Systematization of perioperative nursing care in robotic surgery: instrument validation

Vitoriano, Laís Vilanova Tavares; Bridi, Adriana Carla; Silva Junior, Osnir Claudiano da; Silva, Carlos Roberto Lyra da; Louro, Thiago Quinellato; Machado, Daniel Aragão

doi:10.1590/0034-7167-2022-0666

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 76 (Suppl 4) • 2023 • https://doi.org/10.1590/0034-7167-2022-0666 copy

Systematization of perioperative nursing care in robotic surgery: instrument validation

Sistematización de la atención de enfermería perioperatoria en la cirugía robotizada: validación de instrumento

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To develop and validate an instrument to assist in the systematization of perioperative nursing care in robotic surgery.

Methods:

Methodological study developed in four phases: content survey; textual elaboration; content validation by the group of expert judges and target audience; and elaboration of the electronic instrument layout.

Results:

Eleven expert judges and seven evaluators of the target audience participated. For validation, the Content Validity Index (CVI) was used with a 0.78 cutoff point. The instrument total CVI after evaluation was 0.90 by the expert judges and 0.88 by the target audience.

Conclusion:

The tool built was proved satisfactory for the systematization of perioperative nursing care. The instrument construction was based on the updated scientific literature and validated by the expert judges and target audience.

Descriptors:
Perioperative Nursing; Nursing Care; Perioperative Care; Robotic Surgical Procedures; Validation Study

Variables	Expert judges
Variables	f	%
Gender
Female	11	100
Age group (years)
31–40	7	63.6
41–50	1	9.1
51-60	2	18.2
61 or more	1	9.1
Degree
Specialization	6	54.5
Master's Degree	2	18.2
Doctorate	3	27.3
Length of professional experience (years)
0-5	1	9.1
5-10	1	9.1
10-20	5	45.4
20-30	1	9.1
More than 30	3	27.3
Are you specialized in surgical center and/or robotic surgery?
Yes	9	81.8
No	2	18.2
Work area
Care	3	27.3
Managerial	4	36.4
Teaching and/or research	3	27.3
Sales	1	9.0
Institution where you work
Public	7	63.6
Private	4	36.4
Previous experience with instrument construction and/or validation?
Yes	9	81.8
No	2	18.2

Variables	Target audience
Variables	n	%
Gender
Female	7	100
Age group (years)
31–40	4	57.2
41 – 50	3	42.8
Degree
Specialization	6	85.7
Master's Degree	1	14.3
Length of professional experience (years)
5-10	4	57.2
10-20	2	28.5
20-30	1	14.3
Are you specialized in surgical center and/or robotic surgery?
Yes	5	71.5
No	2	28.5
Work area
Care	6	85.7
Managerial	1	14.3
Institution where you work
Public	7	100
Private	-
Previous experience with instrument validation?
Yes	1	14.3
No	6	85.7

Evaluated items	CVI
Evaluated items	Expert judges	Target audience
1.1 Block 1: Objectives	0.89	0.91
1.1 The text is compatible with the target audience, including SPNC.	0.9	0.85
1.2 The content covered is adequate for performing SPNC in the perioperative period of robotic surgery.	0.9	0.85
1.3 Guidelines presented are necessary and have been addressed correctly.	0.9	1
1.4 It causes change in behavior and attitudes.	0.9	1
1.5 Information is updated.	0.81	1
1.6 The content meets the work proposal.	0.9	0.72
1.7 It can be applied in practice.	0.9	1
2.2 Block 2: Structure and Presentation	0.87	0.83
2.1 Application-type technology is appropriate to assist in SPNC in the perioperative period of robotic surgery.	1	0.83
2.2 The language is appropriate for the target audience.	0.9	1
2.3 The information is presented clearly and objectively.	0.9	1
2.4 The instrument has adequate size, that is, it is not tiring.	0.6	0.42
2.5 The formatting is adequate (letter, size, space).	0.9	0.85
2.6 The size and color of the letters of the headings, subheadings and text are adequate.	0.9	0.66
2.7 The writing style corresponds to the level of knowledge of the target audience.	0.9	1
2.8 There is a logical sequence of proposed content.	0.9	0.85
3.3 Block 3: Relevance	1	0.95
3.1 The material includes the matters necessary to carry out the SPNC.	1	0.85
3.2 Is the instrument adequate for use by any nurse with experience in the operating theatre and/or robotic surgery?	1	1
3.3 Does the instrument contemplate and integrate the main points of patient care in the perioperative period?	1	1
Total CVI of the instrument	0.9	0.88

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[1] Corresponding author: Laís Vilanova Tavares Vitoriano E-mail: laisvilanovaa@gmail.com