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Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding
ABSTRACT Objectives: to construct and validate a classification of nipple and areola complex lesions resulting from breastfeeding, according to content and appearance. Methods: this is a methodological study, developed in four stages: operational definition, instrument construction, content and appe...
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Published in: | Revista Brasileira de Enfermagem 2022-01, Vol.75 (1), p.1-9 |
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description | ABSTRACT Objectives: to construct and validate a classification of nipple and areola complex lesions resulting from breastfeeding, according to content and appearance. Methods: this is a methodological study, developed in four stages: operational definition, instrument construction, content and appearance validation. The Delphi technique and a Likert-type scale were used to validate content and appearance, through the participation of ten and sixteen judges, respectively. For analysis, Content Validity Index and Kappa Coefficient were applied. Results: Content Validity Index obtained an overall value of 0.93 and, for appearance, 0.94. Kappa values ranged between 0.46 and 1. The high rates of agreement among judges demonstrated the quality of the proposed content validity. Conclusions: the Nipple and Areola Complex Lesions Classification Instrument developed obtained acceptable values of its indexes, proving to be valid in terms of content and appearance.
RESUMEN Objetivos: construir y validar una clasificación de las lesiones pezón-areolares resultantes de la lactancia materna según su contenido y apariencia. Métodos: estudio metodológico, desarrollado en cuatro etapas: definición operativa, construcción del instrumento, validación de contenido y apariencia. Para validar contenido y apariencia se utilizó la técnica Delphi y la escala tipo Likert, mediante la participación de diez y dieciséis jueces, respectivamente. Para el análisis se aplicó el Índice de Validez de Contenido y el Coeficiente Kappa. Resultados: el Índice de Validez de Contenido obtuvo un valor global de 0,93 y, por apariencia, 0,94. Los valores de Kappa oscilaron entre 0,46 y 1. Las altas tasas de acuerdo entre los jueces demostraron la calidad de la validez del contenido propuesto. Conclusiones: el Instrumento de Clasificación de Lesiones Pezón-Areolares desarrollado obtuvo valores aceptables para sus índices, demostrando ser válido en términos de contenido y apariencia.
RESUMO Objetivos: construir e validar uma classificação das lesões mamilo-areolares decorrentes da amamentação segundo conteúdo e aparência. Métodos: estudo metodológico, desenvolvido em quatro etapas: definição operacional, construção do instrumento, validação de conteúdo e de aparência. Utilizaram-se a técnica Delphi e a escala tipo Likert para a validação de conteúdo e de aparência, por meio da participação de dez e dezesseis juízes, respectivamente. Para análise, aplicou-se o Índice de Validade de Conteúdo e o Coefici |
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RESUMEN Objetivos: construir y validar una clasificación de las lesiones pezón-areolares resultantes de la lactancia materna según su contenido y apariencia. Métodos: estudio metodológico, desarrollado en cuatro etapas: definición operativa, construcción del instrumento, validación de contenido y apariencia. Para validar contenido y apariencia se utilizó la técnica Delphi y la escala tipo Likert, mediante la participación de diez y dieciséis jueces, respectivamente. Para el análisis se aplicó el Índice de Validez de Contenido y el Coeficiente Kappa. Resultados: el Índice de Validez de Contenido obtuvo un valor global de 0,93 y, por apariencia, 0,94. Los valores de Kappa oscilaron entre 0,46 y 1. Las altas tasas de acuerdo entre los jueces demostraron la calidad de la validez del contenido propuesto. Conclusiones: el Instrumento de Clasificación de Lesiones Pezón-Areolares desarrollado obtuvo valores aceptables para sus índices, demostrando ser válido en términos de contenido y apariencia.
