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Bundle construction and assessment before antineoplastic extravasation: a methodological study

Abstract

Objective

To construct and assess the content of a prevention and management bundle regarding the extravasation of antineoplastic agents in adult cancer patients.

Methods

There were three-step methodological study: Scoping Review, bundle construction and expert material assessment. It was developed according to the methodological framework of Pasquali psychometry. It is noteworthy that the bundle was divided into a module with measures to prevent antineoplastic extravasation and another module with conduits before extravasation. For content assessment, the Delphi technique was applied in two rounds (Delphi I [13 judges] and Delphi II [nine judges]) and those items with Content Validation Coefficient (CVC) greater than 0.78 and more than 80.0% consensus. Data were analyzed using descriptive and inferential statistics (Binominal Test).

Results

All bundle requirements reached agreement among judges greater than 80.0%, and all items achieved statistically significant assessment levels. At the end of Delphi II, both bundle modules were expressively valid (prevention of antineoplastic extravasation [CVC=0.93] and ducts before extravasation [CVC=0.96]).

Conclusion

Bundle content has demonstrated high credibility and its adoption in health institutions can contribute to the quality of care and conduct of professionals facing the extravasation of antineoplastic agents in adult cancer patients.

Extravasation of diagnostic and therapeutic materials; Antineoplastic agents; Nursing care; Oncology nursing

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
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