Content validation of an instrument for hemotherapy attention in liver transplants: promoting biomonitoring in health
Keywords:
Clinical Protocols; Hemotherapy Service; Liver Transplantation; Patient Safety; Nursing.Abstract
Objective: to develop and validate the content of an instrument to monitor hemotherapy attention in liver transplant patients. Methods: methodological study in two stages: 1) Scoping review to identify relevant topics for the elaboration of the instrument; 2) Content validation with five specialists in two rounds, using the Delphi technique. Results: the final version of the instrument for hemotherapy care to liver transplant patients had four dimensions: Patient identification; Preoperative; Intraoperative; and Postoperative, to a total of 54 items. After the second round, all items had a content validation index of 0.8 or higher, and the instrument had a final score of 0.97. Conclusion: the instrument showed evidence of content validity, meaning it is a useful tool to monitor hemotherapy care for liver transplant patients. Contributions for the practice: the validation of this instrument will provide teams of transfusion and transplant centers with essential information to guide safe and efficient hemotherapy attention during the entirety of the liver transplant process.
References
Paim SMS, Knihs NS, Pessoa JLE, Magalhães ALP, Wachholz LF, Treviso P. Biovigilance in the process of organ and tissue donation during the pandemic: challenges for nurses. Esc Anna Nery. 2021;25:e20210086. doi: https://doi.org/10.1590/2177-9465-EAN-2021-0086
Ministério da Saúde (BR). Agência Nacional de Vigilância Sanitária. Resolução da Diretoria Colegiada - RDC nº 339, de 20 de fevereiro de 2020: dispõe sobre a instituição do Sistema Nacional de Biovigilância [Internet]. 2020 [cited May 10, 2023]. Available from: http://antigo.anvisa.gov.br/documents/10181/3146460/RDC_339_2020_COMP.pdf/567bc938-5634-44a6-8257-706f0266b88a
Ministério da Saúde (BR). Agência Nacional de Vigilância Sanitária. Resolução da diretoria Colegiada - RDC Nº 34, de 11 de junho de 2014: dispõe sobre as boas práticas no sangue [Internet]. 2014 [cited May 10, 2023]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2014/rdc0034_11_06_2014.pdf
Agência Nacional de Vigilância Sanitária. Biovigilância no Brasil: relatório de dados de eventos adversos 2015 to 2018 [Internet]. 2020 [cited May 10, 2023]. Available from: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/monitoramento/biovigilancia/1o-relatorio-de-dados-de-biovigilancia.pdf
Espindola S, Nascimento KC, Knihs NS, Alvarez AG, Sebold LF, Paim SMS. Intraoperative patient safety during liver transplantation: integrative review. Acta Paul Enferm. 2020;33:e-APE20180187. doi: http://doi.org/10.37689/acta-ape/2020AR0187
Santos RL, Magalhães ALP, Knihs NS, Silva EL, Pessoa JLE, Souza RS. Atuação do enfermeiro na doação e transplante de órgãos: revisão integrativa de literatura. Rev Recien. 2021;11(36):30-42. doi: https://dx.doi.org/10.24276/rrecien2021.11.36.30-42
Knihs NS, Santos ACB, Magalhães ALP, Barbosa SFF, Paim SMS, Santos J. Management of nurse care in the organ and tissue donation process. Texto Contexto Enferm. 2020;29:e20180445. doi: https://doi.org/10.1590/1980-265X-TCE-2018-0445
Conselho Federal de Enfermagem (COFEN). Resolução nº 709 de 23 de agosto de 2022: atualiza a Norma Técnica que dispõe sobre a atuação de Enfermeiro e de Técnico de Enfermagem em Hemoterapia [Internet]. 2022 [cited May 10, 2023]. Available from: http://www.cofen.gov.br/resolucao-cofen-no-709-2022_101883.html
Espindola S, Nascimento KC, Knihs NS, Sebold LF, Girondi JBR, Alvarez AG. Safe surgery checklist: content validation proposal for liver transplantation. Rev Bras Enferm. 2020;73:e20190538. doi: https://doi.org/10.1590/0034-7167-2019-0538
Baker L, Park L, Gilbert R, Martel A, Ahn H, Davies A, et al. Guidelines on the intraoperative transfusion of red blood cells: a protocol for systematic review. BMJ Open 2019;9:e029684. doi: https://doi.org/10.1136/bmjopen-2019-029684
Silva BJR, Santos BDV, Andrade CR, Macedo ER, Andrade HS. Nursing actions that promove the security of the patient in the hospitalar scope. Res Soc Dev. 2021;10(5):e44110515202. doi: https://doi.org/10.33448/rsd-v10i5.15202