RESUMO Objetivos: construir e validar uma classificação das lesões mamilo-areolares decorrentes da amamentação segundo conteúdo e aparência. Métodos: estudo metodológico, desenvolvido em quatro etapas: definição operacional, construção do instrumento, validação de conteúdo e de aparência. Utilizaram-se a técnica Delphi e a escala tipo Likert para a validação de conteúdo e de aparência, por meio da participação de dez e dezesseis juízes, respectivamente. Para análise, aplicou-se o Índice de Validade de Conteúdo e o Coeficiente Kappa. Resultados: o Índice de Validade de Conteúdo obteve valor global de 0,93 e, de aparência, 0,94. Os valores de Kappa variaram entre 0,46 e 1. As altas taxas de concordância entre os juízes demonstraram a qualidade da validade de conteúdo proposta. Conclusões: o Instrumento de Classificação das Lesões Mamilo-Areolares desenvolvido obteve valores aceitáveis de seus índices, mostrando-se válido quanto ao conteúdo e aparência.</description><identifier>ISSN: 0034-7167</identifier><identifier>ISSN: 1984-0446</identifier><identifier>EISSN: 1984-0446</identifier><identifier>DOI: 10.1590/0034-7167-2021-0051</identifier><language>eng</language><publisher>Brasília: Associação Brasileira de Enfermagem</publisher><subject>Breast Feeding ; Breastfeeding & lactation ; Classification ; Clinical medicine ; Construction ; Dermatology ; Erythema ; Injuries ; Nipples ; NURSING ; Obstetric Nursing ; Pain ; Skin integrity ; Trauma ; Validation studies ; Validation Study ; Validity ; Web portals ; Wounds and Injuries</subject><ispartof>Revista Brasileira de Enfermagem, 2022-01, Vol.75 (1), p.1-9</ispartof><rights>2022. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-f365677b65048b34a8cb4a48797254e663321f005851f55a9b84f2886ab0d46c3</citedby><cites>FETCH-LOGICAL-c460t-f365677b65048b34a8cb4a48797254e663321f005851f55a9b84f2886ab0d46c3</cites><orcidid>0000-0003-2373-7980 ; 0000-0001-8775-3002 ; 0000-0003-1470-4474 ; 0000-0002-3604-852X ; 0000-0001-6249-2467</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2596971808/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2596971808?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,24150,25753,27924,27925,37012,44590,75126</link.rule.ids></links><search><creatorcontrib>Cervellini, Marina Possato</creatorcontrib><creatorcontrib>Coca, Kelly Pereira</creatorcontrib><creatorcontrib>Gamba, Mônica Antar</creatorcontrib><creatorcontrib>Marcacine, Karla Oliveira</creatorcontrib><creatorcontrib>Abrão, Ana Cristina Freitas de Vilhena</creatorcontrib><title>Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding</title><title>Revista Brasileira de Enfermagem</title><addtitle>Rev. Bras. Enferm</addtitle><description>ABSTRACT Objectives: to construct and validate a classification of nipple and areola complex lesions resulting from breastfeeding, according to content and appearance. Methods: this is a methodological study, developed in four stages: operational definition, instrument construction, content and appearance validation. The Delphi technique and a Likert-type scale were used to validate content and appearance, through the participation of ten and sixteen judges, respectively. For analysis, Content Validity Index and Kappa Coefficient were applied. Results: Content Validity Index obtained an overall value of 0.93 and, for appearance, 0.94. Kappa values ranged between 0.46 and 1. The high rates of agreement among judges demonstrated the quality of the proposed content validity. Conclusions: the Nipple and Areola Complex Lesions Classification Instrument developed obtained acceptable values of its indexes, proving to be valid in terms of content and appearance.
RESUMEN Objetivos: construir y validar una clasificación de las lesiones pezón-areolares resultantes de la lactancia materna según su contenido y apariencia. Métodos: estudio metodológico, desarrollado en cuatro etapas: definición operativa, construcción del instrumento, validación de contenido y apariencia. Para validar contenido y apariencia se utilizó la técnica Delphi y la escala tipo Likert, mediante la participación de diez y dieciséis jueces, respectivamente. Para el análisis se aplicó el Índice de Validez de Contenido y el Coeficiente Kappa. Resultados: el Índice de Validez de Contenido obtuvo un valor global de 0,93 y, por apariencia, 0,94. Los valores de Kappa oscilaron entre 0,46 y 1. Las altas tasas de acuerdo entre los jueces demostraron la calidad de la validez del contenido propuesto. Conclusiones: el Instrumento de Clasificación de Lesiones Pezón-Areolares desarrollado obtuvo valores aceptables para sus índices, demostrando ser válido en términos de contenido y apariencia.
