Clinical indicators to monitor patients with risk for ineffective cerebral tissue perfusion/Indicadores clinicos para el monitoreo de pacientes con riesgo de perfusion tisular cerebral ineficaz/Indicadores clinicos para monitorar pacientes em Risco de Perfusao Tissular Cerebral Ineficaz

Objective. Select and validate the clinical indicators to monitor patients on risk for ineffective cerebral tissue perfusion, according to the Nursing Outcomes Classification (NOC). Methodology. Validation study carried out between November 2012 and August 2013, in a Brazilian hospital. Seventeen ju...

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Published in:Investigación y educación en enfermería 2015-01, Vol.33 (1), p.155
Main Authors: Almeida, Miriam de Abreu, da Silva, Marcos Barragan, Panato, Bruna Paulsen, Siqueira, Ana Paula de Oliveira, da Silva, Mariana Palma, Engelman, Bruna, Severo, Isis Marques, Nomura, Aline Tsuma Gaedke
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creator Almeida, Miriam de Abreu
da Silva, Marcos Barragan
Panato, Bruna Paulsen
Siqueira, Ana Paula de Oliveira
da Silva, Mariana Palma
Engelman, Bruna
Severo, Isis Marques
Nomura, Aline Tsuma Gaedke
description Objective. Select and validate the clinical indicators to monitor patients on risk for ineffective cerebral tissue perfusion, according to the Nursing Outcomes Classification (NOC). Methodology. Validation study carried out between November 2012 and August 2013, in a Brazilian hospital. Seventeen judges nurses evaluated the clinical indicators of Nursing Outcomes, according to NOC for patients on risk for ineffective cerebral tissue perfusion. In the first stage, were selected the nursing results for the assessment of the studied diagnosis and, in the second nurses assessment the importance of the indicators of the validated results in the previous step through a five points Likert scale (1 = not important to 5 = extremely important). Were used the content validity index (CVI) that corresponds to the calculation of weighted averages of them marks awarded for each indicator, as it considered the following weights: 1=0.00, 2=0.25, 3=0.50; 4=0.75; 5 = 1.00. For categorization, the CVI considered as critical = [greater than or equal to] 0.80; supplementary = [greater than or equal to] 0.50 to 0.79 and were disposed results
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Select and validate the clinical indicators to monitor patients on risk for ineffective cerebral tissue perfusion, according to the Nursing Outcomes Classification (NOC). Methodology. Validation study carried out between November 2012 and August 2013, in a Brazilian hospital. Seventeen judges nurses evaluated the clinical indicators of Nursing Outcomes, according to NOC for patients on risk for ineffective cerebral tissue perfusion. In the first stage, were selected the nursing results for the assessment of the studied diagnosis and, in the second nurses assessment the importance of the indicators of the validated results in the previous step through a five points Likert scale (1 = not important to 5 = extremely important). Were used the content validity index (CVI) that corresponds to the calculation of weighted averages of them marks awarded for each indicator, as it considered the following weights: 1=0.00, 2=0.25, 3=0.50; 4=0.75; 5 = 1.00. For categorization, the CVI considered as critical = [greater than or equal to] 0.80; supplementary = [greater than or equal to] 0.50 to 0.79 and were disposed results &lt;0.50. Results. Of the 9 nursing results, only the cerebral tissue perfusion obtained a 100% consensus. The CVI of the 18 indicators of this result showed that five were validated as critical (impaired neurological reflexes, systolic blood pressure, diastolic blood pressure, reduced level of consciousness and mean arterial pressure), 12 were validated as supplementary (Agitation, Impaired cognition, Intracranial pressure, Syncope, Vomiting, Findings of cerebral angiography, Headache, Restlessness, Fever, Unexplained anxiety, listlessness and Hiccughs) and one was disposed (carotid bruit). Conclusions. The validation of information about the conditions of risk may allow early intervention to minimize the consequences of ineffective cerebral tissue perfusion. Key words: outcome assessment (health care); / classification; validation study; critical care; neurology. Objetivo. Seleccionar y validar los indicadores clinicos para monitorear los pacientes con riesgo de perfusion tisular cerebral ineficaz segun la Clasificacion de los Resultados de Enfermeria (Nursing Outcomes Classification-NOC). Metodologia. Estudio de validacion realizado entre noviembre de 2012 y agosto de 2013 en un hospital brasilero. 