Content validity and internal consistency of an algorithm for cleansing wounds with granulation and necrotic tissues

Content validity and internal consistency of an algorithm for cleansing wounds with granulation and necrotic tissues

Autores

  • Geraldo Magela Salome Fundação de Ensino Superior do Vale do Sapucaí, Pouso Alegre, MG

DOI:

https://doi.org/10.5902/2236583484498

Palavras-chave:

Wounds and injuries, algorithms, cleansing agents , therapeutic irrigation, debridement

Resumo

Protocols in the form of algorithms allow the nurse team to make rapid decisions, lowering risks and improving outcome. There is a lack of readily available protocols for the use of correct techniques and products for wound cleansing. Objective. To assess the content validity and internal consistency of an algorithm for cleansing wounds with granulation and necrotic tissues. Methods. A literature search was conducted to identify relevant studies for the construction of the algorithm, using the following descriptors: “wounds and injuries”, “algorithms”, “cleansing agents”, “therapeutic irrigation”, and “debridement” in both English, Brazilian Portuguese and Spanish. The development of the algorithm involved the planning and production of content and definition of topics. The algorithm was assessed for content validity by 20 judges and for internal consistency by 31 judges. Results. An algorithm was developed to help health professionals in the cleansing of wounds. It describes wound cleansing techniques and provides recommendations for therapeutic interventions and primary dressings, based on the type of wound tissue. The judges assessing the content validity of the algorithm reached consensus in two rounds of consultation. The algorithm showed good internal consistency with a Cronbach’s alpha of 0.851.Conclusions. The validated algorithms will provide health professionals with relevant information to choose appropriate wound cleansing techniques and therapeutic procedures according to the type of wound tissue.

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Biografia do Autor

Geraldo Magela Salome, Fundação de Ensino Superior do Vale do Sapucaí, Pouso Alegre, MG

Mestre em Ciências da Saúde pelo Programa de Pós Graduação de Enfermagem da Universidade Federal de São Paulo.

Doutor em Ciências e Pós- Doutorado pelo Programa de Pós-Graduação em Cirurgia Plástica da Universidade Federal de São Paulo

Estomaterapeuta- Títulação “TiSOBEST” pela Associação Brasileira de Estomaterapia: estomias, feridas e incontinências (SOBEST)

Professor do Curso de Mestrado profissional Ciências Aplicadas à Saúde da Universidade do Vale do Sapucaí-UNIVÁS. Pouso Alegre/MG - Brasil.

Referências

Carvalho MRF, Salomé GM, Ferreira LM. Construction and validation of algorithm for treatment of pressure injury. J Nurs UFPE 2017; 11(Suppl 10):4171-4183. https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/231180/25157 (accessed September 20018)

Cunha DRD, Salomé GM, Massahud MR Jr. et al. Development and validation of an algorithm for laser application in wound treatment. Rev Lat Am Enfermagem 2017; 25:e2955. https://doi.org/10.1590/1518-8345.1998.2955

Almeida AS, Moreira CNO, Salomé GM. Pressure ulcer scale for healing no acompanhamento da cicatrização em pacientes idosos com úlcera de perna. Rev Bras Cir Plast 2014; 29(1):120-127. http://www.dx.doi.org/10.5935/2177-1235.2014RBCP0020

Espírito Santo PF, Almeida SA, Silveira MM. et al. Use of the Pressure Ulcer Scale for Healing tool to evaluate the healing of chronic leg ulcers. Rev Bras Cir Plast 2013; 28(1):133-141. http://dx.doi.org/10.1590/S1983-51752013000100023

Leite AP, Oliveira BGRB, Soares MF, Barrocas DLR. Use and effectiveness of papain in the wound healing process: a systematic review. Rev Gaucha Enferm. 2012, 33(3):198-207. http://dx.doi.org/10.1590/S1983-14472012000300026

Rodrigues C, Silva D. Limpeza de feridas: técnicas e soluções [Wound cleansing: techniques and solutions]. J Tissue Regen Healing 2012; 1:25-31. https://issuu.com/trh-journal/docs/journaln1 (accessed September 2018).

