Development and validity of a care-educational booklet for preventing postoperative complications in cardiovascular surgeries
DOI:
https://doi.org/10.36517/2175-6783.20262796049Keywords:
Educational Technology; Perioperative Nursing; Health Education.Abstract
Objective: to develop and validate an educational booklet for the postoperative period of cardiovascular surgeries. Methods: a methodological study was conducted in three stages: pre-development, with situational diagnosis and survey of the profile of patients and caregivers in a cardiology hospital; development, with an integrative literature review and preparation of a printed booklet according to content, structure, language, and design criteria; and post-development, with validity by nine judges among nurses and designers, using the Content Validity Index, coefficient of variation, and text readability test. Results: the sample consisted of 60 participants, predominantly older men with low levels of education. The main questions concerned hygiene and wound care. The booklet presented an overall Content Validity Index greater than 0.90 and a good to excellent agreement rate, being considered clear, accessible, and scientifically consistent. Conclusion: the “Cuidando da sua ferida” (Caring for your wound) booklet proved valid in terms of content and appearance. Contributions to practice: educational technology promotes self-care, empowerment, and systematic hospital discharge planning, strengthening clinical and educational nursing practice.
Downloads
References
1. Carvalho LRB, Goncalves O. Caracterização do atendimento do Ambulatório de Curativos de Feridas Crônicas Anna Nery. Rev COMCISA [Internet]. 2020 [cited Aug 28, 2025];(2):33-42. Available from: https://revistas.unipam.edu.br/index.php/revistadocomcisa/article/view/1801/2765
2. Rodrigues MELS, Antonio PLC, Oliveira ER, Silveira GC. Importância da atuação de enfermagem nos cuidados das feridas. Rev Intersaúde [Internet]. 2021 [cited Aug 28, 2025];1(4):90-103. Available from: https://portal.fundacaojau.edu.br:4433/journal/index.php/revistasanteriores/article/view/439
3. Soares AC, Rêgo AS, Rodrigues TFCS, Cardoso LCB, Rossaneis MA, Carreira L, et al. Construction and validation of self-care educational technology for caregivers. Rev Bras Enferm. 2021;74(4):e20200215. doi: https://dx.doi.org/10.1590/0034-7167-2020-0215
4. Feitosa YS, Sampaio LRL, Moraes JT, Moreira TMM, Rolim KMC, Dantas TP, et al. Construction and validation of educational technology to prevent complications in intestinal ostomies/periestomy skin. Rev Bras Enferm. 2020;73(Suppl 5):e20190825. doi: https://doi.org/10.1590/0034-7167-2019-0825
5. Monteiro FC, Cruz FTO, Campos CLS, Ferreira IP, Cunha GA, Soeiro ACV, et al. O uso de tecnologias educativas como ferramenta de ensino e aprendizado na gestão de leitos de urgência e emergência. Rev Eletr Acervo Saúde. 2024;24(10):e17144. doi: https://doi.org/10.25248/reas.e17144.2024
6. Tanaka M. Orem’s nursing self-care deficit theory: a theoretical analysis focusing on its philosophical and sociological foundation. Nurs Forum. 2022;57(3):428-33. doi: http://doi.org/10.1111/nuf.12696
7. Kabusi M, Yazdi K. Nursing process based on Betty Neuman’s systemic model: a case study. Nurs Pract Today. 2021;8(1):67-76. doi: https://doi.org/10.32598/JNACS.2403.1011
8. Melo LHA, Bernardo THL, Macedo JKS, Francisco LCF, Barros AC. Aplicação da teoria de Orem no âmbito das feridas: uma revisão integrativa. Estima. 2020;18:e0920. doi: https://doi.org/10.30886/estima.v18.821_PT
9. Costa DA, Cabral KB, Teixeira CC, Mendes JLL, Rosa RR, Cabral FD. Enfermagem e a educação em saúde. Rev Eletr Acervo Enferm. 2020;6(3):e6000. doi: https://doi.org/10.22491/2447-3405.2020.V6N3.6000012
10. Wilson AMMM, Almeida GSM, Santos BCF, Nakahara-Melo M, Conceição AP, Cruz DALM. Factors associated with caregivers’ contribution to self-care in heart failure. Rev Latino-Am Enfermagem. 2022;30:e3632. doi: https://dx.doi.org/10.1590/1518-8345.5838.3632
11. Souza AO, Hammerschmidt KSA, Betiolli SE, Paula AS, Paes RG, Fugaça NPA. Teoria do autocuidado de orem nas teses de enfermagem brasileira: estudo bibliométrico. Nursing. 2022;25(288):7731-54. doi: https://dx.doi.org/10.36489/nursing.2022v25i288p7731-7754
12. Polit DF, Beck CT. Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática da enfermagem. Rio de Janeiro: Artmed; 2011.