17 enfermeros expertos evaluaron los indicadores clinicos de los NOC con riesgo de perfusion tisular cerebral ineficaz. En la primera etapa senalaron si lo recomendaban o no para la evaluacion del diagnostico estudiado y en la segunda etapa los enfermeros evaluaron la importancia de los indicadores de los resultados validados en la etapa anterior por medio de una escala Likert de cinco puntos (1 = no importante a 5 = extremadamente importante). Se utilizo el Indice de validacion de contenido (IVC) que corresponde al calculo de las medias ponderadas de las notas atribuidas para cada indicador con los pesos: 1 = 0.00; 2 = 0.25; 3 = 0.50; 4 = 0.75; 5 = 1.00. La categorizacion del IVC fue: critica = [greater than or equal to] 0.80; secundarios [greater than or equal to] 0.50 a 0.79 y los &lt;0.50 fueron descartados. Resultados. De los 9 resultados de enfermeria solo el de Perfusion tisular: cerebral tuvo un consenso del 100%. El IVC de los 18 indicadores de este resultado mostro que 5 fueron criticos (reflejos neurologicos deteriorada, presion arterial sistolica, presion arterial diastolica, nivel reducido de consciencia y presion arterial media), 12 fueron secundarios (agitacion, cognicion deteriorada, presion intracraneal, sincope, vomito, resultados de la angiografia cerebral, dolor de cabeza, falta de atencion, hipo, agitacion, fiebre, y ansiedad sin explicacion) y 1 fue descartado (soplo en la carotida). Conclusion. La informacion de la validacion de las condiciones de riesgo es importante para la deteccion precoz con el fin para reducir las consecuencias de la perfusion tisular cerebral ineficaz. Palabras clave: evaluacion de resultado (atencion de salud); / clasificacion; estudios de validacion; cuidados criticos; neurologia. Objetivo. Selecionar e validar os indicadores clinicos, para monitorar pacientes em Risco de perfusao tissular cerebral ineficaz, segundo a Classificacao dos Resultados de Enfermagem (NOC),. Metodologia. Estudo de validacao realizado entre novembro de 2012 e agosto de 2013, em um hospital brasileiro. Dezessete enfermeiros juizes avaliaram os indicadores clinicos de Resultados de Enfermagem, segundo a NOC, para pacientes em Risco de perfusao tissular cerebral ineficaz. Na primeira etapa foram selecionados os Resultados de Enfermagem para a avaliacao do diagnostico estudado, e na segunda os enfermeiros avaliaram a importancia dos indicadores dos Resultados validados na etapa anterior por meio de uma escala Likert de cinco puntos (1 = nao importante a 5 = extremamente importante). Foi utilizado o Indice de validacao de conteudo (IVC) que corresponde ao calculo das medias ponderadas de las notas atribuidas para cada indicador, em que se consideraram os seguintes pesos: 1 = 0; 2 = 0.25; 3 = 0.50; 4 = 0.75; 5 = 1. Para a categorizacao, o IVC considerou como criticos = [greater than or equal to] 0.80; suplementares [greater than or equal to] 0.50 a 0.79 e os &lt;0.50 foram descartados. Resultados. Dos 9 resultados de enfermagem, somente o Perfusao tissular: cerebral obteve um consenso de 100%. O IVC dos 18 indicadores deste resultado mostrou que cinco foram validados como criticos (Reflexos neurologicos prejudicados, Pressao arterial sistolica, Pressao arterial diastolica, Nivel reduzido de consciencia e Pressao arterial media), 12 foram validados como suplementares (Agitacao, Cognicao prejudicada, Pressao intracraniana, Sincope, Vomito, Achados da angiografia cerebral, dor de cabeca, Inquietacao, Febre, Ansiedade sem explicacao, Desatencao e Solucos) e um foi descartado (Sopro na carotida). Conclusoes. A validacao das informacoes acerca das condicoes de risco pode possibilitar a intervencao precoce para minimizar as consequencias da perfusao tissular cerebral ineficaz. Palavras chave: avaliacao de resultados (cuidados de saude); / classificacao; estudos de validacao; cuidados criticos; neurologia.