Santos E, Queiros P, Cardoso D. et al. A eficácia das soluções de limpeza para o tratamento de feridas: uma revisão sistemática [The effectiveness of cleansing solutions for wound treatment: a systematic review]. Rev Enf Ref 2016; 9:133-144. http://dx.doi.org/10.12707/RIV16011

Polit DF, Hungler BP. Essentials of Nursing Research: Methods, Appraisal, and Utilization (3rd edn). Artes Médicas, 1995.

Wright JTC, Giovinazzo RA. Delphi uma ferramenta de apoio ao planejamento prospectivo [Delphi a tool to support prospective planning]. Cad Pesquisas Adm 2000; 1(12):54-65.

Brandão ES, Santos I, Lanzillotti RS. Validation of an instrument to assess patients with skin conditions. Act Paul Enferm 2013; 26(5):460-466. http://dx.doi.org/10.1590/S0103-21002013000500009

Wynd CA, Schmidt B, Schaefer MA. Two quantitative approaches for estimating content validity. West J Nurs Res 2003; 25(5):508-518. http://dx.doi.org/10.1177/0193945903252998

van Rijswijk L, Beitz JM. Pressure ulcer prevention algorithm content validation: a mixed-methods, quantitative study. Ostomy Wounds Manage 2015; 61(4): 48-57. https://www.o-wm.com/article/pressure-ulcer-prevention-algorithm-content-validation-mixed-methods-quantitative-study (accessed September 2018).

Salomé GM, Bueno JC, Ferreira LM. Multimedia application in a mobile platform for wound treatment using herbal and medicinal plants. J Nurs UFPE 2017; 11(Suppl 11):2533-2540. https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/231197 (accessed September 2018).

Alves DFS, Almeida AO, Silva JLG. et al. Translation and adaptation of the Bates-Jensen Wound Assessment Tool for the Brazilian Culture. Text Context Nursing 2015; 24(3):826-833. http://dx.doi.org/10.1590/0104-07072015001990014

Cunha JB, Dutra RAA, Salomé GN, Ferreira LM. Computational system applied to mobile technology for evaluation and treatment of wounds. J Nurs UFPE 2018; 12(5):1263-1272. https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/230677 (accessed September 2018).

Queirós P, Santos E, Apóstolo J. et al. The effectiveness of cleansing solutions for wound treatment: a systematic review protocol. JBI Database Systematic Rev Implement Rep 2013; 11(5):169-181. http://dx.doi.org/10.11124/01938924-201311050-00009

Atiyeh BS, Dibo SA, Hayek SN. Wound cleansing, topical antiseptics and wound healing. Int Wound J 2009; 20(6):420-430. http://dx.doi.org/10.1111/j.1742-481X.2009.00639.x

Tayar G, Peterlini MAS, Pedreira MLG. Proposal of an algorithm for dressings selection, according to skin lesions in children. Acta Paul Enferm 2007; 20(3):284-290. http://dx.doi.org/10.1590/S0103-21002007000300007

Gonçalves MBB, Rabeh SAN, Nogueira PC. Terapia tópica para ferida crônica: recomendações para a prática baseada em evidências [Topical therapy for chronic wounds: recommendations for evidence-based practice]. Rev Estima 2014; 12(1): 42-49. https://www.revistaestima.com.br/index.php/estima/article/view/337 (accessed September 2018).

Anghel EL, DeFazio MV, Barker JC. et al. Current concepts in debridement: science and strategies. Plast Reconstr Surg 2016; 138(3 Suppl):82S-93S. https://doi.org/10.1097/PRS.0000000000002651

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Publicado

2024-07-25

Como Citar

Salome, G. M. (2024). Content validity and internal consistency of an algorithm for cleansing wounds with granulation and necrotic tissues: Content validity and internal consistency of an algorithm for cleansing wounds with granulation and necrotic tissues. Saúde (Santa Maria), 50(1), 1–17. https://doi.org/10.5902/2236583484498