Banca de DEFESA: CRISTIANE DOS SANTOS SANTANA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : CRISTIANE DOS SANTOS SANTANA
DATA : 23/10/2020
HORA: 15:00
LOCAL: Remotamente
TÍTULO:

Adaptation of the comfort scale for family members of people in critical health for the pediatric context

PALAVRAS-CHAVES:

child, teenager, comfort, family, ICU.

PÁGINAS: 126
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Introduction: Family suffers from the admission of a member to an intensive care unit (UTI) and should be considered an object of attention by health professionals. This context justifies exploring what it promotes: how family comfort can be promoted and measured. However, there are no instruments to measure the comfort level of family members of children and adolescents in the ICU, which justifies the adaptation of the Comfort Scale for family members of people in critical health condition (ECONF) for the pediatric context. Main goal: This work aims to validate the content of ECONF for the pediatric context. Methods: The methodological study was developed according to the stages of the content validation process for cultural adaptation of scales: (1) Conceptual and item equivalence - composed of a literature review on comfort and family, analysis of the dimensions, items and theoretical bases of ECONF, adequacy of items to the pediatric context, reaching the first version of ECONF-PED, which was evaluated by the author of the original instrument; (2) Semantic equivalence - corresponded to the evaluation of the first version of ECONF_PED by the judges (specialists and target audience), the consolidation by the researchers of the data provided by the judges, allowing to arrive at the second version of the ECONF-PED, submitted to pre-test with 13 family members. The Content Validity Index (IVC) was applied to analyze the experts' responses regarding the relevance of the items to the construct and their dimensions and their language and clarity, considering an appropriate IVC ≥ 0.78. The agreement rate was applied to analyze the language and clarity of the items in the pre-test. (3) Operational equivalence - assessment of the degree of difficulty of the questions, the adequacy of the location, form of application and response options for the scale. Results: In the conceptual equivalence stage, ten items of ECONF (original scale with 55 items) were eliminated because they did not fit the pediatric context and 10 new items were prepared based on the literature. The items took the form of a question, some had their wording and terms changed for clarity and adequacy to the target audience. In semantic equivalence, the experts were unanimous regarding the pertinence of the four dimensions and respective operational definitions of the first version of ECONF-PED. After analyzing the IVCs, the qualitative considerations of the specialists and the target audience regarding the understanding and importance of the item for their comfort, it was decided to exclude eight items, 19 items remain with change in the wording and 28 without changes, arriving the second version of the ECONF-PED with 47 items was submitted to a pre-test with 13 family members. The pre-test analysis showed 36 items with a 100% agreement rate for language and clarity, six for 92.3% and five between 69.2 and 84.6. Thus, 11 items had their wording modified and underwent another pre-test with four family members, noting that only one reached a 75% agreement rate, being eliminated. Thus, the final version of ECONF-PED has 46 items distributed in the dimensions Safety (16), Support (14), Integration with you and the daily life (10) and Family interaction with the child or adolescent (6). It is a five-point Likert scale, ranging from 0 (never) to 4 (always), and can be self-applied. Conclusion: ECONFPED achieved content validity and is a valid tool to measure the comfort level of family members of children and adolescents in UTI-PED in the bahian context, and can be used to guide health care practices.

MEMBROS DA BANCA:
Presidente - 1349541 - FERNANDA CARNEIRO MUSSI
Externo à Instituição - KATIA SANTANA FREITAS - UEFS
Interno - 1273026 - LENY ALVES BOMFIM TRAD