RESUMO Objetivos: construir e validar uma classificação das lesões mamilo-areolares decorrentes da amamentação segundo conteúdo e aparência. Métodos: estudo metodológico, desenvolvido em quatro etapas: definição operacional, construção do instrumento, validação de conteúdo e de aparência. Utilizaram-se a técnica Delphi e a escala tipo Likert para a validação de conteúdo e de aparência, por meio da participação de dez e dezesseis juízes, respectivamente. Para análise, aplicou-se o Índice de Validade de Conteúdo e o Coeficiente Kappa. Resultados: o Índice de Validade de Conteúdo obteve valor global de 0,93 e, de aparência, 0,94. Os valores de Kappa variaram entre 0,46 e 1. As altas taxas de concordância entre os juízes demonstraram a qualidade da validade de conteúdo proposta. Conclusões: o Instrumento de Classificação das Lesões Mamilo-Areolares desenvolvido obteve valores aceitáveis de seus índices, mostrando-se válido quanto ao conteúdo e aparência.</description><subject>Breast Feeding</subject><subject>Breastfeeding & lactation</subject><subject>Classification</subject><subject>Clinical medicine</subject><subject>Construction</subject><subject>Dermatology</subject><subject>Erythema</subject><subject>Injuries</subject><subject>Nipples</subject><subject>NURSING</subject><subject>Obstetric Nursing</subject><subject>Pain</subject><subject>Skin integrity</subject><subject>Trauma</subject><subject>Validation studies</subject><subject>Validation Study</subject><subject>Validity</subject><subject>Web portals</subject><subject>Wounds and Injuries</subject><issn>0034-7167</issn><issn>1984-0446</issn><issn>1984-0446</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkk1rFDEYx4ModK39BL0EvHiZmmTyepRFa6HgQT2HTCYpWTKTNZkRi1--z-zKHoRAyJ_f88_zhtAtJXdUGPKRkJ53ikrVMcJoR4igr9COGs07wrl8jXYX4gq9be0AhJFM7NDffZnbUle_pDJjN4_4t8tpdKdniaDgdAKmMC84lop9dq2l-JzmJzyn4zGHU5iroWSHfZlA-YNzaODQcA1tzcvGxlomPNTg2hJDGEF6h95El1u4-Xdfo59fPv_Yf-0ev90_7D89dp5LsnSxl0IqNUhBuB567rQfuONaGcUED1L2PaMRKtKCRiGcGTSPTGvpBjJy6ftr9HD2HYs72GNNk6vPtrhkT0KpT9bVJfkcrKKacQPWvSdcmNEY-GkAH6XD4IkEr7uzV_Mp5GIPZa0zJG-_bx22W4dhBIwQQuEoAQEfzgHHWn6toS12Ss2HnN0cytosExpAASSg7_9DL-4MxmUgOaKB6s-Ur6W1GuKlIkrstg32kondtsFu29C_AOjqpJU</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Cervellini, Marina Possato</creator><creator>Coca, Kelly Pereira</creator><creator>Gamba, Mônica Antar</creator><creator>Marcacine, Karla Oliveira</creator><creator>Abrão, Ana Cristina Freitas de Vilhena</creator><general>Associação Brasileira de Enfermagem</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CLZPN</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>GPN</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-2373-7980</orcidid><orcidid>https://orcid.org/0000-0001-8775-3002</orcidid><orcidid>https://orcid.org/0000-0003-1470-4474</orcidid><orcidid>https://orcid.org/0000-0002-3604-852X</orcidid><orcidid>https://orcid.org/0000-0001-6249-2467</orcidid></search><sort><creationdate>20220101</creationdate><title>Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding</title><author>Cervellini, Marina Possato ; Coca, Kelly Pereira ; Gamba, Mônica Antar ; Marcacine, Karla Oliveira ; Abrão, Ana Cristina Freitas de Vilhena</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-f365677b65048b34a8cb4a48797254e663321f005851f55a9b84f2886ab0d46c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Breast Feeding</topic><topic>Breastfeeding & lactation</topic><topic>Classification</topic><topic>Clinical medicine</topic><topic>Construction</topic><topic>Dermatology</topic><topic>Erythema</topic><topic>Injuries</topic><topic>Nipples</topic><topic>NURSING</topic><topic>Obstetric Nursing</topic><topic>Pain</topic><topic>Skin integrity</topic><topic>Trauma</topic><topic>Validation studies</topic><topic>Validation Study</topic><topic>Validity</topic><topic>Web portals</topic><topic>Wounds and Injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cervellini, Marina Possato</creatorcontrib><creatorcontrib>Coca, Kelly Pereira</creatorcontrib><creatorcontrib>Gamba, Mônica Antar</creatorcontrib><creatorcontrib>Marcacine, Karla Oliveira</creatorcontrib><creatorcontrib>Abrão, Ana Cristina Freitas de Vilhena</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Latin America & Iberia Database</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista Brasileira