Simoes Adriana Aparecida Timoteo, Lopes Juliana de Lima, Moorhead Sue, Swanson Elizabeth A, Santos Vinicius Batista, de Barros Alba Lucia Bottura Leite
Hospital Sirio Libanes, Nursing Paulista School, Federal University of São Paulo, São Paulo, Brazil.
Nursing Paulista School, Federal University of São Paulo, São Paulo, Brazil.
Int J Nurs Knowl. 2025 Jan 29. doi: 10.1111/2047-3095.70004.
The objective of study was to present evidence of the content validity of conceptual and operational definitions of the "Blood Transfusion Reaction (code 0700)" nursing outcome from the Nursing Outcomes Classification (NOC).
A methodological study was implemented in four phases. The first phase consisted of a narrative literature review in which the main indicators related to blood transfusion were identified: 25 new indicators that were not present in NOC, in addition to 14 existing indicators, for a total of 39 to be studied. In the second phase, conceptual and operational definitions, and magnitude of NOC indicators were developed. The third phase consisted of analysis of evidence of content validity of conceptual and operational definitions of indicators, through assessment by experts. In the fourth phase, a pilot test was applied to 40 electronic medical records of patients who received blood components and presented with a transfusion reaction.
A total of 27 articles were analyzed and served as support to develop conceptual and operational definitions, and magnitude of indicators, considered for the outcome under study. It was assessed by a group of 10 experts, requiring three rounds to reach the established critical content validity ratio in which four of these indicators were excluded, leaving 35 indicators in the final version. A pilot test on 40 records revealed the presence of 13 indicators, of which six were present in the classification.
The conceptual and operational definitions and magnitude developed for the "Blood Transfusion Reaction (code 0700)" nursing outcome demonstrated adequate evidence of content validity in the 21 indicators found in the literature, along with 14 indicators already present in NOC, and 13 of these indicators were present in patients receiving blood components who presented a transfusion reaction.
Nurses can use this nursing outcome as a clinical assessment tool for monitoring blood transfusion recipients' clinical signs.
本研究的目的是提供来自护理结局分类（NOC）中“输血反应（代码0700）”护理结局的概念性和操作性定义的内容效度证据。
一项方法学研究分四个阶段实施。第一阶段包括叙述性文献综述，确定与输血相关的主要指标：NOC中不存在的25个新指标，加上14个现有指标，共计39个指标进行研究。第二阶段，制定概念性和操作性定义以及NOC指标的程度。第三阶段包括通过专家评估分析指标概念性和操作性定义的内容效度证据。第四阶段，对40例接受血液成分且出现输血反应的患者的电子病历进行预试验。
共分析了27篇文章，为所研究结局的概念性和操作性定义以及指标程度的制定提供了支持。由10名专家组成的小组进行评估，需要三轮才能达到既定的关键内容效度比，其中4个指标被排除，最终版本中剩下35个指标。对40份记录的预试验显示存在13个指标，其中6个指标在分类中存在。
为“输血反应（代码0700）”护理结局制定的概念性和操作性定义以及程度，在文献中发现的21个指标、NOC中已有的14个指标以及接受血液成分且出现输血反应的患者中存在的13个指标方面，均显示出足够的内容效度证据。
护士可将此护理结局用作监测输血受者临床体征的临床评估工具。
