Going home after a child’s cardiac surgery: education for safe care

to validate the content and appearance of the booklet “Going home after a child’s cardiac surgery” and assess family members’ cognitive learning regarding its use.

Methods:

a methodological and quasi-experimental study of before and after type, with semi-structured interview, pre-test and reading of the booklet in a hospital; post-test and validation occurred after hospital discharge. Wilcoxon non-parametric statistics were used.

Results:

nineteen family members of children with heart disease participated. The average of correct answers increased 14 percentage points from pre- to post-test; most were medication errors. There was a significant difference (p <0.0001) in the comparison between cognitive knowledge prior to using the booklet and learning acquired from its use. All items received a positive rating, except font size.

Conclusions:

the booklet helps family members to understand a child’s needs after cardiac surgery, and can be used to prevent unwanted occurrences and enable safe care at home.

Descriptors:
Validation Studies; Education Technology; Cardiac Surgery; Child Care; Health Education

Variables	Mean	Standard deviation	Minimum	Median	Maximum	p value^a a Teste de Wilcoxon.
Affirmative scores						< 0.0001
Pre-test score	29.0	2.3	24	29.0	33
Post-test score	33.7	1.1	32	34.0	35

Factor to be classifieda*	Not suitable	Suitable	Excellent	CVI^b b Content Validiy Index.
Factor to be classifieda*	n (%)	n (%)	n (%)	CVI^b b Content Validiy Index.
Organization (how the booklet is organized)
Cover is attractive		2 (10.5)	17 (89.5)	1
Cover indicates the contents of the booklet		2 (10.5)	17 (89.5)	1
There is a sequence in the content presented in the booklet		1 (5.3)	18 (94.7)	1
Size of content in topics (sentence size: long sentences/short sentences)	1 (5.3)	4 (21.0)	14 (73.7)	0.94
Appearance
Illustrations are easy to understand		5 (26.3)	14 (73.7)	1
Illustrations serve to complement the text		4 (21.0)	15 (78.9)	1
Writing style (understanding/understanding of sentences)
Writing is clear (sentences are easy to understand)		6 (31.6)	13 (68.4)	1
Words are easy to understand		6 (31.6)	13 (68.4)	1
Text is interesting (what is written is interesting)		5 (26.3)	14 (73.7)	1
Content
The purpose of the booklet is clear (the booklet indicates care that should be taken)		2 (10.5)	17 (89.5)	1
Content is clear		3 (15.8)	16 (84.2)	1
Content is focused on the purpose (show care that should be taken)		3 (15.8)	16 (84.2)	1
Content highlights the main points (care that must be done)		3 (15.8)	16 (84.2)	1
Content helped in learning (taking care of children)		2 (10.5)	17 (89.5)	1
Layout and presentation
Layout's characteristic (how figures and text are being shown)		3 (15.8)	16 (84.2)	1
Font size and font used	6 (31.6)	8 (42.1)	5 (26.3)	0.68
The booklet is attractive (colors, drawings, figures)		5 (26.3)	14 (73.7)	1
Learning encouragement/motivation
The guidelines are specific and provide examples (in each item are the care that must be taken)		3 (15.8)	16 (84.2)	1
Motivation and self-efficacy (the booklet allows child care)		6 (31.6)	13 (68.4)	1
The booklet motivates reading until the end		7 (36.8)	12 (63.2)	1
Cultural fit
The booklet is similar to its logic, language, experience			19 (100)	1
The booklet has cultural image and examples			19 (100)	1

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding author: Aline Callé E-mail: aline.calle@usp.br