Construção e validação de indicadores de avaliação do acesso vascular de usuários em hemodiálise / Design and validation of health indicators of hemodialysis vascular access

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

This study aimed at developing reliable assessment instruments to measure hemodialysis vascular access. The design of healthcare indicators involved an in-depth-analysis of vascular access practices in hemodialysis and their underlying theoretical rationale and was grounded on Donabedians framework. Four indicators were selected: performance of temporary double-lumen catheter (DCTDLH), maintenance of temporary double-lumen catheter (MCTDLH), monitoring of arteriovenous fistula (MFAV) and complications of arteriovenous fistulas (CFAV). The first three are process-oriented while the last one relate to outcomes. Data was collected in October and November 2008 using a tree-part questionnaire, thus divided: assessment of the indicators operations manual, assessment of health attributes of the indicators and assessment of each of the components. The validation of the indicators was carried out by a panel of nine internationally renowned experts in nephrology. All indicators were validated by the panel, with at least a 75% favorable consensus. The theoretical rationale item was the only item below the minimum consensus, but the panel indicated that only minor adjustments need to be made and a new evaluation would not be required

ASSUNTO(S)

avaliação de serviços de saúde enfermagem hemodiálise hemodialysis qualidade de assistência à saúde health services evaluation nursing quality of health care

ACESSO AO ARTIGO

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