Banca de DEFESA: ALESSANDRA LUCCHESI DE MENEZES XAVIER FRANCO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : ALESSANDRA LUCCHESI DE MENEZES XAVIER FRANCO
DATA : 26/08/2019
HORA: 09:00
LOCAL: Departamento de Saúde Coletiva
TÍTULO:

Cancer care for children nd young people quality assessment tool: elaboration and validation

PALAVRAS-CHAVES:

quality managemente; validationstudies; comprehensivehealthcare; standard ofcare; medical oncology; neoplasms; child; adolescente

PÁGINAS: 134
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

This study aimed to elaborate and validate an instrument to evaluate the quality of care for childhood cancer. This is a cross-sectional quantitative diagnostic study, developed in 2018 and 2019 in the city of Natal/RN, in two stages comprised in the elaboration of the instrument and the validation of the instrument content by experts. The sample was selected by intentionality, following the inclusion criteria, so that the invitation to the judges was through an electronic form, obeying all ethical aspects for the research. The elaboration phase of the instrument was understood through the meeting with the experts, which directed the literature review that culminated in the elaboration of the first version of the instrument. Starting the second stage of the study, the instrument was subjected to expert evaluation, according to the Delphi technique, and should be evaluated by them, judging each item using the established Likert scale, until agreement was measured using the of the Content Validity Index by Item (IVC-I) and the Content Validity Index (IVC) of the instrument, adopting as a minimum reference value 0.78, and an acceptable agreement rate of 80%. Given the meeting of experts, it was possible to determine that the instrument would be organized by four domains: prior to diagnosis; for the diagnosis; treatment; after treatment. Thus, the evaluation criteria were defined, which were translated in the first version of the instrument with ninety-five items. After the first round of evaluation by the experts, of the 17 invited judges, 12 proceeded with the evaluation. It was observed that only 14 items presented CVI-I lower than recommended, CVI corresponded to 0.89, however CVI based on the criteria of the assessment used was equivalent to 0.75 which indicated the need for adjustments. Thus, 50 items were revised, 14 were deleted, 3 were added and 13 were kept according to the original wording. Therefore, the second version of the instrument was elaborated and submitted again to the judges, presenting IVC-I for all items with values above 0,78, in addition to IVC equivalent to 0.98, and according to the evaluation criteria. obtained an IVC of 0,99, compared to the participation of only ten judges. Thus, in view of obtaining agreement between the judges, the instrument was validated according to its content, tense in its final version the existence of eighty-four items. For this instrument the score was proposed based on the percentage of positive responses by domain, and overall, according to three evaluation categories: presence of weaknesses to obtain quality; presence of improvement opportunities to achieve quality; presence of strongholds to obtain quality. The use of such an instrument will contribute to the assessment of the quality of care attention for children and juvenile cancer, thus allowing the diagnosis of this, in order to guide the interventions to optimize the results obtained, consequently directing the organization and formatting of the care attention pursuing the destination of higher quality care attettion for children and young adults.

MEMBROS DA BANCA:
Presidente - 3926907 - DYEGO LEANDRO BEZERRA DE SOUZA
Interno - 1868020 - ZENEWTON ANDRÉ DA SILVA GAMA
Externa à Instituição - MIRIAN CARVALHO DE SOUZA