Construction and validation of educational technology to prevent complications in intestinal ostomies / periestomy skin

Feitosa, Yterfania Soares; Sampaio, Luis Rafael Leite; Moraes, Juliano Teixeira; Moreira, Thereza Maria Magalhães; Rolim, Karla Maria Carneiro; Dantas, Tays Pires; Sousa, Francisca Clarisse de

doi:10.1590/0034-7167-2019-0825

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Revista Brasileira de Enfermagem

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Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 73 (suppl 5) • 2020 • https://doi.org/10.1590/0034-7167-2019-0825 copy

Construction and validation of educational technology to prevent complications in intestinal ostomies / periestomy skin

Construcción y validación de tecnología educacional para prevención de complicaciones en estomas intestinales/piel periestomal

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To build and validate an educational booklet for preventing complications in intestinal ostomy and peristomy skin.

Methods:

Methodological study developed in: 1. Survey of the clinical profile of patients; 2. Integrative review; 3. Construction of technology; 4. Validation of educational material. The Delphi technique was used, with 18 judges with expertise in the field of stomatherapy. For data treatment, the Collective Subject Discourse (CSD), descriptive analysis, Kappa Index (K), binomial test and Content Validity Index (CVI) were used.

Results:

The agreement rate between judges was higher than 0.61, for K p> 0.05, a proportion of 80% for the binomial test and 80% for the CVI. . The booklet showed an excellent index for K, binomial test and global content validity, becoming validated.

Final Considerations:

The booklet was validated in appearance and content, being an instrument that can favor communication between professionals and people with ostomies.

Descriptors:
Prevention; Ostomies; Educational Technology; Validation Studies; Health Education

Research / teaching judges	Score
Be a master or doctor with scientific production in the field of ostomies	2 points/work
Production of educational technology in the area of interest^* * Area of interest: Educational health technologies for patients with intestinal ostomies.	1 point/work
Participate in research groups / projects that involve the theme of the area of interest^* * Area of interest: Educational health technologies for patients with intestinal ostomies.	1 point/work
To have participated in thesis, dissertation or monographs for undergraduate or specialization evaluations involving the theme in the area of interest^* * Area of interest: Educational health technologies for patients with intestinal ostomies.	0,5 point/work
Have teaching experience in discipline in the area of interest^* * Area of interest: Educational health technologies for patients with intestinal ostomies.	1 point/work

Specialist in stomatherapy nursing	Score
Have experience in clinical practice	0,5 point/year
Time of practical work with patients with ostomy	1 point/year
Being a stomatherapy specialist and / or a member of the Brazilian Association of Stomatherapy - SOBEST;	1 point
Development of preventive and / or health promotion actions aimed at people with intestinal ostomy	0,5 point/year
Have participated in events in the area of interest^* * Area of interest: Experience with patients with intestinal ostomies; Educational health technology.	0,5 point/event
Have papers presented in the area of interest^* * Area of interest: Experience with patients with intestinal ostomies; Educational health technology.	0,5 point/work

Variables	p value^* * Binomial test;	CVI 1^ Content Validity Index at the First Moment (CVI 1);	CVI 2^* ***** Content Validity Index at the Second Moment (CVI 2);
Objectives
1. Are consistent with the needs of patients with ostomies.	0.37	0.77	0.90
2. Promotes change in behavior and attitudes.	0.41	0.72	0.90
3. Can circulate in the scientific environment in the area of stomatherapy.	0.41	0.72	0.90
Structure and presentation
1. The educational material is suitable for guiding patients with intestinal ostomy.	0.23^a a Proportion below 80% in the binomial test.	0.66	0.90
2. The messages are presented in a clear and objective way.	0.11^a a Proportion below 80% in the binomial test.	0.83	0.90
3. The information presented is scientifically correct.	0.37	0.73	0.95
4. There is a logical sequence of the proposed content.	0.37	0.83	0.99
5. The material is appropriate to the socio-cultural level of the proposed target audience.	0.11^a a Proportion below 80% in the binomial test.	0.5	0.90
6. The information is well structured in terms of concordance and spelling.	0.01^a a Proportion below 80% in the binomial test.	0.5	0.90
7. The writing style corresponds to the level of knowledge of the target audience.	0.01^a a Proportion below 80% in the binomial test.	0.61	0.90
8. Information on the cover, back cover, acknowledgments and / or presentation are consistent.	0.37	0.77	0.93
9. The illustrations are expressive and sufficient.	0.59	0.83	0.90
10. The number of pages is adequate.	0.37	0.61	0.85
11. Title and topic sizes are appropriate.	0.23^a a Proportion below 80% in the binomial test.	0.66	0.90
Relevance
1. The themes portray the relevant aspects that must be reinforced.	0.18	0.88	0.95
2. The material proposes to the patient with an ostomy's knowledge about the attitudes of preventing and treating complications in ostomy and peristomy skin.	0.06	0.94	0.90
3. The material addresses the issues necessary for prevention and treatment of complications in ostomy and peristomy skin.	0.59	0.77	0.90
4. It is suitable for use by health professionals in their educational activities.	0.59	0.77	0.95

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: Luis Rafael Leite Sampaio. E-mail: rafael.sampaio@urca.br