DESARROLLO Y VALIDACIÓN DE UN ALGORITMO PARA LA PLANIFICACIÓN DE LA ADMINISTRACIÓN DE MEDICAMENTOS INTRAVENOSOS EN NEONATOS

Costa, Anna Caroline Leite; Mendes, Léia Arcanjo; Santos, Luciano Marques dos; Marcatto, Juliana De Oliveira; Corrêa, Allana dos Reis; Kusahara, Denise Miyuki; Manzo, Bruna Figueiredo

Acessibilidade / Reportar erro

Brasil

Texto & Contexto - Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Special Section • Texto contexto - enferm. 33 • 2024 • https://doi.org/10.1590/1980-265X-TCE-2023-0262en copiar

DESARROLLO Y VALIDACIÓN DE UN ALGORITMO PARA LA PLANIFICACIÓN DE LA ADMINISTRACIÓN DE MEDICAMENTOS INTRAVENOSOS EN NEONATOS

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

desarrollar y validar el contenido de un algoritmo para la planificación de la administración de medicamentos intravenosos en neonatos.

Método:

se trata de un estudio metodológico de desarrollo y validación de tecnología. Se realizó una revisión de alcance que apoyó la creación del algoritmo por parte de los investigadores y su posterior validación por 13 enfermeras especialistas, que se llevó a cabo entre noviembre de 2021 y marzo de 2022. Se consideraron aceptables los ítems con un Índice de Validez de Contenido ≥ 0,8.

Resultados:

se incluyeron 31 referencias en la revisión de alcance, organizadas en cinco categorías: “indicación de acceso intravenoso”, “cuidados relacionados con la polifarmacia”, “cuidados previos a la administración de medicamentos intravenosos”, “cuidados relacionados con la manipulación del catéter venoso” y “cuidados relacionados con la infusión de medicamentos”. Esta división apoyó el desarrollo del algoritmo, que fue validado después de tres rondas, con un Índice de Validez de Contenido global del instrumento de 0,91.

Conclusión:

la validación del algoritmo indica confiabilidad y precisión de su contenido.

DESCRIPTORES:
Neonatología; Enfermería neonatal; Cuidado de enfermera; Seguridad del paciente; Infusiones intravenosas; Estudio de validación

Questions	CVI^* 1^st round (n=14)	CVI^* 2^nd round (n=14)	CVI^* 3^rd round (n=13)
Chunk 1 - Assessment of the algorithm’s full content
1. The visual presentation is attractive and organized.	0.71	0.79	1.00
2. The algorithm’s sequence of instructions favors its use in practice.	0.64	1.00	-
3. The selected colors are attractive.	0.71	0.71	0.85
4. The language used is appropriate.	0.79	0.93	-
5. The information is clear and does not create ambiguity.	0.57	0.86	-
6. The content has a logical organization.	0.86	-	-
7. The content meets the objective proposed by the algorithm.	0.86	-	-
8. The content is scientifically adequate and up to date.	0.86	-	-
9. The instrument is easy to use.	0.93	-	-
10. The algorithm is applicable to the practice of professionals dealing with IVT in neonatology.	0.86	-	-
11. I feel motivated to use the algorithm.	0.93	-	-
12. I would indicate the algorithm to be used in services.	0.86	-	-
13. The use of this technology can optimize nursing professionals’ working time.	0.79	1.00	-
14. A chart containing information about the characteristics of the medications most frequently used in neonatology can help professionals involved in care (a section of the chart showing the information contained about the main medications used in neonatology is sent).	0.71	0.79	item excluded after 2^nd round.
Chunk 2 - Assessment of content related to recommendation of intravenous therapy for infants
1. The sequence of instructions in this chunk favors its use in practice.	0.71	0.93	-
2. The language used in this chunk is appropriate.	0.64	0.93	-
3. The content of this chunk has a logical organization.	0.93	-	-
4. The information and conduct guided in this chunk are clear and do not generate ambiguity.	0.64	0.86	-
5. The content of this chunk meets the objective proposed by the algorithm.	0.79	1.00	-
6. The conduct highlighted in this chunk is appropriate.	0.71	0.93	-

Questions	CVI^* 1^st round (n=14)	CVI^* 2^nd round (n=14)	CVI^* 3^rd round (n=13)
bold>Chunk 3 - Assessment of content related to conduct when several medications are prescribed for infants
1. The sequence of instructions in this chunk favors its use in practice.	0.86	-	-
2. The language used in this chunk is appropriate.	0.79	0.79	0.92
3. The content of this chunk has a logical organization.	0.93	-	-
4. The information and conduct guided in this chunk are clear and do not generate ambiguity.	0.64	0.93	-
5. The content of this chunk meets the objective proposed by the algorithm.	0.71	1.00	-
6. The conduct highlighted in this chunk is appropriate.	0.79	0.93	-
Chunk 4 - Assessment of content relating to conduct in medication administration
1. The sequence of instructions in this chunk favors its use in practice.	0.71	1.0	-
2. The language used in this chunk is appropriate.	0.86	-	-
3. The content of this chunk has a logical organization.	1.0	-	-
4. The information and conduct guided in this chunk are clear and do not generate ambiguity.	1.0	-	-
5. The content of this chunk meets the objective proposed by the algorithm.	0.86	-	-
6. The conduct highlighted in this chunk is appropriate.	0.71	0.86	-
Chunk 5 - Assessment of what is contained in the general care framework
1. The language used in this chunk is appropriate.	0.64	0.93	-
2. The visual presentation is attractive and organized.	0.5	0.86	-
3. The selected colors are attractive.	0.86	-	-
4. The information and conduct guided in this chunk are clear and do not generate ambiguity.	0.57	0.71	0.85
5. The content has a logical organization.	0.79	1.0	-
6. The content is scientifically adequate and up to date.	0.86	-	-
7. The procedures contained in this chunk cover important points that must be considered during IVT.	0.79	0.93	-
8. The conduct contained in this chunk is appropriate.	0.86	-	-
9. If you have identified a reference that could be added to this algorithm, please cite it here:	-	-	-

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

Acompanhe os números deste periódico no seu leitor de RSS

[1] CORRESPONDING AUTHOR
Anna Caroline Leite Costa. anna.leitebh@gmail.com