Construction and validation of an educational booklet for patients in the postoperative period of cardiac surgery: a methodological study.
Sônia Regina Barcellos, Alexandre do Rosário Joras, Angelita Paganin Constanzi and 1 others
PMID 38055473WHAT IT FOUND
A self-care booklet for postoperative cardiac surgery patients was judged relevant by 8 experts and rated understandable by 10 patients, except some disliked illustrations.
This validates the material, not patient outcomes.
Key findings
01Eight expert judges considered the booklet validated, with no item rated irrelevant or slightly relevant.
02Ten hospitalized postoperative cardiac surgery patients evaluated the booklet; illustrations received two negative responses and scored 0.8 on the agreement index.
03The booklet's content came from a narrative review that included 5 articles and Brazilian Society of Cardiology guidelines.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study validated the booklet's content and readability. It did not test whether using it improved self-care, complications, readmission or recovery. Only 10 patients were asked to evaluate the booklet, and they were selected consecutively from one hospital, so the feedback may not represent all cardiac surgery patients. The booklet was built from only 5 research articles plus guidelines, so important content may have been missed or may reflect the authors' context. The judges were a small, purposively selected group of 8 professionals, not a representative panel. The target audience included only patients who could read and evaluate the material. Patients with reading difficulties were excluded.
The easy way to misread this
Do not conclude the booklet improves postoperative recovery or discharge outcomes. The study only showed experts and 10 patients rated the material acceptable.