Graduate Program in Nursing, Federal University of São Carlos, São Paulo, Brazil.
Paulista School of Nursing, Federal University of São Paulo, Health Technology and Innovation Research Laboratory-LAPeTIS, São Paulo, Brazil.
J Clin Nurs. 2020 Nov;29(21-22):4171-4179. doi: 10.1111/jocn.15446. Epub 2020 Sep 20.
We created and validated a checklist for nursing care of patients in the immediate postoperative period of cardiac surgery.
Cardiovascular diseases (CVD) account for about 30% of all deaths recorded in Brazil. There is an arsenal of clinical and surgical treatments for CVD, with a significant number of patients evolving to surgical treatment. Thus, health professionals working in the perioperative period of cardiovascular surgeries need to be updated, trained and qualified to provide adequate and safe care to patients.
We developed a checklist that defined essential parameters for quality care, to ensure greater agility and patient safety.
This methodology validation study comprised two stages: checklist creation for care provided by nurses to patients in the IPO of cardiac surgery, and content validation using the Delphi method. Participants were selected through an advanced survey conducted on the Lattes Platform website of the National Council for Scientific and Technological Development. The STROBE checklist was used to guide the study.
Three rounds of analysis by specialists resulted in average CVIs of: 95.8% for objectivity, 97.9% for simplicity, 91.0% for clarity, 93.1% for relevance and 96.5% for variety, suggesting high agreement among specialists.
The checklist focused on nursing care of patients in the IPO of cardiac surgery and was validated with three topics, four categories, 16 items and 86 sub-items of care assignments to be applied in clinical practice.
This is a validated instrument that guides nurses' actions by admitting postoperative cardiac surgery patients to the ICU based on evidence, which provides more scientific and professional support to health teams' performance, with the objective of strengthening roles and establishing routines; thus presenting a powerful tool for planning nursing actions, providing quality care to patients, and facilitating communication between teams, thereby minimising risks.
我们创建并验证了一份用于心脏手术后即刻期患者护理的检查表。
心血管疾病（CVD）约占巴西所有记录死亡人数的 30%。CVD 有多种临床和手术治疗方法，其中相当一部分患者需要接受手术治疗。因此，在心血管手术围手术期工作的卫生专业人员需要接受更新、培训和资格认证，以便为患者提供适当和安全的护理。
我们开发了一份检查表，其中定义了优质护理的基本参数，以确保更高的敏捷性和患者安全。
这项方法学验证研究包括两个阶段：为心脏手术后即刻期患者护理创建检查表，以及使用德尔菲法进行内容验证。参与者是通过在国家科学技术发展委员会的 Lattes 平台网站上进行的高级调查选择的。STROBE 检查表用于指导研究。
经过专家三轮分析，客观性的平均 CVIs 为 95.8%，简单性为 97.9%，清晰度为 91.0%，相关性为 93.1%，多样性为 96.5%，表明专家之间存在高度一致。
该检查表侧重于心脏手术即刻期患者的护理，并通过三个主题、四个类别、16 个项目和 86 项护理任务得到验证，可应用于临床实践。
这是一种经过验证的工具，通过基于证据将接受心脏手术后的患者收治到 ICU，指导护士的行动，为医疗团队的表现提供更科学和专业的支持，目的是加强角色和建立常规；从而为规划护理行动、为患者提供优质护理以及促进团队之间的沟通提供有力工具，从而最大限度地降低风险。
