CONTENT VALIDATION OF NURSING OUTCOMES IN RELATION TO FAMILY CAREGIVERS: CONTENT VALIDATION BY BRAZILIAN AND COLOMBIAN EXPERTS

Diaz, Leidy Johanna Rueda; Cruz, Diná de Almeida Lopes Monteiro da; Silva, Rita de Cassia Gengo e

doi:10.1590/0104-07072017004820015

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Original Article • Texto contexto - enferm. 26 (02) • 2017 • https://doi.org/10.1590/0104-07072017004820015 copy

CONTENT VALIDATION OF NURSING OUTCOMES IN RELATION TO FAMILY CAREGIVERS: CONTENT VALIDATION BY BRAZILIAN AND COLOMBIAN EXPERTS

RESULTADOS DE ENFERMERÍA RELACIONADOS CON EL CUIDADOR FAMILIAR: VALIDACIÓN DE CONTENIDO POR EXPERTOS BRASILEÑOS Y COLOMBIANOS

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

this study's aim was to estimate the content validity of nursing outcomes in relation to family caregivers.

Method:

eleven Brazilian and Colombian experts participated in the study. None of the 61 indicators of the four nursing outcomes were considered irrelevant; 42 (68.9%) were considered primary and 19 (31.1%) were considered secondary.

Results:

the indicators with higher validity scores were: family share care responsibilities for Caregiver well-being (CVI=0.85); disruption of family dynamics to Caregiver lifestyle disruption (CVI=0.85); perceived spiritual well-being and anger for Caregiver emotional health (CVI=0.79) and perceived general health to Caregiver physical health (CVI=0.79).

Conclusion:

the nursing outcomes studied had adequate content validity. It is recommended that content validation followed by clinical and construct validation of the nursing-sensitive outcomes be given in different cultures and care settings.

DESCRIPTORS:
Nursing outcomes; Family caregivers; Validation studies; Nursing assessment; Classification.

NOC Outcomes	NOC indicators	Primary indicators	Secondary indicators	Irrelevant indicators
Caregiver physical health	16	7 (44%)	9 (66%)	-
Caregiver emotional health	15	11 (73%)	4 (27%)	-
Caregiver lifestyle disruption	16	10 (63%)	6 (37%)	-
Caregiver well-being	14	14 (100%)	-	-

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] Correspodence: Leidy Johanna Rueda Díaz Universidad Industrial de Santader, Escuela de Enfermería Carrera 32 No. 29-31 Piso 5 680002 - Apartado aéreo No. 40598, Bucaramanga, Colômbia E-mail: johanna100603@gmail.com

Indicators	Weighted mean (SD)
	Brazil		Colombia		Total		p-value*
	n=5		n=6		n=11		p-value*
Perceived general health	0.95	(0.11)	0.92	(0.13)	0.93	(0.12)	0.64
Physical comfort	0.90	(0.14)	0.92	(0.13)	0.91	(0.13)	0.83
Sleep-rest pattern	0.85	(0.22)	0.92	(0.13)	0.89	(0.17)	0.67
Nutritional state	1	(0)	0.79	(0.25)	0.89	(0.21)	0.08
Cognitive state	0.95	(0.11)	0.83	(0.20)	0.89	(0.17)	0.28
Energy level	0.85	(0.22)	0.83	(0.20)	0.84	(0.20)	0.84
Mobility level	0.95	(0.11)	0.75	(0.27)	0.84	(0.23)	0.20
Physical fitness	0.80	(0.21)	0.75	(0.22)	0.77	(0.21)	0.70
Medication use	0.80	(0.21)	0.75	(0.32)	0.77	(0.26)	0.92
Gastrointestinal function	0.95	(0.11)	0.58	(0.38)	0.75	(0.34)	0.04
Cardiac function	0.90	(0.14)	0.63	(0.31)	0.75	(0.27)	0.09
Pulmonary function	0.90	(0.14)	0.63	(0.31)	0.75	(0.27)	0.09
Blood pressure	1	(0)	0.50	(0.42)	0.73	(0.39)	0.03
Physical function	0.70	(0.21)	0.67	(0.30)	0.68	(0.25)	0.85
Weight	0.75	(0.18)	0.58	(0.41)	0.66	(0.32)	0.57
Resistance to infection	0.75	(0.25)	0.50	(0.35)	0.61	(0.32)	0.22