</description><identifier>ISSN: 0120-5307</identifier><language>spa</language><publisher>Universidad de Antioquia, Facultad de Enfermeria</publisher><ispartof>Investigación y educación en enfermería, 2015-01, Vol.33 (1), p.155</ispartof><rights>COPYRIGHT 2015 Universidad de Antioquia, Facultad de Enfermeria</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>Almeida, Miriam de Abreu</creatorcontrib><creatorcontrib>da Silva, Marcos Barragan</creatorcontrib><creatorcontrib>Panato, Bruna Paulsen</creatorcontrib><creatorcontrib>Siqueira, Ana Paula de Oliveira</creatorcontrib><creatorcontrib>da Silva, Mariana Palma</creatorcontrib><creatorcontrib>Engelman, Bruna</creatorcontrib><creatorcontrib>Severo, Isis Marques</creatorcontrib><creatorcontrib>Nomura, Aline Tsuma Gaedke</creatorcontrib><title>Clinical indicators to monitor patients with risk for ineffective cerebral tissue perfusion/Indicadores clinicos para el monitoreo de pacientes con riesgo de perfusion tisular cerebral ineficaz/Indicadores clinicos para monitorar pacientes em Risco de Perfusao Tissular Cerebral Ineficaz</title><title>Investigación y educación en enfermería</title><description>Objective. Select and validate the clinical indicators to monitor patients on risk for ineffective cerebral tissue perfusion, according to the Nursing Outcomes Classification (NOC). Methodology. Validation study carried out between November 2012 and August 2013, in a Brazilian hospital. Seventeen judges nurses evaluated the clinical indicators of Nursing Outcomes, according to NOC for patients on risk for ineffective cerebral tissue perfusion. In the first stage, were selected the nursing results for the assessment of the studied diagnosis and, in the second nurses assessment the importance of the indicators of the validated results in the previous step through a five points Likert scale (1 = not important to 5 = extremely important). Were used the content validity index (CVI) that corresponds to the calculation of weighted averages of them marks awarded for each indicator, as it considered the following weights: 1=0.00, 2=0.25, 3=0.50; 4=0.75; 5 = 1.00. For categorization, the CVI considered as critical = [greater than or equal to] 0.80; supplementary = [greater than or equal to] 0.50 to 0.79 and were disposed results &lt;0.50. Results. Of the 9 nursing results, only the cerebral tissue perfusion obtained a 100% consensus. The CVI of the 18 indicators of this result showed that five were validated as critical (impaired neurological reflexes, systolic blood pressure, diastolic blood pressure, reduced level of consciousness and mean arterial pressure), 12 were validated as supplementary (Agitation, Impaired cognition, Intracranial pressure, Syncope, Vomiting, Findings of cerebral angiography, Headache, Restlessness, Fever, Unexplained anxiety, listlessness and Hiccughs) and one was disposed (carotid bruit). Conclusions. The validation of information about the conditions of risk may allow early intervention to minimize the consequences of ineffective cerebral tissue perfusion. Key words: outcome assessment (health care); / classification; validation study; critical care; neurology. Objetivo. Seleccionar y validar los indicadores clinicos para monitorear los pacientes con riesgo de perfusion tisular cerebral ineficaz segun la Clasificacion de los Resultados de Enfermeria (Nursing Outcomes Classification-NOC). Metodologia. Estudio de validacion realizado entre noviembre de 2012 y agosto de 2013 en un hospital brasilero. 17 enfermeros expertos evaluaron los indicadores clinicos de los NOC con riesgo de perfusion tisular cerebral ineficaz. En la primera etapa senalaron si lo recomendaban o no para la evaluacion del diagnostico estudiado y en la segunda etapa los enfermeros evaluaron la importancia de los indicadores de los resultados validados en la etapa anterior por medio de una escala Likert de cinco puntos (1 = no importante a 5 = extremadamente importante). Se utilizo el Indice de validacion de contenido (IVC) que corresponde al calculo de las medias ponderadas de las notas atribuidas para cada indicador con los pesos: 1 = 0.00; 2 = 0.25; 3 = 0.50; 4 = 0.75; 5 = 1.00. La categorizacion del IVC fue: critica = [greater than or equal to] 0.80; secundarios [greater than or equal to] 0.50 a 0.79 y los &lt;0.50 fueron