title: Construction and validation of indicators and respective definitions for the nursing outcome Swallowing Status.
abstract: OBJECTIVE
  to develop indicators for the nursing outcome Swallowing Status and the respective conceptual and operational definitions validated by experts and in a clinical setting among patients after having experienced a stroke.
  
  
  METHODS
  methodological study with concept analysis and content and clinical validations. The Content Validation Index was verified for the scores assigned by 11 experts to indicators. Two pairs of nurses assessed 81 patients during the clinical validation: one pair used an instrument with definitions and the other used an instrument without definitions. The resulting assessments were compared using Intraclass Correlation Coefficient, Friedman's test, and Minimal Important Difference calculation.
  
  
  RESULTS
  All the indicators, with the exception of the indicator Ability to bring food to mouth, presented Content Validation Index above 0.80. The pair using the instrument with definitions presented an Intraclass Correlation Coefficient above 0.80 for all the indicators and similarity was found in all the assessments, according to the Minimal Important Difference calculation. The pair using the instrument without definitions presented a low coefficient (ρ<0.75) for all the indicators.
  
  
  CONCLUSIONS
  the results showed that greater uniformity and accuracy was achieved by the pair of nurses using the conceptual and operational definitions for the indicators of the nursing outcome Swallowing Status.
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR.
authors.forename: Ana Railka de Souza
authors.initials: AR
authors.lastname: Oliveira
authors.affiliation: Departamento de Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, BR.
authors.forename: Thelma Leite
authors.initials: TL
authors.lastname: de Araujo
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR.
authors.forename: Emilia Campos
authors.initials: EC
authors.lastname: de Carvalho
authors.affiliation: Faculdade Grande Fortaleza, Fortaleza, CE, BR.
authors.forename: Alice Gabrielle de Sousa
authors.initials: AG
authors.lastname: Costa
authors.affiliation: Departamento de Enfermagem, Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Redenção, CE, BR.
authors.forename: Tahissa Frota
authors.initials: TF
authors.lastname: Cavalcante
authors.affiliation: Departamento de Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, BR.
authors.forename: Marcos Venícios de Oliveira
authors.initials: MV
authors.lastname: Lopes
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003680:Deglutition Disorders / Q000209:etiology / Q000451:nursing*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D063868:Patient Outcome Assessment; D019984:Quality Indicators, Health Care; D020521:Stroke / Q000150:complications; D055815:Young Adult