Indicators	Weighted mean (SD)
	Brazil		Colombia		Total		p-value*
	n=5		n=6		n=11		p-value*
Perceived spiritual well-being	0.95	(0.11)	0.92	(0.13)	0.93	(0.12)	0.64
Anger	1	(0)	0.88	(0.21)	0.93	(0.16)	0.18
Guilt	0.95	(0.11)	0.88	(0.21)	0.91	(0.17)	0.56
Frustration	1	(0)	0.83	(0.30)	0.91	(0.23)	0.18
Ambivalence about situation	0.95	(0.11)	0.88	(0.21)	0.91	(0.17)	0.56
Perceived burden	0.95	(0.11)	0.88	(0.14)	0.91	(0.13)	0.33
Sense of control	0.95	(0.11)	0.79	(0.25)	0.86	(0.21)	0.24
Self-esteem	1	(0)	0.75	(0.27)	0.86	(0.23)	0.08
Depression	0.75	(0.25)	0.96	(0.10)	0.86	(0.21)	0.11
Satisfaction with life	0.90	(0.14)	0.79	(0.33)	0.84	(0.26)	0.83
Resentment	0.90	(0.14)	0.75	(0.32)	0.82	(0.25)	0.48
Certainty about the future	0.90	(0.22)	0.67	(0.38)	0.77	(0.33)	0.24
Perceived adequacy or resources	0.75	(0.25)	0.79	(0.25)	0.77	(0.24)	0.77
Psychotropic medication use	0.88	(0.14)	0.67	(0.30)	0.75	(0.26)	0.26
Perceived social connectedness	0.80	(0.27)	0.63	(0.34)	0.70	(0.31)	0.33

Indicators	Weighted mean (SD)
	Brazil		Colombia		Total		p-value*
	n=5		n=6		n=11		p-value*
Disruption of family dynamics	0.95	(0.11)	0.88	(0.14)	0.91	(0.13)	0.33
Disruption of routine	0.95	(0.11)	0.83	(0.30)	0.89	(0.23)	0.56
Financial burden from caregiving	0.90	(0.14)	0.88	(0.21)	0.89	(0.17)	1
Role responsibilities	0.90	(0.14)	0.88	(0.21)	0.89	(0.17)	1
Role performance	0.95	(0.11)	0.83	(0.30)	0.89	(0.23)	0.56
Relationship with family members	0.90	(0.14)	0.83	(0.20)	0.86	(0.17)	0.61
Social support	0.88	(0.14)	0.80	(0.27)	0.83	(0.22)	0.79
Disruption of living environments	0.90	(0.22)	0.75	(0.22)	0.82	(0.23)	0.23
Diversional activities	0.90	(0.22)	0.75	(0.32)	0.82	(0.28)	0.34
Relationship with friends	0.95	(0.11)	0.71	(0.33)	0.82	(0.28)	0.20
Role flexibility	0.80	(0.33)	0.75	(0.32)	0.77	(0.31)	0.76
Opportunities for privacy	0.85	(0.22)	0.71	(0.25)	0.77	(0.24)	0.32
Social interactions	0.80	(0.21)	0.75	(0.32)	0.77	(0.26)	0.92
Sleep	0.75	(0.25)	0.75	(0.39)	0.75	(0.32)	0.84
Work productivity	0.80	(0.21)	0.63	(0.26)	0.70	(0.25)	0.25
Relationship with a pet	0.90	(0.14)	0.42	(0.20)	0.64	(0.30)	0.00

Indicators	Weighted mean (SD)
	Brazil		Colombia		Total		p-value*
	n=5		n=6		n=11		p-value*
Family sharing of responsibilities for caregiving	1.00	(0)	0.88	(0.14)	0.93	(0.12)	0.08
Social relationships	0.95	(0.11)	0.88	(0.21)	0.91	(0.17)	0.56
Availability for respire	0.95	(0.11)	0.88	(0.14)	0.91	(0.13)	0.33
Ability to cope	1	(0)	0.83	(0.20)	0.91	(0.17)	0.08
Lifestyle	0.95	(0.11)	0.83	(0.26)	0.89	(0.21)	0.48
Psychological health	0.85	(0.22)	0.88	(0.21)	0.86	(0.21)	0.83
Performance of usual roles	0.9	(0.14)	0.83	(0.20)	0.86	(0.17)	0.61
Social support	0.75	(0.25)	0.96	(0.10)	0.86	(0.21)	0.11
Health professional support	0.8	(0.11)	0.92	(0.20)	0.86	(0.17)	0.12
Financial resources for caregiving	0.9	(0.14)	0.83	(0.30)	0.86	(0.23)	1
Physical health	0.75	(0.35)	0.92	(0.13)	0.84	(0.26)	0.52
Support to instrumental activities of daily living	0.8	(0.33)	0.83	(0.20)	0.82	(0.25)	0.92
Caregiver role	0.65	(0.29)	0.92	(0.20)	0.80	(0.27)	0.07