descartados. Resultados. De los 9 resultados de enfermeria solo el de Perfusion tisular: cerebral tuvo un consenso del 100%. El IVC de los 18 indicadores de este resultado mostro que 5 fueron criticos (reflejos neurologicos deteriorada, presion arterial sistolica, presion arterial diastolica, nivel reducido de consciencia y presion arterial media), 12 fueron secundarios (agitacion, cognicion deteriorada, presion intracraneal, sincope, vomito, resultados de la angiografia cerebral, dolor de cabeza, falta de atencion, hipo, agitacion, fiebre, y ansiedad sin explicacion) y 1 fue descartado (soplo en la carotida). Conclusion. La informacion de la validacion de las condiciones de riesgo es importante para la deteccion precoz con el fin para reducir las consecuencias de la perfusion tisular cerebral ineficaz. Palabras clave: evaluacion de resultado (atencion de salud); / clasificacion; estudios de validacion; cuidados criticos; neurologia. Objetivo. Selecionar e validar os indicadores clinicos, para monitorar pacientes em Risco de perfusao tissular cerebral ineficaz, segundo a Classificacao dos Resultados de Enfermagem (NOC),. Metodologia. Estudo de validacao realizado entre novembro de 2012 e agosto de 2013, em um hospital brasileiro. Dezessete enfermeiros juizes avaliaram os indicadores clinicos de Resultados de Enfermagem, segundo a NOC, para pacientes em Risco de perfusao tissular cerebral ineficaz. Na primeira etapa foram selecionados os Resultados de Enfermagem para a avaliacao do diagnostico estudado, e na segunda os enfermeiros avaliaram a importancia dos indicadores dos Resultados validados na etapa anterior por meio de uma escala Likert de cinco puntos (1 = nao importante a 5 = extremamente importante). Foi utilizado o Indice de validacao de conteudo (IVC) que corresponde ao calculo das medias ponderadas de las notas atribuidas para cada indicador, em que se consideraram os seguintes pesos: 1 = 0; 2 = 0.25; 3 = 0.50; 4 = 0.75; 5 = 1. Para a categorizacao, o IVC considerou como criticos = [greater than or equal to] 0.80; suplementares [greater than or equal to] 0.50 a 0.79 e os &lt;0.50 foram descartados. Resultados. Dos 9 resultados de enfermagem, somente o Perfusao tissular: cerebral obteve um consenso de 100%. O IVC dos 18 indicadores deste resultado mostrou que cinco foram validados como criticos (Reflexos neurologicos prejudicados, Pressao arterial sistolica, Pressao arterial diastolica, Nivel reduzido de consciencia e Pressao arterial media), 12 foram validados como suplementares (Agitacao, Cognicao prejudicada, Pressao intracraniana, Sincope, Vomito, Achados da angiografia cerebral, dor de cabeca, Inquietacao, Febre, Ansiedade sem explicacao, Desatencao e Solucos) e um foi descartado (Sopro na carotida). Conclusoes. A validacao das informacoes acerca das condicoes de risco pode possibilitar a intervencao precoce para minimizar as consequencias da perfusao tissular cerebral ineficaz. Palavras chave: avaliacao de resultados (cuidados de saude); / classificacao; estudos de validacao; cuidados criticos; neurologia.</description><issn>0120-5307</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp9j1FLwzAQxysoOKefwYDP1bRpk_ZxFHWDgaJ7H1l6mdE2GUmm4Kc36Tbcg0geLhx3v9__TpMRznKclgSz8-TCuXeMy5pgOjq5bjqlleAdUroN1RvrkDeoN1qFP9pwr0B7h76Uf0NWuQ8kQ1tpkBKEV5-ABFhY2UDwyrktoA1YuXXK6LvZgGyNBYfE4DEuEC1H0B0MYFAbdriImjhndNCAW-_6B1aEbztuf20xQqB__2PZK7g94kOPXpQTA_15oHODFjF5pDcH-mxPv0zOJO8cXO3rOHl9uF8003T-9DhrJvN0TVmdUlYCyWqarYio8oIBZSyTbSE5r2uATOStWFUV4BJjVhU0z0tRF0BIVcmiYGSc3Oyoa97BUmlpvOWiDzmXk4LSjNKc1GHq9o-p8Frow9ExcegfLfwAI36mnA</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Almeida, Miriam de Abreu</creator><creator>da Silva, Marcos Barragan</creator><creator>Panato, Bruna Paulsen</creator><creator>Siqueira, Ana Paula de Oliveira</creator><creator>da Silva, Mariana Palma</creator><creator>Engelman, Bruna</creator><creator>Severo, Isis Marques</creator><creator>Nomura, Aline Tsuma Gaedke</creator><general>Universidad de Antioquia, Facultad de Enfermeria</general><scope>INF</scope></search><sort><creationdate>20150101</creationdate><title>Clinical indicators to monitor patients with risk for ineffective cerebral tissue perfusion/Indicadores clinicos para el monitoreo de pacientes con riesgo de perfusion tisular cerebral ineficaz/Indicadores clinicos para