Algorithm for transitional care for caregivers of dependent older adults: a validation study

Gomes, Thawanna Jeremias Barbosa; Ferreira, Bruna Alexandra da Silva; Baixinho, Cristina Lavareda; Ferreira, Óscar Manuel Ramos

doi:10.1590/0034-7167-2020-0625

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (suppl 2) • 2021 • https://doi.org/10.1590/0034-7167-2020-0625 copy

Algorithm for transitional care for caregivers of dependent older adults: a validation study

Algoritmo para el cuidado de transición de cuidadores de ancianos dependientes: estudio de validación

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To construct and validate an algorithm for transitional care for caregivers of dependent older adults.

Method:

This was a methodological study developed in three phases: a literature review, designing an algorithm, and its validation by a peer panel with twenty-seven experts selected according to pre-defined inclusion criteria.

Results:

The algorithm predicted interventions in transitional care (hospital stay, at discharge, and 30 days at home post-discharge) aimed at the exercise of the caregiver role; needs assessment; training in care management of dependent older adults and management of self-care, and ensuring continuity of care (of older adults and caregivers).

Conclusion:

Agreement between expert raters and a reliability test of 0.92 indicate that the algorithm can be used by professionals to decide the transitional care interventions to be administered to the caregivers of dependent older adults. Future studies should be conducted to perform its clinical validation.

Descriptors:
Nursing; Validation Study; Aged; Caregivers; Transitional Care

Algorithm intervention categories		CVII^* * Content validity index applied to the interventions;	IRA^† † Interrater agreement applied to the intervention categories;	CVI^‡ ‡ Content validity index of the algorithm.
1. Interventions if caregiver is qualified for the role				.92
1	Phone contact by primary healthcare nurse first week after returning home	.81	1
2. Interventions if caregiver is not qualified for the role
2.1	Needs assessment	1	1
2.2	Train caregiver to manage care of dependent older adult	1
2.3	Train caregiver to manage self-care	.96
3. Interventions when returning home if caregiver is able to ensure continuity of care
3.1	Phone contact within first 72h by primary healthcare nurse	.81	1
4. Interventions when returning home if caregiver is unable to ensure continuity of care
4.1	Home visit within first 24 hours	.85	1
4.2	Information/education	1
4.3	Coordination with community resources	1
4.4	Train for instrumental care	1
5. Interventions if the transition into role of caregiver is successful
5.1	Monthly support and follow up	.77	0
6. Interventions if the transition into the role of caregiver is not successful
6.1	Home visit in first 72 hours	.85	1
6.2	Promote acceptance of caregiver role	.92
6.3	Provide emotional support	1
6.4	Provide information about resources	1
6.5	Train for self-care	1

Algorithm intervention categories for interventions if caregiver is not qualified to perform the role		CVII^* * Content validity index applied to interventions	IRA ^† † Interrater agreement applied to intervention categories.
2.1. Needs assessment
2.1.1	Transition to the role of caregiver	1	1
2.1.2	Self-care	.92
2.1.3	Health	.81
2.1.4	Economic	.81
2.1.5	Social and Community	.88
2.2. Train caregiver to manage care of dependent older adult
2.2.1	Information / education	1	1
2.2.2	Discharge planning	1
2.2.3	Coordination with community resources	1
2.2.4	Train for instrumental care	1
2.3. Train caregiver to manage self-care
2.3.1	Promote acceptance of caregiver role	.92	1
2.3.2	Provide emotional support	.96
2.3.3	Locate potential resources for the informal caregiver	.81
2.3.4	Train for self-care	.92

Criteria	Comprehensiveness		Clarity of items		Exclusivity		Objectivity in reading		Relevance for decision making
Criteria	n^§ § n = Number;	%^\|\| \|\| % = Percentage.	n^§ § n = Number;	%^\|\| \|\| % = Percentage.	n^§ § n = Number;	%^\|\| \|\| % = Percentage.	n^§ § n = Number;	%^\|\| \|\| % = Percentage.	n^§ § n = Number;	%^\|\| \|\| % = Percentage.
Global Assessment of Algorithm	24	88.8	26	96.2	23	85.1	25	92.5	27	100

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Cristina Lavareda Baixinho. E-mail: crbaixinho@esel.pt