Clinical validation of nursing outcome mobility in patients with cerebrovascular accidents

Moreira, Rafaella Pessoa; Araujo, Thelma Leite de; Lopes, Marcos Venicios de Oliveira; Cavalcante, Tahissa Frota; Guedes, Nirla Gomes; Chaves, Emília Soares; Portela, Regiane Campos; Holanda, Rose-Eloise

doi:10.1590/1983-1447.2016.04.54688

Original Articles • Rev. Gaúcha Enferm. (Online) 37 (4) • 2016 • https://doi.org/10.1590/1983-1447.2016.04.54688 linkcopy

Clinical validation of nursing outcome mobility in patients with cerebrovascular accidents

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective To clinically validate the nursing outcome Mobility in patients with cerebrovascular accidents.

Methods Descriptive study, conducted in July 2011, with 38 outpatients, in northeastern Brazil. Data collection took place by evaluating two pairs of specialist nurses, where one pair used the instrument containing the constitutive and operational definitions of the indicators and magnitudes of the Mobility Outcome and the other pair without such definitions.

Results When analyzing the evaluations among nurses, all indicators showed significant differences by the Friedman test (p <0.05).

Conclusion The constitutive and operational definitions submitted to the validation process provide greater accuracy in assessing the cerebrovascular accident patient’s mobility state.

Nursing; Stroke; Outcome assessment (Health care)

Variables	N	%
Postural instability	36	94.7
Limited ability to perform gross motor skills	36	94.7
Limited range of motion	36	94.7
Limited capacity to perform fine motor skills	28	73.7
Uncoordinated movements	28	73.7
Slow movements	27	71.1
Changes in gait	24	63.2
Difficult to turn around	22	57.9
Decreased reaction time	21	55.3
Uncontrolled movements	20	52.6
Tremor induced by movement	7	18.4
Engages in movement replacements	6	15.8
Dyspnea on exertion	1	2.6

Indicators	Evaluators without definitions		Evaluators with definitions		p value	DMS^††

	1	2	3	4
balance	2.07	1.86	3.09	2.99	0.000	0.78
Coordination	3.04	2.84	1.95	2.17	0.000	0.78
Gears	3.16	2.66	1.96	2.22	0.000	0.78
Floor	2.96	2.41	2.21	2.42	0.012	0.78
Muscle movement	3.13	3.26	1.75	1.86	0.000	0.78
Joint movement	2.41	2.20	2.83	2.57	0.029	0.78
Performance in body positioning	3.18	3.22	1.86	1.74	0.000	0.78
Performance in transfer	2.28	2.07	3.01	2.64	0.000	0.78

Indicators	Evaluators without definitions			Evaluators with definitions

	CCI^††	IC95%²	P value	CCI¹	IC95%	p value
Balance	0.743	0.560 – 0.857	< 0,0001	0.900	0.817-0.947	< 0,0001
Coordination	0.808	0.663-0.895	< 0,0001	0.773	0.607-0.875	< 0,0001
Gears	0.851	0.734-0.920	< 0,0001	0.847	0.727-0.917	< 0,0001
Floor	0.791	0.635-0.885	0.000	0.828	0.696-0.907	0.000
Muscle movement	0.705	0.502-0.834	0.000	0.600	0.353-0.769	0.000
Joint movement	0.654	0.428-0.803	0.000	0.847	0.727-0.917	0.000
Performance in body positioning	0.838	0.712-0.912	0.000	0.895	0.807-0.944	0.000
Performance in transfer	0.819	0.680-0.901	0.000	0.521	0.249-0.718	0.000

location_on

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

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[TFN1001] Source: Survey data, 2011.