RESUMO
O presente estudo objetiva construir e validar o conteúdo do instrumento de sistematização da continuidade do cuidado, mediante plano multiprofissional de alta. Foram realizadas as seguintes etapas: levantamento bibliográfico nas bases de dados Pubmed e BVS; construção do instrumento; validação do conteúdo por 20 especialistas, segundo técnica Delphi, e análise e consolidação dos itens do instrumento, sendo calculado o índice de concordância para os itens linguagem, pertinência, relevância, organização, clareza e aplicabilidade. A concordância entre os avaliadores variou de 85,0 a 100,0%, com uma concordância global de 94,2% para o modelo inicial. Foram incluídas dez (23,2%) variáveis e 31 itens (72,0%) sofreram modificações. Após a validação do plano, o instrumento permaneceu com 11 domínios e 55 itens. Este estudo favoreceu o planejamento para uma alta eficaz, por meio do uso de instrumento validado, para a obtenção de uma assistência multiprofissional de qualidade.
Construct and validate the contents of a tool for the systematization of care continuity by means of a multi-professional discharge plan. The following stages were taken: bibliographic survey of PubMed and BVS databases; construction of the tool; validation of contents by 20 specialized professionals, following Delphi´s technique, analysis and consolidation of the tool´s items by calculating the agreement index for language, pertinence, relevance, organization, clarity and applicability. Agreement among evaluators varied between 85.0 and 100.0%, with an overall 94.2% for the first model. Ten variables (23.2%) were included and 31 items (72.0%) were modified. After the plan´s validation, the tool remained with 11 domains and 55 items. Current study enhanced planning with great efficiency to obtain quality multi-professional assistance.
Assuntos
Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Infecções por Mycobacterium não Tuberculosas/microbiologia , Micobactérias não Tuberculosas/isolamento & purificação , Incidência , Infecções por Mycobacterium não Tuberculosas/epidemiologia , Micobactérias não Tuberculosas/classificação , Portugal/epidemiologiaRESUMO
Objective: To examine whether company compliance with RS-17 influences the characterization of the casual nexus in physical therapists' expert reports of cumulative trauma disorders in the labor court of Pernambuco, Brazil. Method: The sample was composed of seven physical therapists who provided expert testimony regarding cumulative trauma disorder cases in the labor court of Pernambuco, Brazil. Data collection was performed across two stages. In the first stage, the experts answered a sociodemographic survey and requested the identification numbers of recent cases where expert testimony was provided to characterize the causal nexus. In the second stage, the researchers went to the labor court to collect expert testimony data. These experts indicated that of 75 total cases, 31% (N=23) of the companies fulfilled RS-17, whereas 69% (N=52) did not comply with the law. Results: Among the organizations that complied with legislation, 30% of the analyzed expert testimonies showed a positive causal nexus. However, of the companies that did not comply with RS-17, 71% of the expert testimonies revealed a causal nexus. These results indicate that the breach of the law increases the probability that a causal nexus will be determined by 54.8%. Conclusion: The results showed that failure to comply with RS-17 significantly increases the probability that a causal nexus will be determined in physical therapists' expert testimony of cumulative trauma disorders. .