Protocol validation for people with venous ulcers: a quantitative study

Abstract

Aims:  to  confirm  and  refine  the  multidisciplinary  care  protocolstructure   for   people   with   venous   ulcers   treated   in   primary   care.   Method:   a methodological,  quantitative  study,  carried  out  in  three  steps:  development  of  the instrument from the literature review; and validation of the content, through the Delphi technique  in  two  stages:  one  with  51  judges  and  one  with  35.  The  analysis  used  the K appa index ≥0,81 and C ontent V alidity I ndex (C V I )> 0.80, and the W ilcoxon  test  for comparison  between  the  two  validation  steps.  Results:  it  was  found  that,  from  the  15 categories of the protocol, 12 had better scores in phase Delphi 2. For the assessment requirements of the protocol, it was found that the points awarded by the judges in the second  phase  were  higher  in  nine  of  the  10  items,  confirming  the  validity  of  the instrument. Conclusion: the elaborate and validated version by a professional consists of an approach script for patients with venous ulcer in primary care
https://doi.org/10.17665/1676-4285.20165251
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References

Abbade LPF, Lastória S. Venous ulcer: epidemiology, physiopathology, diagnosis and treatment [internet]. Int j dermatol. 2005 [cited 2015 Jan 09]; 44:449-56. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-4632.2004.02456.x/epdf

Raffetto JD, Marston WA. Venous ulcer: what is new?. Plast Reconstr Surg [internet]. 2011 [cited 2015 Jan 09];127(1):S279-S88. Available from: http://journals.lww.com/plasreconsurg/pages/articleviewer.aspx?year=2011&issue=01001&article=00040&type=abstract

Finlayson K, Helen Edwards H, Courtney M. Relationships between preventive activities, psychosocial factors and recurrence of venous leg ulcers: a prospective study. J Adv Nurs [internet]. 2011 [cited 2015 Feb 12];67(10):2180-90. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2011.05653.x/pdf

Purwins S, HerbergerK, Debus ES, Rustenbach SJ, Pelzer P, Rabe E, Scha¨fer E, Stadler R, Augustin M. Cost-of-illness of chronic leg ulcers in Germany. Int Wound J [internet]. 2010 [cited 2015 Jan 09];7:97–102. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1742-481X.2010.00660.x/epdf

Jull A, Parag V, Walker N, Rodgers A. Responsiveness of generic and disease-specific health-related quality of life instruments to venous ulcer healing. Wound Repair Regen [internet]. 2010 [cited 2015 Jan 09];18(1):26-30. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1524-475X.2009.00556.x/epdf

Warriner RA, Carter MJ. The current state of evidence-based protocols in wound care. Plast Reconstr Surg [internet]. 2011 [cited 2015 Feb 12];127(1):S144-S53. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21200285

O'Donnell Jr TF, Balk EM. The need for an Intersociety Consensus Guideline for venous ulcer. J vasc surg [internet]. 2011 [cited 2015 Feb 12];54(6):S83-S90. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2011.05653.x/epdf

Müller-Bühl U, Leutgeb R, Bungartz J, Szecsenyi J, Laux G. Expenditure of chronic venous leg ulcer management in German primary care: results from a population-based study. Int Wound J [internet]. 2013 [cited 2015 Feb 20];10(1):52-6. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1742-481X.2012.00942.x/epdf

Keeney S, Hasson F, McKenna H. Consulting the oracle: ten lessons from the Delphi Technique in nursing research. J Adv Nurs [internet]. 2006 [cited 2015 Feb 20]; 2(53):205-12. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2006.03716.x/epdf

Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health [internet]. 2006 [cited 2015 Jan 09];29(5):489-97. Available from: http://cfd.ntunhs.edu.tw/ezfiles/6/1006/attach/33/pta_6871_6791004_64131.pdf

Costa IKF, Salvetti MG, Souza AJG, Dias TYAF, Dantas VD, Torres GV. Assistance protocol to people with venous ulcers: a methodological study. Online braz j nurs [internet]. 2015 [cited 2015 Jun 01];14(1):05-15. Available from: http://www.objnursing.uff.br/index.php/nursing/article/viewFile/4692/pdf_358

Grant JS, Davis LL. Selection and use of content experts for instrument development. Res Nurs Health [internet]. 1997 [cited 2015 Feb 20]; 20(3):269-74. Available from: http://onlinelibrary.wiley.com/doi/10.1002/(SICI)1098-240X(199706)20:3%3C269::AID-NUR9%3E3.0.CO;2-G/pdf

Weller CD, Evans S. Monitoring patterns and quality of care for people diagnosed with venous leg ulcers: the argument for a national venous leg ulcer registry. Wound Practice and Research [internet]. 2014 [cited 2015 Feb 09];22(2):68-73. Available from: http://web.a.ebscohost.com.ez18.periodicos.capes.gov.br/ehost/pdfviewer/pdfviewer?vid=2&sid=4151089a-3f4b-4a9b-98cd-25eb07a5b428%40sessionmgr4004&hid=4109

Greer N, Foman NA, MacDonald R, Dorrian J, Fitzgerald P, Rutks I, Wilt TJ. Advanced wound care therapies for nonhealing diabetic, venous, and arterial ulcers: a systematic review. Ann Intern Med [internet]. 2013 [cited 2015 Jan 09];159(8):532-42. Available from: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0054957/pdf/TOC.pdf

Yarwood-Ross L. Venous ulcers: assessment and wound dressing selection. Nurs Residential Care [internet]. 2013 [cited 2015 Feb 20];15(9):596-601. Available from: http://www.magonlinelibrary.com/doi/full/10.12968/nrec.2013.15.9.596

Harding K, Sumner M, Cardinal M. A prospective, multicentre, randomised controlled study of human fibroblast-derived dermal substitute (Dermagraft) in patients with venous leg ulcers. Int wound j [internet]. 2013 [cited 2015 Feb 20]; 10:132-7. Available from: http://onlinelibrary.wiley.com/doi/10.1111/iwj.12053/epdf

Tobón J. Complementary and alternative medicine for older adults with venous leg ulcer pain. J gerontol nurs [internet]. 2010 [cited 2015 Jan 09];36(11):46-53. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21544964

Maddox D. Effects of venous leg ulceration on patients’ quality of life. Nurs stand [internet]. 2012 [cited 2015 Jan 09];26(38):42-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22787970

Dolibog P, Franek A, Taradaj J, Dolibog P, Blaszczak E, Polak A, et al. A Comparative Clinical Study on Five Types of Compression Therapy in Patients with Venous Leg Ulcers. Int J Med Sci [internet]. 2014 [cited 2015 Feb 12]; 11(1). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3880989/

Palfreyman SJ, Tod AM, Brazier JE, Michaels JA. A systematic review of health-related quality of life instruments used for people with venous ulcers: an assessment of their suitability and psychometric properties. Journal of Clinical Nursing [internet]. 2010 [cited 2015 Feb 20]; 19(19-20): 2673–703. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2010.03269.x/pdf