Abstract
RESUMO Objetivo: adaptar e validar um instrumento de segurança cirúrgica na cesárea, com base em revisão integrativa da literatura, e no protocolo e checklist de segurança cirúrgica da Organização Mundial da Saúde. Método: estudo metodológico, com triangulação de dados, envolvendo um total de 43 participantes, sendo oito juízes para a validação de conteúdo e aparente do instrumento, utilizando-se a técnica Delphi, e para a validação semântica outros 35 profissionais da equipe cirúrgica de um hospital público do Distrito Federal, Brasil. Foi aplicado o coeficiente de confiabilidade ao instrumento. Resultados: o instrumento alcançou índice de validade de conteúdo geral de 0,9 e concordância interavaliadores de 1. O coeficiente total do alfa de Cronbach foi de 0,86, e a média dos escores das dimensões obteve notas elevadas. Conclusão: o instrumento apresentou validade nos três critérios estudados e confiabilidade para ser aplicado em futuros estudos que avaliem a segurança cirúrgica na cesárea.
Highlights
It is estimated that approximately 2% of the obstetric patients experience some serious adverse event (AE) during labor and/or delivery, which contributes to maternal and neonatal morbidity and mortality
The results of the first stage of the study corresponded to the adaptation of the instrument based on the protocol and surgical safety checklist of the World Health Organization (WHO), which were translated to Brazil, and to the conduction of an integrative review of the literature
Afterwards, the adapted instrument was presented to the judges who participated in the second stage, corresponding to the content and apparent validation of the instrument
Summary
It is estimated that approximately 2% of the obstetric patients experience some serious adverse event (AE) during labor and/or delivery, which contributes to maternal and neonatal morbidity and mortality. An AE consists of damage resulting from a therapy used, and it can be avoidable or not.[3] In the case of the cesarean delivery, the risks of various complications that may be fatal or that can permanently affect health, such as hemorrhage, infection and problems in anesthesia are increased. They can produce severe pelvic adhesions, even with harmful consequences for future pregnancies. Pain is an important factor after surgery, and it requires a long recovery period and more days of hospital stay.[4,5]
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