Checklist validation for care provided to patients in the immediate postoperative period of cardiac surgery

• Published in: Journal of clinical nursing Vol. 29; no. 21-22; pp. 4171 - 4179
• Main Authors: Batistini, Hilaine Cristina, Sant’Anna, Ana Lucia Gargione Galvão, Dellacrode Giovanazzi, Rosemeire Simone, Rosa de Freitas, Vinicius, Martins da Costa, Suelen Alves Creste, Machado, Regimar Carla
• Format: Journal Article
• Language: English
• Published: Oxford Wiley Subscription Services, Inc 01.11.2020
• Subjects: checklist; Clinical medicine; Documentation; Heart surgery; intensive care units; nurses; Nursing; Nursing care; Patient care planning; patients; postoperative care; Postoperative period; thoracic surgery
• ISSN: 0962-1067; 1365-2702
• DOI: 10.1111/jocn.15446

Aims and objectives We created and validated a checklist for nursing care of patients in the immediate postoperative period of cardiac surgery. Background Cardiovascular diseases (CVD) account for about 30% of all deaths recorded in Brazil. There is an arsenal of clinical and surgical treatments for CVD, with a significant number of patients evolving to surgical treatment. Thus, health professionals working in the perioperative period of cardiovascular surgeries need to be updated, trained and qualified to provide adequate and safe care to patients. Design We developed a checklist that defined essential parameters for quality care, to ensure greater agility and patient safety. Methods This methodology validation study comprised two stages: checklist creation for care provided by nurses to patients in the IPO of cardiac surgery, and content validation using the Delphi method. Participants were selected through an advanced survey conducted on the Lattes Platform website of the National Council for Scientific and Technological Development. The STROBE checklist was used to guide the study. Results Three rounds of analysis by specialists resulted in average CVIs of: 95.8% for objectivity, 97.9% for simplicity, 91.0% for clarity, 93.1% for relevance and 96.5% for variety, suggesting high agreement among specialists. Conclusions The checklist focused on nursing care of patients in the IPO of cardiac surgery and was validated with three topics, four categories, 16 items and 86 sub‐items of care assignments to be applied in clinical practice. Relevance to clinical practice This is a validated instrument that guides nurses’ actions by admitting postoperative cardiac surgery patients to the ICU based on evidence, which provides more scientific and professional support to health teams’ performance, with the objective of strengthening roles and establishing routines; thus presenting a powerful tool for planning nursing actions, providing quality care to patients, and facilitating communication between teams, thereby minimising risks.