Telenursing manual for providing care to patients using clean intermittent urinary catheterization

Souza-Junior, Valtuir Duarte de; Mendes, Isabel Amélia Costa; Mazzo, Alessandra; Santos, Cristiano Alves dos; Andrade, Elaine Maria Leite Rangel; Godoy, Simone de

doi:10.1590/2177-9465-EAN-2017-0188

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Brasil

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RESEARCH • Esc. Anna Nery 21 (4) • 2017 • https://doi.org/10.1590/2177-9465-EAN-2017-0188 copy

Telenursing manual for providing care to patients using clean intermittent urinary catheterization

Manual de teleenfermería para la atención al usuario de cateterismo urinario intermitente limpio

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To develop and evaluate apparent and content validity of a telenursing manual to support nurses in the care delivery of patients using clean intermittent urinary catheterization.

Methods:

Methodological study addressing the development and validation of a telenursing manual. The expert group who validated the telenursing manual was composed of 11 nurses. An inter-rater level of agreement of 70% was considered for each aspect of the instrument.

Results:

The following levels of agreement were obtained for each aspect: Language 97%, Content 97.7% and Objectives, Relevance, Functionality and Usability 100% each.

Conclusion:

The manual is available for access and represents an important initiative for the field of telenursing in Brazil, assisting nurses in the telecare provided to patients using clean intermittent urinary catheterization.

Keywords:
Telenursing; Urinary Bladder, Neurogenic; Intermittent Urethral Catheterization; Urinary Catheterization; Telephone

Item	SA – N (%)	A – N (%)	D – N (%)	SD – N (%)	IDK – N (%)
Objective
a) The manual’s objective are appropriate	6 (54.5)	5 (45.5)	-	-	-
b) The manual’s objectives are coherent with nursing practice	8 (72.7)	3 (27.3)	-	-	-
Total of answers (N = 22)	14 (63.6)	8 (36.4)	-	-	-
Content
a) The content presented in the manual corresponds to the objectives proposed	7 (63.6)	4 (36.4)	-	-	-
b) The content facilitates the teaching-learning process in the topic	8 (72.7)	3 (27.3)	-	-	-
c) The content allows understanding the topic	10 (90.9)	1 (9.1)	-	-	-
d) The content follows a logical sequence	8 (72.7)	3 (27.3)	-	-	-
e) The content orderly incorporates all steps necessary for teleassisting patients with CIC	7 (63.6)	4 (36.4)	-	-	-
f) The content provides all material necessary to guide the implementation of a CIC	7 (63.6)	3 (27.3)	1 (9.1)	-	-
g) The information presented by the manual is correct	7 (63.6)	4 (36.4)		-	-
h) The information presented by the manual is clear	7 (63.6)	3 (27.3)	1 (9.1)	-	-
i) The information presented by the manual is objective	7 (63.6)	4 (36.4)	-	-	-
j) The images contained in the manual clearly illustrate the content presented	8 (72.7)	2 (18.2)	1 (9.1)	-	-
k) The images contained in the manual illustrate important aspects	8 (72.7)	3 (27.3)	-	-	-
l) The images present adequate sharpness for viewing	8 (72.7)	3 (27.3)	-	-	-
Total of answers (N = 132)	92 (69.7)	37 (28.0)	3 (2.3)	-	-
Language
a) The manual presents clear language	7 (63.6)	3 (27.3)	1 (9.1)	-	-
b) The manual presents objective language	9 (81.8)	2 (18.2)	-	-	-
c) The manual presents language accessible to the nursing staff	7 (63.6)	4 (36.4)	-	-	-
Total of answers (N = 33)	23 (69.7)	9 (27.3)	1 (3.0)	-	-
Relevance
a) The manual illustrates aspects that are important for the practice of nursing teleassistance directed to patients with NB	8 (72.7)	3 (27.3)	-	-	-
b) The manual is important to nurses for developing the CIC, guiding patients and caregivers	9 (81.8)	2 (18.2)	-	-	-
c) The manual allows transferring content learned and generalizations to different contexts	8 (72.7)	3 (27.3)	-	-	-
Total of answers (N = 33)	25 (75.7)	8 (24.3)	-	-	-
Functionality
a) The manual is a tool adequate given the objective for which it was designed	6 (54.5)	5 (45.5)	-	-	-
b) The manual enables the generation of positive outcomes in the teaching-learning process concerning the topic	8 (72.7)	3 (27.3)	-	-	-
Total answers (N = 22)	14 (63.6)	8 (36.4)	-	-	-
Usability
a) The manual is user-friendly	7 (63.6)	4 (36.4)	-	-	-
b) The manual is easy to understand and facilitates assimilation of theoretical concepts and their applications	6 (54.5)	5 (45.5)	-	-	-
c) The manual facilitates the application of concepts into practice	5 (45.5)	6 (54.5)	-	-	-
Total of answers (N = 33)	18 (54.5)	15 (45.5)	-	-	-

Universidade Federal do Rio de Janeiro Rua Afonso Cavalcanti, 275, Cidade Nova, 20211-110 - Rio de Janeiro - RJ - Brasil, Tel: +55 21 3398-0952 e 3398-0941 - Rio de Janeiro - RJ - Brazil
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[1] Correspondence author: Isabel Amélia Costa Mendes. E-mail: iamendes@usp.br