CARDIOPULMONARY RESUSCITATION IN PREGNANT WOMEN: CREATION AND VALIDATION OF A CHECKLIST TO EVALUATE THE NURSING PRACTICE

Silva, Fabiana Laranjeira da; Silva, Samuel Melo de Andrade; Grimaldi, Monaliza Ribeiro Mariano; Barros, Lívia Moreira; Sá, Guilherme Guarino de Moura; Galindo Neto, Nelson Miguel

doi:10.1590/1980-265X-TCE-2022-0038en

Brasil

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Original Article • Texto contexto - enferm. 31 • 2022 • https://doi.org/10.1590/1980-265X-TCE-2022-0038en linkcopy

CARDIOPULMONARY RESUSCITATION IN PREGNANT WOMEN: CREATION AND VALIDATION OF A CHECKLIST TO EVALUATE THE NURSING PRACTICE

REANIMACIÓN CARDIOPULMONAR EN MUJERES EMBARAZADAS: ELABORACIÓN Y VALIDACIÓN DE UNA CHECKLIST PARA EVALUAR LA PRÁCTICA DE ENFERMERÍA

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective to create and validate a checklist to evaluate the Nursing practice in cardiopulmonary resuscitation in pregnant women.

Method a methodological study developed from May to August 2019, conducted from creation of the instrument and content validation in charge of 11 nurses specialized in Urgencies and Emergencies and 12 obstetric nurses. A Likert-type scale was used to assess language, clarity, objectivity, content, relevance and pertinence of the instrument. The validation criterion was agreement above 80%, analyzed by means of the Content Validation Index and the Binomial Test.

Results the final version of the instrument consisted of 54 questions that contemplated the sequence of actions to be adopted by the health professionals in the face of obstetric cardiopulmonary arrests. The minimum agreement level obtained was 91% and the mean Content Validity Index was 0.99.

Conclusion the validated instrument can be used by professors involved in the teaching of obstetric cardiopulmonary arrest and contribute to the assessment of skills in the Nursing practice, to be carried out in research studies that test the effectiveness of educational interventions and training sessions.

DESCRIPTORS Teaching; Educational evaluation; Education in nursing; Cardiopulmonary resuscitation; Pregnant women

Topics of the items	Action evaluated
Correct evaluation of cardiac arrest in the pregnant woman	Verification of the level of consciousness, breathing and central pulse; Recognition of Cardiopulmonary Arrest severity.
Right moment to call for help	Team activation.
Correct way to perform Cardiopulmonary Resuscitation in the pregnant woman	Positioning of the rescuer(s); Positioning of the pregnant woman; Initiate the compressions; Place and depth of the compressions; Compression/Ventilation ratio; Uterine manual traction for left inferior vena cava decompression; Relay among team members in performing compression; Need for perimortem cesarean section; When to stop Cardiopulmonary Resuscitation.

Block of items	Content		Relevance		Pertinence
Block of items	CVI*	p^†	CVI*	p^†	CVI*	p^†
Use of protective equipment	1.00	1	1.00	1	1.00	1
Cardiac arrest identification	0.95	0.976	1.00	1	1.00	1
Calling for help	0.95	0.976	1.00	1	1.00	1
Positioning of the pregnant woman	0.95	0.976	1.00	1	1.00	1
Positioning of the rescuer	0.95	0.976	1.00	1	1.00	1
First minute of the compressions	1.00	1	1.00	1	1.00	1
Ventilations	1.00	1	1.00	1	1.00	1
Defibrillator use	1.00	1	1.00	1	1.00	1
Second minute of the compressions	1.00	1	1.00	1	1.00	1
Re-evaluation of the victim	0.91	0.879	1.00	1	1.00	1
Rescuer relay	1.00	1	1.00	1	1.00	1
Perimortem cesarean section	0.91	0.879	0.95	0.976	0.91	0.879

Block of items	Language		Clarity		Objectivity
Block of items	CVI*	p^†	CVI*	p^†	CVI*	p^†
Use of protective equipment	0.95	0.976	0.95	0.976	0.95	0.976
Cardiac arrest identification	1.00	1	1.00	1	1.00	1
Calling for help	1.00	1	1.00	1	1.00	1
Positioning of the pregnant woman	1.00	1	0.95	0.976	1.00	1
Positioning of the rescuer	1.00	1	1.00	1	1.00	1
First minute of the compressions	0.95	0.976	1.00	1	1.00	1
Ventilations	1.00	1	1.00	1	1.00	1
Defibrillator use	1.00	1	1.00	1	1.00	1
Second minute of the compressions	1.00	1	1.00	1	1.00	1
Re-evaluation of the victim	0.95	0.976	0.95	0.976	0.95	0.976
Rescuer relay	1.00	1	1.00	1	1.00	1
Perimortem cesarean section	1.00	1	1.00	1	1.00	1

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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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[TFN1] ^*Content Validation Index; ^†Binomial test.