monitorar pacientes em Risco de Perfusao Tissular Cerebral Ineficaz</title><author>Almeida, Miriam de Abreu ; da Silva, Marcos Barragan ; Panato, Bruna Paulsen ; Siqueira, Ana Paula de Oliveira ; da Silva, Mariana Palma ; Engelman, Bruna ; Severo, Isis Marques ; Nomura, Aline Tsuma Gaedke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g679-675e31961b3c8247e6771fd4faa99ee1c2dcb88e05007846225c94e3388f4473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2015</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Almeida, Miriam de Abreu</creatorcontrib><creatorcontrib>da Silva, Marcos Barragan</creatorcontrib><creatorcontrib>Panato, Bruna Paulsen</creatorcontrib><creatorcontrib>Siqueira, Ana Paula de Oliveira</creatorcontrib><creatorcontrib>da Silva, Mariana Palma</creatorcontrib><creatorcontrib>Engelman, Bruna</creatorcontrib><creatorcontrib>Severo, Isis Marques</creatorcontrib><creatorcontrib>Nomura, Aline Tsuma Gaedke</creatorcontrib><collection>Gale OneFile: Informe Academico</collection><jtitle>Investigación y educación en enfermería</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Almeida, Miriam de Abreu</au><au>da Silva, Marcos Barragan</au><au>Panato, Bruna Paulsen</au><au>Siqueira, Ana Paula de Oliveira</au><au>da Silva, Mariana Palma</au><au>Engelman, Bruna</au><au>Severo, Isis Marques</au><au>Nomura, Aline Tsuma Gaedke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical indicators to monitor patients with risk for ineffective cerebral tissue perfusion/Indicadores clinicos para el monitoreo de pacientes con riesgo de perfusion tisular cerebral ineficaz/Indicadores clinicos para monitorar pacientes em Risco de Perfusao Tissular Cerebral Ineficaz</atitle><jtitle>Investigación y educación en enfermería</jtitle><date>2015-01-01</date><risdate>2015</risdate><volume>33</volume><issue>1</issue><spage>155</spage><pages>155-</pages><issn>0120-5307</issn><abstract>Objective. Select and validate the clinical indicators to monitor patients on risk for ineffective cerebral tissue perfusion, according to the Nursing Outcomes Classification (NOC). Methodology. Validation study carried out between November 2012 and August 2013, in a Brazilian hospital. Seventeen judges nurses evaluated the clinical indicators of Nursing Outcomes, according to NOC for patients on risk for ineffective cerebral tissue perfusion. In the first stage, were selected the nursing results for the assessment of the studied diagnosis and, in the second nurses assessment the importance of the indicators of the validated results in the previous step through a five points Likert scale (1 = not important to 5 = extremely important). Were used the content validity index (CVI) that corresponds to the calculation of weighted averages of them marks awarded for each indicator, as it considered the following weights: 1=0.00, 2=0.25, 3=0.50; 4=0.75; 5 = 1.00. For categorization, the CVI considered as critical = [greater than or equal to] 0.80; supplementary = [greater than or equal to] 0.50 to 0.79 and were disposed results &lt;0.50. Results. Of the 9 nursing results, only the cerebral tissue perfusion obtained a 100% consensus. The CVI of the 18 indicators of this result showed that five were validated as critical (impaired neurological reflexes, systolic blood pressure, diastolic blood pressure, reduced level of consciousness and mean arterial pressure), 12 were validated as supplementary (Agitation, Impaired cognition, Intracranial pressure, Syncope, Vomiting, Findings of cerebral angiography, Headache, Restlessness, Fever, Unexplained anxiety, listlessness and Hiccughs) and one was disposed (carotid bruit). Conclusions. The validation of information about the conditions of risk may allow early intervention to minimize the consequences of ineffective cerebral tissue perfusion. Key words: outcome assessment (health care); / classification; validation study; critical care; neurology. Objetivo. Seleccionar y validar los indicadores clinicos para monitorear los pacientes con riesgo de perfusion tisular cerebral ineficaz segun la Clasificacion de los Resultados de Enfermeria (Nursing Outcomes Classification-NOC). Metodologia. Estudio de validacion realizado entre noviembre de 2012 y agosto de 2013 en un hospital brasilero. 