| Grant number: | 19/05294-9 |
| Support Opportunities: | Regular Research Grants |
| Start date: | August 01, 2019 |
| End date: | July 31, 2022 |
| Field of knowledge: | Health Sciences - Nursing - Medical-Surgical Nursing |
| Principal Investigator: | Marla Andréia Garcia de Avila |
| Grantee: | Marla Andréia Garcia de Avila |
| Host Institution: | Faculdade de Medicina (FMB). Universidade Estadual Paulista (UNESP). Campus de Botucatu. Botucatu , SP, Brazil |
| Associated researchers: | Patrícia Aparecida Francelino Crepalde ; Tatiane Roberta Fernandes Teixeira |
| Associated research grant(s): | 22/08682-2 - 9th Congress of the European Academy of Paediatric Societies, EAPS 2022 in Barcelona: "Shaping the Future of Child Health"., AR.EXT |
| Associated scholarship(s): | 20/05765-9 - Playful educational booklet to assist the preoperative visit of the nurse, BP.TT |
Abstract
Introduction: The preoperative evaluation has the following purposes: continuity of care between the hospitalization unit and the surgical center; promotion and recovery of health; the adaptation of the surgical room to the patient's need; explanations and guidelines regarding surgery; interaction and communication between the patient and nurse and minimize the anxiety of the patient and his family. Considering that children are not accompanied by their parents during surgery, the preoperative visit also aims to prepare and encourage the child and his / her family members for surgery. In planning the preoperative assessment of pediatric patients, it is necessary to use a suitable language, and playful is a possibility. Aim: To elaborate and validate a playful educational booklet with a view to developing a resource to assist the preoperative visit of the nurse. To verify if the preoperative visit of the nurse using a playful educational booklet minimizes the anxiety of the children and their parents at the moment of entry into the surgical center. Transpose the content of the educational material into an animation in three-dimensional (3D) Method: The study will be developed in 3 stages. A methodological study for the construction and validation of educational material with the participation of nurses with experience in teaching, research or assistance in pediatric surgery (surgical center or pediatrics) for at least two years and parents and surgical children from 7 to 12 years. It will be carried out to validate the content by the judges (specialists) and the appearance, also called semantics, by the parents. The Content Validity Index (CVI) will be used to measure the proportion or percentage of judges who are in agreement. This method employs a Likert scale with a score of one to four. A cut-off score will be used, the IVC equal to 0.78. A non-probabilistic sample will be used, with approximately 15 judges and 15 relatives. A randomized clinical trial will be conducted to check the anxiety of parents and anxiety of children. Participants will be children aged 7 to 12, physical status ASA I and II, according to the classification of the American Society of Anesthesiologists (ASA), to undergo elective surgical procedures with surgery expected up to 02 hours. The inclusion criteria of the parents are: child must meet the inclusion criteria, be 18 years or older, be literate and communicate verbally. We will first apply a questionnaire composed by the sociodemographic characterization of children and parents, knowledge about surgery, Halmilton's Anxiety Scale - HAM-A for parents and the Modified Yale Pre-operative Anxiety Scale for children. Subsequently, the preoperative nursing visit will be carried out using the educational material constructed and validated. The HAM-A instrument and the Modified Yale Preoperative Anxiety Scale will be applied the day before surgery and at the surgical center (before surgery). The sample calculation was determined in 30 children and their respective parents. The third step will be the realization of a 3D animation. Expected Results: It is expected to develop and validate printed and digital educational material of free access. Also, that educational material can be incorporated into nursing care for pediatric patients and subsidize new studies. (AU)
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