de Enfermagem</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cervellini, Marina Possato</au><au>Coca, Kelly Pereira</au><au>Gamba, Mônica Antar</au><au>Marcacine, Karla Oliveira</au><au>Abrão, Ana Cristina Freitas de Vilhena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding</atitle><jtitle>Revista Brasileira de Enfermagem</jtitle><addtitle>Rev. Bras. Enferm</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>75</volume><issue>1</issue><spage>1</spage><epage>9</epage><pages>1-9</pages><issn>0034-7167</issn><issn>1984-0446</issn><eissn>1984-0446</eissn><abstract>ABSTRACT Objectives: to construct and validate a classification of nipple and areola complex lesions resulting from breastfeeding, according to content and appearance. Methods: this is a methodological study, developed in four stages: operational definition, instrument construction, content and appearance validation. The Delphi technique and a Likert-type scale were used to validate content and appearance, through the participation of ten and sixteen judges, respectively. For analysis, Content Validity Index and Kappa Coefficient were applied. Results: Content Validity Index obtained an overall value of 0.93 and, for appearance, 0.94. Kappa values ranged between 0.46 and 1. The high rates of agreement among judges demonstrated the quality of the proposed content validity. Conclusions: the Nipple and Areola Complex Lesions Classification Instrument developed obtained acceptable values of its indexes, proving to be valid in terms of content and appearance.
RESUMEN Objetivos: construir y validar una clasificación de las lesiones pezón-areolares resultantes de la lactancia materna según su contenido y apariencia. Métodos: estudio metodológico, desarrollado en cuatro etapas: definición operativa, construcción del instrumento, validación de contenido y apariencia. Para validar contenido y apariencia se utilizó la técnica Delphi y la escala tipo Likert, mediante la participación de diez y dieciséis jueces, respectivamente. Para el análisis se aplicó el Índice de Validez de Contenido y el Coeficiente Kappa. Resultados: el Índice de Validez de Contenido obtuvo un valor global de 0,93 y, por apariencia, 0,94. Los valores de Kappa oscilaron entre 0,46 y 1. Las altas tasas de acuerdo entre los jueces demostraron la calidad de la validez del contenido propuesto. Conclusiones: el Instrumento de Clasificación de Lesiones Pezón-Areolares desarrollado obtuvo valores aceptables para sus índices, demostrando ser válido en términos de contenido y apariencia.
RESUMO Objetivos: construir e validar uma classificação das lesões mamilo-areolares decorrentes da amamentação segundo conteúdo e aparência. Métodos: estudo metodológico, desenvolvido em quatro etapas: definição operacional, construção do instrumento, validação de conteúdo e de aparência. Utilizaram-se a técnica Delphi e a escala tipo Likert para a validação de conteúdo e de aparência, por meio da participação de dez e dezesseis juízes, respectivamente. Para análise, aplicou-se o Índice de Validade de Conteúdo e o Coeficiente Kappa. Resultados: o Índice de Validade de Conteúdo obteve valor global de 0,93 e, de aparência, 0,94. Os valores de Kappa variaram entre 0,46 e 1. As altas taxas de concordância entre os juízes demonstraram a qualidade da validade de conteúdo proposta. Conclusões: o Instrumento de Classificação das Lesões Mamilo-Areolares desenvolvido obteve valores aceitáveis de seus índices, mostrando-se válido quanto ao conteúdo e aparência.</abstract><cop>Brasília</cop><pub>Associação Brasileira de Enfermagem</pub><doi>10.1590/0034-7167-2021-0051</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-2373-7980</orcidid><orcidid>https://orcid.org/0000-0001-8775-3002</orcidid><orcidid>https://orcid.org/0000-0003-1470-4474</orcidid><orcidid>https://orcid.org/0000-0002-3604-852X</orcidid><orcidid>https://orcid.org/0000-0001-6249-2467</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Breast Feeding Breastfeeding & lactation Classification Clinical medicine Construction Dermatology Erythema Injuries Nipples NURSING Obstetric Nursing Pain Skin integrity Trauma Validation studies Validation Study Validity Web portals Wounds and Injuries |
title | Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding |
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