17 enfermeros expertos evaluaron los indicadores clinicos de los NOC con riesgo de perfusion tisular cerebral ineficaz. En la primera etapa senalaron si lo recomendaban o no para la evaluacion del diagnostico estudiado y en la segunda etapa los enfermeros evaluaron la importancia de los indicadores de los resultados validados en la etapa anterior por medio de una escala Likert de cinco puntos (1 = no importante a 5 = extremadamente importante). Se utilizo el Indice de validacion de contenido (IVC) que corresponde al calculo de las medias ponderadas de las notas atribuidas para cada indicador con los pesos: 1 = 0.00; 2 = 0.25; 3 = 0.50; 4 = 0.75; 5 = 1.00. La categorizacion del IVC fue: critica = [greater than or equal to] 0.80; secundarios [greater than or equal to] 0.50 a 0.79 y los &lt;0.50 fueron descartados. Resultados. De los 9 resultados de enfermeria solo el de Perfusion tisular: cerebral tuvo un consenso del 100%. El IVC de los 18 indicadores de este resultado mostro que 5 fueron criticos (reflejos neurologicos deteriorada, presion arterial sistolica, presion arterial diastolica, nivel reducido de consciencia y presion arterial media), 12 fueron secundarios (agitacion, cognicion deteriorada, presion intracraneal, sincope, vomito, resultados de la angiografia cerebral, dolor de cabeza, falta de atencion, hipo, agitacion, fiebre, y ansiedad sin explicacion) y 1 fue descartado (soplo en la carotida). Conclusion. La informacion de la validacion de las condiciones de riesgo es importante para la deteccion precoz con el fin para reducir las consecuencias de la perfusion tisular cerebral ineficaz. Palabras clave: evaluacion de resultado (atencion de salud); / clasificacion; estudios de validacion; cuidados criticos; neurologia. Objetivo. Selecionar e validar os indicadores clinicos, para monitorar pacientes em Risco de perfusao tissular cerebral ineficaz, segundo a Classificacao dos Resultados de Enfermagem (NOC),. Metodologia. Estudo de validacao realizado entre novembro de 2012 e agosto de 2013, em um hospital brasileiro. Dezessete enfermeiros juizes avaliaram os indicadores clinicos de Resultados de Enfermagem, segundo a NOC, para pacientes em Risco de perfusao tissular cerebral ineficaz. Na primeira etapa foram selecionados os Resultados de Enfermagem para a avaliacao do diagnostico estudado, e na segunda os enfermeiros avaliaram a importancia dos indicadores dos Resultados validados na etapa anterior por meio de uma escala Likert de cinco puntos (1 = nao importante a 5 = extremamente importante). Foi utilizado o Indice de validacao de conteudo (IVC) que corresponde ao calculo das medias ponderadas de las notas atribuidas para cada indicador, em que se consideraram os seguintes pesos: 1 = 0; 2 = 0.25; 3 = 0.50; 4 = 0.75; 5 = 1. Para a categorizacao, o IVC considerou como criticos = [greater than or equal to] 0.80; suplementares [greater than or equal to] 0.50 a 0.79 e os &lt;0.50 foram descartados. Resultados. Dos 9 resultados de enfermagem, somente o Perfusao tissular: cerebral obteve um consenso de 100%. O IVC dos 18 indicadores deste resultado mostrou que cinco foram validados como criticos (Reflexos neurologicos prejudicados, Pressao arterial sistolica, Pressao arterial diastolica, Nivel reduzido de consciencia e Pressao arterial media), 12 foram validados como suplementares (Agitacao, Cognicao prejudicada, Pressao intracraniana, Sincope, Vomito, Achados da angiografia cerebral, dor de cabeca, Inquietacao, Febre, Ansiedade sem explicacao, Desatencao e Solucos) e um foi descartado (Sopro na carotida). Conclusoes. A validacao das informacoes acerca das condicoes de risco pode possibilitar a intervencao precoce para minimizar as consequencias da perfusao tissular cerebral ineficaz. Palavras chave: avaliacao de resultados (cuidados de saude); / classificacao; estudos de validacao; cuidados criticos; neurologia.</abstract><pub>Universidad de Antioquia, Facultad de Enfermeria</pub></addata></record>
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title Clinical indicators to monitor patients with risk for ineffective cerebral tissue perfusion/Indicadores clinicos para el monitoreo de pacientes con riesgo de perfusion tisular cerebral ineficaz/Indicadores clinicos para monitorar pacientes em Risco de Perfusao Tissular Cerebral Ineficaz
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