Acosta AM, Lima MADS, Marques GQ, Zucatti PB, Silveira CS, Oelke ND. Development of a measurement instrument to assess patient safe transition at hospital discharge. Rev Gaúcha Enferm. 2022;43(spe):e20220222. doi: https://doi.org/10.1590/1983-1447.2022.20220222.en
Magalhães ALP, Goetze BS, Mendes LIO, Nobre PKM, Knihs NS, Silva EL. Atendimento hemoterápico no transplante hepático: scoping review. Braz J Desenvolver. 2022;8(3):19351-68. doi: https://doi.org/10.34117/bjdv8n3-261
Marques JBV, Freitas D. Método DELPHI: caracterização e potencialidades na pesquisa em Educação. Pro-Posições. 2018;29(2):389-415. doi: https://doi.org/10.1590/1980-6248-2015-0140
Luciano FRS, Rosa LM, Alvarez AG, Kuze EB. Validation of an instrument to register the systematization of perioperative nursing care. Rev SOBECC. 2019;24(4):200-1. doi: https://doi.org/10.5327/Z1414-4425201900040005
Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382-5. doi: https://doi.org/10.1097/00006199-198611000-00017
Vieira TW, Sakamoto VTM, Moraes LC, Blatt CR, Caregnato RCA. Validation methods of nursing protocols: an integrative review. Rev Bras Enferm. 2020;73:e20200050. doi: https://dx.doi.org/10.1590/0034-7167-2020-0050
Mendes JLV, Cardoso SS, Hott ARN, Souza FLS. Importance of communication for quality nursing care: an integrative review. Braz J Surg Clin Res [Internet]. 2020 [cited Aug 13, 2023];32(2):169-174. Available from: https://www.mastereditora.com.br/periodico/20201004_093012.pdf
Nascimento KC, Nunes JM, Lanzoni GMM, Peiter CC; Provensi C, Wachholz LF. Elaboração e validação de instrumento para transição do cuidado do paciente de emergência. Enferm Foco. 2022;13:e-202250. doi: https://dx.doi.org/10.21675/2357-707x.2022.v13.e-202250
Pereira LMM, Siebert THR. Frequência fenotípica dos grupos sanguíneos ABO e fator RH em Santarém, Pará – Brasil. Braz J Desenvolver. 2020;6(10):78472-81. doi: https://dx.doi.org/10.34117/bjdv6n10-324
Santos RC, Santos MSB, Cruz UF, Castro DR. Um breve estudo sobre o sistema sanguíneo ABO/RH (RHD) com estudantes do Curso de Engenharia de Pesca, Campus XXIV. Rev Sert Sust [Internet]. 2019 [cited May 07, 2023];1(2):124-9. Available from: https://www.sertaosustentavel.com.br/index.php/home/article/view/24
Rodrigues AD, Ribeiro LR. Sistemas sanguíneos, incompatibilidade e procedimentos alternativos à transfusão. Braz J Develop. 2021;7(2):13007-2. doi: https://doi.org/10.34117/bjdv7n2-085
Brito MLS, Oliveira RS, Pinheiro DMS, Bitencourt EL, Costa Neto DB, Medeiros NMB. Anemia hemolítica autoimune em lactente: um relato de caso. Rev Pat Tocantins. 2020;7(2):91-4. doi: https://doi.org/10.20873/uft.2446-6492.2020v7n2p91
Pinheiro CJT, Almeida AF, Souza MOF, Dantas DS, Gomes MRF. A frequência e a importância da identificação de anticorpos sanguíneos em doadores de sangue com pesquisa de anticorpos irregulares positiva no estado do Amapá. Vigil Sanit Debate. 2021;9(3):77-83. doi: https://doi.org/10.22239/2317-269X.01424
Zhao H, Ding Z, Luo Z, Liu H, Peng P, Wang X, et al. Passenger lymphocyte syndrome in renal transplantation: a systematic review of published case reports. Transpl Immunol. 2022;73:101605. doi: http://dx.doi.org/10.1016/j.trim.2022.101605
Rocha DI, Ferreira SM, Antunes MB; Miranda HP. Síndrome do Linfócito Passageiro após Transplante Hepático: uma entidade causadora de anemia hemolítica. Acta Méd Port. 2022;35(12):928-30. doi: http://dx.doi.org/10.20344/amp.18927
Paterno F, Guarrera, JV, Wima K, Diwan T, Cuffy MC, Anwar N, et al. Clinical implications of donor warm and cold ischemia time in donor after circulatory death liver transplantation. Liver Transpl. 2019;25(9):1342-52. doi: http://dx.doi.org/10.1002/lt.25453
Al‐kurd A, Kitajima T, Delvecchio K, Shamaa MT, Ivanics T, Yeddula S, et al. Short recipient warm ischemia time improves outcomes in deceased donor liver transplantation. Transpl Int. 2021;34(8):1422-32. doi: https://dx.doi.org/10.1111/tri.13962
Mota LP, Kirchesch CL, Martins SAS, Figueiredo BLS, Souza DB, Silva EA, et al. Importance of immunohematological techniques in the blood transfusion process. Res Soc Dev. 2020;9(8):e936986625. doi: https://doi.org/10.33448/rsd-v9i8.6625
