Igor Gomes Menezes

Conforto na perspectiva de familiares de pessoas internadas em Unidade de Terapia Intensiva

This study aimed at understanding the meaning of comfort to the families of people in intensive care units. It consists of a qualitative study carried out in the intensive care unit of a hospital in Salvador-Bahia. Fourteen family members were interviewed. The authors utilized the theoretical principles of symbolic interactionism and the technique of qualitative data analysis. Results indicated that the categories Safety, Receptiveness, Information, Proximity, Social and Spiritual Support, Convenience and Integration expressed the meaning of comfort, which was comprised of reliability in terms of technical-scientific competence and a supportive and sensitive attitude of the team, chance of recovery, access to information and the opportunity to be close to the patient, support of people in their social life, spiritual sources and the environmental structure of the hospital, preservation of self-care and routine activities. It was concluded that the family is important as objects and subjects of the actions in healthcare and must be the focus in public health policies and programs in Brazil. DESCRIPTORS: Family. Health care. Family nursing.

Construction and content validation of the scale of predisposition to the occurrence of adverse events

Neste estudo o objetivo foi apresentar os resultados da construcao e validacao de conteudo da Escala de Predisposicao a Ocorrencia de Eventos Adversos (EPEA). Trata-se de pesquisa descritiva, de abordagem qualitativa. Para o estudo da qualidade do cuidado e elaboracao dos itens do instrumento, foi realizado levantamento bibliografico, que resultou em um instrumento preliminar, contendo 90 itens, divididos em duas dimensoes para a avaliacao da qualidade do cuidado em saude (estrutura e processo). Foi realizada a validacao de conteudo do instrumento por meio das tecnicas de analise de juizes e analise semântica. A partir dos resultados dessas analises, a EPEA ficou finalmente composta por 64 itens, agrupados em duas dimensoes: estrutura (18 itens) e processo (46 itens). A EPEA e a primeira medida nacional construida para avaliar as atitudes dos enfermeiros frente aos fatores que podem predispor a ocorrencia dos eventos adversos em UTI.

Desconfortos vividos no cotidiano de familiares de pessoas internadas na UTI

Se trata de una investigacion cualitativa que tuvo como objetivo conocer las incomodidades experimentados en el cotidiano de personas que poseen un familiar internado en una Unidad de Vigilancia Intensiva (UVI). El estudio se realizo en la UVI general de un hospital publico en Salvador (BA). Nueve familiares de personas internadas fueron entrevistados. Se empleo la tecnica de analisis de la Teoria Fundamentada en Datos. Los resultados revelaron que la interaccion de las familias con la amenaza a la vida del familiar enfermo produjo, como incomodidad central, la discontinuidad de la vida cotidiana, lo cual se caracterizo en cuatro categorias: Experimentacion de la angustia de la posibilidad de perdida del familiar; Dificultad para cuidarse a si mismo; Experimentacion de una division en la vida familiar; Sufrimiento por los cambios en la vida social y laboral. Esas incomodidades pueden ser reducidas con el abordaje multiprofesional sensible a las demandas de las familias y el apoyo de su red social.It is a qualitative research that aimed to get to know the discomforts experienced at the daily life of relatives of people admitted at the intensive care unit (ICU). It happened on a general ICU at a public hospital, in Salvador-BA, by the second half of 2009. Nine relatives of people admitted were interviewed. The technique used was the analysis from the Grounded Theory. The results showed that the interaction of the families with the reality of life threat from the relative admitted, had as main discomfort, the discontinuity in their daily life, which was characterized by four categories: Living the distress of a possible loss, difficulties to take care of themselves, facing a separation in the family, suffering with changes in their social and professional lives. These discomforts can be minimized by the healthcare team’s effectiveness to the demands of the family and the support of its social network.This is a qualitative research that aimed to get to know the discomforts experienced at the daily life of relatives of people admitted at the intensive care unit (ICU). It happened on a general ICU at a public hospital, in Salvador-BA, by the second half of 2009. Nine relatives of people admitted were interviewed. The technique used was the analysis from the Grounded Theory. The results showed that the interaction of the families with the reality of life threat from the relative admitted, had as main discomfort, the discontinuity in their daily life, which was characterized by four categories: Living the distress of a possible loss, difficulties to take care of themselves, facing a separation in the family, suffering with changes in their social and professional lives. These discomforts can be minimized by the healthcare team’s effectiveness to the demands of the family and the support of its social network.

A study on the construct validity of the Parent-Child Conflict Tactics Scale (CTSPC) in an urban population in Northeast Brazil

The Parent-Child Conflict Tactics Scale (CTSPC) is one of the most widely used instruments in the world for investigating domestic violence against children, but targeted use has proven inadequate given the phenomenons complexity. This study focused on the factor structure of CTSPC scales in an urban population in Northeast Brazil. We conducted a cross-sectional study in a cohort of 1,370 children in Salvador, Bahia State. Factor analysis with promax oblique rotation was performed, and the Kuder-Richardson coefficient was calculated. Factor analysis showed a different distribution of items in the factors as compared to the original instrument. Violence showed a gradual profile in each factor. The Kuder-Richardson coefficient was 0.63 for factor 1, 0.59 for factor 2, and 0.42 for factor 3. The items behaved differently from the original instrument, corroborating international studies. These findings support proposing a resizing of the CTSPC.

