VALIDATION OF NURSING INTERVENTIONS TO PREVENT SKIN LESIONS IN HOSPITALIZED NEWBORNS

ABSTRACT Objective to determine the content validity of Nursing interventions to prevent skin lesions in hospitalized newborns, with an experts committee. Method a content validation methodological research study conducted by means of an online form between April and June 2018. The participants were five nurses from different Brazilian regions, with experience in the neonatal area: two professors, two stomatherapists, and one assistance nurse. The interventions evaluated were constructed based on scientific knowledge, resorting to the literature based on the available evidence, technical manuals and books, in addition to the researchers' experience in care for the newborn. The content was validated in two rounds. First, each intervention and its set were evaluated regarding agreement, using a minimum Committee Agreement Index (CAI) of 80%. Subsequently, a minimum Content Validity Index (CVI) of 0.8 was used to validate the clarity and relevance of the interventions. Results a total of 298 interventions were evaluated in the first round, and only eight did not obtain the adequate index. 39 interventions were evaluated in the second round, all reformulated based on the suggestions of the experts committee. Of these, there were eight not validated in the first round, 20 with small changes, and 11 newly elaborated interventions. All the interventions were validated in the second round, totaling 310 validated interventions. Conclusion the Nursing interventions proposed were considered valid regarding content, and can be used in the care provided to hospitalized newborns, in order to prevent skin lesions and to contribute with the quality of the assistance provided and with the safety of the neonatal patient.

[1]  L. Leal,et al.  Instrument for evaluating child hearing health services: construction and validity. , 2018, Revista da Escola de Enfermagem da U S P.

[2]  J. Ehrich,et al.  The Importance of Expert Opinion–Based Data: Lessons from the European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA) Research on European Child Healthcare Services , 2018, The Journal of pediatrics.

[3]  R. Ray,et al.  Frequency, location and risk factors of neonatal skin injuries from mechanical forces of pressure, friction, shear and stripping: A systematic literature review , 2017, Journal of Neonatal Nursing.

[4]  Carlise Rigon Dalla Nora,et al.  Validation by experts: importance in translation and adaptation of instruments , 2018 .

[5]  D. Wypij,et al.  Predicting Pressure Injury Risk in Pediatric Patients: The Braden QD Scale , 2018, The Journal of pediatrics.

[6]  S. Vohra,et al.  Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants. , 2018, The Cochrane database of systematic reviews.

[7]  I. Kamada,et al.  Skin injuries in newborns in neonatal intensive care , 2018 .

[8]  Alessandra Conceição Leite Funchal Camacho,et al.  Reflexões à luz de Wanda Horta sobre os instrumentos básicos de enfermagem , 2017 .

[9]  A. Patrizi,et al.  Chlorhexidine-Induced Chemical Burns in Very Low Birth Weight Infants. , 2017, The Journal of pediatrics.

[10]  D. Beeckman,et al.  Management of Moisture-Associated Skin Damage: A Scoping Review , 2017, Advances in skin & wound care.

[11]  P. Tourneux,et al.  Use of a Polyethylene Bag to Reduce Perioperative Regional and Whole-Body Heat Losses in Low-Birth-Weight Neonates , 2017, BioMed research international.

[12]  Aílton de Souza Aragão,et al.  NANDA nursing diagnosis: definitions and classification 2015-2017 , 2017 .

[13]  A. Camacho,et al.  REFLECTIONS BASED ON WANDA HORTA ON THE BASIC INSTRUMENTS OF NURSING REFLEXÕES À LUZ DE WANDA HORTA SOBRE OS INSTRUMENTOS BÁSICOS DE ENFERMAGEM REFLEXIONES BASADAS EM WANDA HORTA SOBRE LOS INSTRUMENTOS BÁSICOS DE ENFERMERÍA , 2017 .

[14]  E. Shepherd,et al.  Skin Rounds: A Quality Improvement Approach to Enhance Skin Care in the Neonatal Intensive Care Unit , 2016, Advances in neonatal care : official journal of the National Association of Neonatal Nurses.

[15]  B. Leung,et al.  Management of Extravasation Injuries in Preterm Infants , 2016 .

[16]  T. V. van Tienen,et al.  Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus , 2016, British Journal of Sports Medicine.

[17]  W. McGuire,et al.  Topical emollient for preventing infection in preterm infants. , 2016, The Cochrane database of systematic reviews.

[18]  M. Yurdakök Phototherapy in the newborn: what's new? , 2015 .

[19]  Roberta Costa,et al.  Prevention of newborn skin lesions: knowledge of the nursing team , 2015 .

[20]  Mauricio Odio,et al.  Newborn infant skin: physiology, development, and care. , 2015, Clinics in dermatology.

[21]  S. Sazawal,et al.  Chlorhexidine skin or cord care for prevention of mortality and infections in neonates. , 2015, The Cochrane database of systematic reviews.

[22]  Daniela Milani,et al.  [Construction of measurement instruments in the area of health]. , 2015, Ciencia & saude coletiva.

[23]  Carolyn H. Lund,et al.  Medical Adhesives in the NICU , 2014 .

[24]  M. L. D. da Cunha,et al.  Cross-cultural adaptation and clinical validation of the Neonatal Skin Condition Score to Brazilian Portuguese 1 , 2014, Revista Latino-Americana de Enfermagem.

[25]  G. Stamatas,et al.  Diaper Dermatitis: Etiology, Manifestations, Prevention, and Management , 2014, Pediatric dermatology.

[26]  E. G. Rossetto,et al.  Skin lesions of newborns in a neonatal unit: observational study , 2013 .