Objective Measure nursing workload required by patients submitted to autologous and allogeneic hematopoietic stem cell transplantation (HSCT) and analyze the Nursing Activities Score (NAS) of the nursing team during the hospitalization period for HSCT. Method A prospective cohort study conducted from January 2013 to April 2014 with 62 patients hospitalized in the HSCT unit of a university hospital in Campinas, São Paulo, Brazil. The workload was measured through NAS and data analysis was through chi-square test or Fishers exact test, Mann-Whitney test and Spearmans correlation coefficient; with 5% significance level. Results Mean nursing workload was 67.3% (SD of 8.2) in autologous HSCT patients and 72.4% (SD of 13.0) in allogeneic HSCT patients (p=0.1380).Monitoring and titration showed, in more than 50% of the time, patients demanded intensified care, requiring two hours or more in a nursing shift for reasons of safety, severity or therapy. Conclusion The nursing workload and the NAS items with the highest scores reflect the magnitude, complexity and specificity of care required by patients submitted to HSCT.Objective: Measure nursing workload required by patients submitted to autologous and allogeneic hematopoietic stem cell transplantation (HSCT) and analyze the Nursing Activities Score (NAS) of the nursing team during the hospitalization period for HSCT. Method: A prospective cohort study conducted from January 2013 to April 2014 with 62 patients hospitalized in the HSCT unit of a university hospital in Campinas, Sao Paulo, Brazil. The workload was measured through NAS and data analysis was through chi-square test or Fisher’s exact test, Mann-Whitney test and Spearman’s correlation coefficient; with 5% significance level. Results: Mean nursing workload was 67.3% (SD of 8.2) in autologous HSCT patients and 72.4% (SD of 13.0) in allogeneic HSCT patients (p=0.1380). Monitoring and titration showed, in more than 50% of the time, patients demanded intensified care, requiring two hours or more in a nursing shift for reasons of safety, severity or therapy. Conclusion: The nursing workload and the NAS items with the highest scores reflect the magnitude, complexity and specificity of care required by patients submitted to HSCT. DESCriPtorS

Nursing Workload In Hematopoietic Stem Cell Transplantation: A Cohort Study.

Objective Measure nursing workload required by patients submitted to autologous and allogeneic hematopoietic stem cell transplantation (HSCT) and analyze the Nursing Activities Score (NAS) of the nursing team during the hospitalization period for HSCT. Method A prospective cohort study conducted from January 2013 to April 2014 with 62 patients hospitalized in the HSCT unit of a university hospital in Campinas, São Paulo, Brazil. The workload was measured through NAS and data analysis was through chi-square test or Fishers exact test, Mann-Whitney test and Spearmans correlation coefficient; with 5% significance level. Results Mean nursing workload was 67.3% (SD of 8.2) in autologous HSCT patients and 72.4% (SD of 13.0) in allogeneic HSCT patients (p=0.1380).Monitoring and titration showed, in more than 50% of the time, patients demanded intensified care, requiring two hours or more in a nursing shift for reasons of safety, severity or therapy. Conclusion The nursing workload and the NAS items with the highest scores reflect the magnitude, complexity and specificity of care required by patients submitted to HSCT.Objective: Measure nursing workload required by patients submitted to autologous and allogeneic hematopoietic stem cell transplantation (HSCT) and analyze the Nursing Activities Score (NAS) of the nursing team during the hospitalization period for HSCT. Method: A prospective cohort study conducted from January 2013 to April 2014 with 62 patients hospitalized in the HSCT unit of a university hospital in Campinas, Sao Paulo, Brazil. The workload was measured through NAS and data analysis was through chi-square test or Fisher’s exact test, Mann-Whitney test and Spearman’s correlation coefficient; with 5% significance level. Results: Mean nursing workload was 67.3% (SD of 8.2) in autologous HSCT patients and 72.4% (SD of 13.0) in allogeneic HSCT patients (p=0.1380). Monitoring and titration showed, in more than 50% of the time, patients demanded intensified care, requiring two hours or more in a nursing shift for reasons of safety, severity or therapy. Conclusion: The nursing workload and the NAS items with the highest scores reflect the magnitude, complexity and specificity of care required by patients submitted to HSCT. DESCriPtorS

Validade e confiabilidade de um instrumento de classificação 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.