Comprometimento organizacional atitudinal: um estudo empírico sobre a dimensionalidade do construto

The lack of precision surrounding the dimensionality of organizational commitment helps to make it a complex and multifaceted construct. In order to identify the best factor structure for organizational commitment, this study tested the interrelationship between two attitudinal measures (affective and instrumental) and also the relationship of these variables with a measurement of behavioral intentions. We selected 1,869 workers from the Northern, Northeastern and Southern regions of Brazil. The results of the regression analysis and both the exploratory and confirmatory factor analysis showed the bidimensionality of the instrumental dimension (lack of alternatives and high sacrifices); on the other hand, they demonstrated that this dimension is not part of the factor structure of attitudinal organizational commitment, which in turn is a one dimensional construct, comprising only the affective dimension.

Intenção de permanência na organização: um constituinte ou consequente do comprometimento organizacional?

The desire to remain in the organization has been considered either as a component of organizational commitment or its outcome. This research aimed to test the influence of both traditional attitudinal variables (affective and continuance basis) and the behavioral intentions to organizational commitment variable on the intention to stay. To test the relationships between these variables, we selected 1,869 workers in the north, northeast and southern Brazil, who filled out a questionnaire. The data were analyzed using multiple regression procedures and structural equation modeling. The results showed that: a) None of the variables constituting the continuance basis predict significantly the measure of intentions to stay, b) Affective basis is the strongest variable predicting the intentions to stay, and c) Behavioral intentions to remain in the organization is not an organizational commitment component.

Psychometric analysis of the scale for the predisposition to the occurrence of adverse events in nursing care provided in ICUS

OBJECTIVE to present the result of the validity and reliability studies concerning the Scale for the Predisposition to the Occurrence of Adverse Events (EPEA). METHOD construct validity was based on Principal Components Analysis. RESULTS reliability verified through Cronbachs alpha indicated good reliability (structure α=0.80; process α=0.92). CONCLUSION based on its psychometric indicators, the EPEA can be considered a valid measure to assess the attitudes of nurses in relation to factors that potentially lead to the occurrence of adverse events in ICUs.

Validation of the Comfort scale for relatives of people in critical states of health

Objetivo:validar la Escala de Confort para Familiares de personas en estado critico de salud.Metodo:se trata de un estudio metodologico. La muestra estuvo constituida por 274 familiares de personas adultas, internadas en seis unidades de terapia intensiva, que respondieron a 62 items, distribuidos en 7 dimensiones. Los procedimientos de validacion adoptados fueron basados en las tecnicas de la Teoria Clasica de las Pruebas.Resultados:el analisis de la dimensionalidad fue realizada por medio del analisis por componentes principales, obteniendose una escala con 55 items distribuidos en 4 factores: seguridad, soporte, interaccion familiar/ente e integracion consigo y con lo cotidiano. El analisis del poder discriminatorio de los items, realizado por el coeficiente de correlacion item-total, mostro buena relacion de los items con sus respectivos factores. El examen de confiabilidad de la escala, realizado por medio del analisis de consistencia interna, presento un coeficiente Alfa de Cronbach elevado para los 4 factores y la medida general.Conclusion:la Escala de Confort presento parametros psicometricos satisfactorios, constituyendose en el primer instrumento valido para la evaluacion del confort de familiares de personas en estado critico de salud. La investigacion avanzo en la construccion de un referencial teorico sobre el confort, y suministro al equipo de salud una medida guiada en evidencias empiricas.

Análise psicométrica da escala de predisposição à ocorrência de eventos adversos no cuidado de enfermagem em UTI

OBJECTIVE to present the result of the validity and reliability studies concerning the Scale for the Predisposition to the Occurrence of Adverse Events (EPEA). METHOD construct validity was based on Principal Components Analysis. RESULTS reliability verified through Cronbachs alpha indicated good reliability (structure α=0.80; process α=0.92). CONCLUSION based on its psychometric indicators, the EPEA can be considered a valid measure to assess the attitudes of nurses in relation to factors that potentially lead to the occurrence of adverse events in ICUs.

Validação do teste Need For Cognition: um estudo em contabilidade comportamental

Portuguese Abstract: Este estudo teve como objetivo validar a necessidade de escala de cognicao (NFC) em contabilidade comportamental. Alem disso, procuramos medir as possiveis correlacoes entre o nivel de necessidade de cognicao e a existencia de vieses cognitivos nas decisoes em informacoes contabeis e financeiras. Realizaram-se duas validacoes para realizar o processo de validacao completa – criterio e construto. A analise foi feita pelo exame de uma amostra composta por 128 alunos de graduacao. A tecnica estatistica utilizada para a validacao do teste foi uma analise fatorial por ele tem a capacidade de determinar o grau de influencia de uma variavel particular na explicacao de um fator, e o regressao de processamento logistica foi utilizado para a explicacao dos valores possiveis, em funcao de valores conhecidos ou variaveis independentes. Os resultados da construcao de validade mostraram a legitimidade da NFC como uma escala unidimensional excluindo tres saidas de sua escala original, desde que a validade de criterio dos resultados confirmou o impacto do nivel de cognicao em maximizar a ocorrencia de heuristica em decisoes gerenciais.English Abstract: This study aimed to validate the Need for Cognition scale (NFC) in behavioral accounting. In addition, we sought to measure the possible correlations between the level of need for cognition and the existence of cognitive biases in decisions in accounting and financial information. Two validations were performed to carry out the process of full validation – criterion and construct. The analysis was done by the examination of a sample comprised by 128 graduation students. The statistical technique used for the validation of this test was a factorial analysis for it has the ability to determine the degree of influence of a particular variable in the explanation of a factor, and the processing logistic regression was used for the explanation of possible values as a function of known values or independent variables. The results of the construct of validity showed the legitimacy of the NFC as a unidimensional scale excluding three outputs of its original scale, since the criterion validity of the results confirmed the impact of the level of cognition in maximizing the occurrence of heuristics in managerial decisions.