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为护士准备培训专家患者的课程开发。

Development of a Course to Prepare Nurses to Train Expert Patients.

作者信息

Dos Santos-Becerril Manacés, Sánchez-Ayllón Francisca, Morales-Moreno Isabel, Barreto-Tavares-Chiavone Flavia, Campos-de Acevedo Isabelle, Petersen-Cogo Ana Luisa, Ferreira-Junior Marcos Antônio, Santos Viviane Euzebia Pereira

机构信息

Department of Nursing, Federal University of Rio Grande do Norte, Natal 59078-970, Rio Grande do Norte, Brazil.

Faculty of Nursing, Catholic University of Murcia, 30107 Murcia, Region of Murcia, Spain.

出版信息

Healthcare (Basel). 2025 Aug 7;13(15):1939. doi: 10.3390/healthcare13151939.

Abstract

INTRODUCTION

With the emergence of the expert patient and the expansion of health literacy, the importance of planning and building health technologies aimed at teaching and training health professionals, especially nurses, due to their activities with patients in Primary Health Care, with the aim of meeting the real and constant demands of the expert patient, is evident.

METHODS

Methodological study with a quantitative approach. The course was constructed based on a scope review, scientific reference, and observational visits during the months of September 2021 and August 2022. For validation, an organized electronic form was used with general information about the research and items of the course constructed for later evaluation by the judges with the three-point Likert scale and with the application of the Delphi Technique between the months of September and October 2022; for the agreement of the judges, the Content Validation Coefficient > 0.8 was considered.

RESULTS

Based on the content selected in the scope review, the reference contribution, and the observational visits, the course was constructed. Nine judges participated in the validation stage in Delphi I with a total Content Validation Coefficient above 0.90 and with some suggestions for modifications and improvements pointed out by them. In Delphi II, six judges evaluated the course, resulting in a total Content Validation Coefficient of 0.99.

CONCLUSIONS

The course developed was considered valid to support the training of Primary Health Care nurses in the formation of the expert patient, with a view to promoting patient autonomy in self-care management, optimizing Primary Health Care, and reducing unnecessary hospital admissions.

摘要

引言

随着专家型患者的出现以及健康素养的提升,规划和构建旨在教导和培训卫生专业人员,尤其是护士的卫生技术的重要性日益凸显。鉴于护士在初级卫生保健中与患者的互动,此类技术旨在满足专家型患者切实且持续的需求。

方法

采用定量方法的方法学研究。该课程基于范围综述、科学参考文献以及2021年9月至2022年8月期间的观察性访问构建而成。为进行验证,使用了一份有组织的电子表格,其中包含有关研究的一般信息以及所构建课程的项目,供评委们在2022年9月至10月期间使用三点李克特量表进行后续评估,并应用德尔菲技术;对于评委们的一致性,内容效度系数>0.8被视为合格。

结果

基于范围综述中选定的内容、参考文献贡献以及观察性访问,构建了该课程。九位评委参与了德尔菲第一轮的验证阶段,总体内容效度系数高于0.90,他们还指出了一些修改和改进建议。在德尔菲第二轮中,六位评委对该课程进行了评估,总体内容效度系数为0.99。

结论

所开发的课程被认为对于支持初级卫生保健护士培养专家型患者具有有效性,旨在促进患者在自我护理管理中的自主性,优化初级卫生保健,并减少不必要的住院治疗。

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