13. Pires MFC. O materialismo histórico-dialético e a Educação. Interface. 1997;1(1):41-9. doi: https://doi.org/10.1590/S1414-32831997000200006
14. Santos CMC, Pimenta CAM, Nobre MRC. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Rev Latino-Am Enfermagem. 2007;15(3):508-11. doi: https://doi.org/10.1590/S0104-11692007000300023
15. Fehring R. Methods to validate nursing diagnoses. Heart Lung [Internet]. 1987 [cited Aug 28, 2025];16(6):625-9. Available from: https://pubmed.ncbi.nlm.nih.gov/3679856/
16. Viana LR, Barreto MM, Girard CCP, Teixeira E. Tecnologia educacional para mediar práticas educativas sobre alimentação complementar na Amazônia: estudo de validação. Rev Ibérica Sist Tecnol Inf [Internet]. 2018 [cited Aug 28, 2025];(28):29-40. Available from: https://scielo.pt/pdf/rist/n28/n28a04.pdf
17. Alexandre NMC, Coluci MZO. Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Ciênc Saúde Colet. 2011;16(7):3061-8. doi: http://doi.org/10.1590/S1413-81232011000800006
18. Cavalcante CS, Oliveira JSS, Andrade LL, Silva LL, Costa MVL, Silva VS. Educação em saúde: tecnologias educacionais em foco. São Paulo: Difusão Editora; 2018.
19. Coluci MZO, Alexandre NMC, Milani D. Construção de instrumentos de medida na área da saúde. Ciênc Saúde Colet. 2015;20(3):925-36. doi: https://doi.org/10.1590/1413-81232015203.04332013
20. Galvão ALM, Oliveira E, Germani ACCG, Luiz OC. Determinantes estruturais da saúde, raça, gênero e classe social: uma revisão de escopo. Saúde Soc. 2021;30(2):e200743. doi: https://doi.org/10.1590/S0104-12902021200743
21. Silva MVB, Alves BVS, Sales MS, Lima Filho CA, Oliveira AS, Barros GLP, et al. Caracterização do perfil epidemiológico da mortalidade por doenças cardiovasculares no Brasil: um estudo descritivo. Enferm Bras. 2022;21(2):209-22. doi: https://doi.org/10.33233/eb.v21i2.5030
22. Paz VP, Mantovani MF, Silva ATM, Paes RG, Costa MC. Heath knowledge and literacy in the late postoperative of myocardial revascularization. New Trends Qual Res. 2022;13:e666. doi: https://doi.org/10.36367/ntqr.13.2022.e666
23. Silva Filho BF, Duque CB, Yarid SD, Souza Júnior EV, Sena ELS, Boery RNSO. Autonomia do enfermeiro no cuidado à pessoa com lesão crônica. Rev Bioet. 2021;29(3):481-6. doi: https://dx.doi.org/10.1590/1983-80422021293484
24. Santos TL, Laprano MGG, Conceição AP. Hospital discharge guidelines for self-care performance after cardiac surgery: integrative review. Rev Baiana Enferm. 2020;34:e35284. doi: https://doi.org/10.18471/rbe.v34.35284
25. Barcellos SR, Joras AR, Constanzi AP, Souza EN. Construction and validation of an educational booklet for patients in the postoperative period of cardiac surgery: a methodological study. Rev Bras Enferm. 2023;76(6):e20220621. doi: https://doi.org/10.1590/0034-7167-2022-0621
26. Ferreira SL, Barbosa IV, Alexandre SG, Abreu RNDC, Mota CFA, Cabral JFF, et al. Construction and validation of educational technology for family members of people with venous ulcers. Rev Bras Enferm. 2022;75(5):e20210555. doi: https://doi.org/10.1590/0034-7167-2021-0555
27. Ferreira DS, Teixeira E, Brown DO, Koch R, Monteiro WF, Santos ER, et al. Content validation of an educational technology about mens health. Rev Baiana Enferm. 2020;34:e36344. doi: https://doi.org/10.18471/rbe.v34.36344
Downloads
Published
Data Availability Statement
The authors declare that the data are available in full within the article. The research dataset can be requested from the corresponding author.
Issue
Section
License
Copyright (c) 2026 Jully Hannay Santos de Souza, Alice Fonseca Pontes, Marcela Klyviann Bezerra, Maria Clara Cordeiro Andrade, Emanuela Batista Ferreira e Pereira, Simone Maria Muniz da Silva Bezerra, Marilia Perrelli Valença

This work is licensed under a Creative Commons Attribution 4.0 International License.






