Construction and validation of a nursing care protocol in anesthesia

Abstract

Objective:To construct and validate a nursing care protocol in anesthesia. Method:methodological study of face and content validation, judging clarity, relevance, pertinence and comprehensiveness of a care protocol, elaborated from the integrative review of previous literature and based on the conceptual model of assistance perioperative nursing of Castellanos and Jouclas. The protocol was evaluated by five anesthesiologists and nurses from the surgical center. The results were analyzed through the content validity index. Results:among the 119 items assessed by experts, 11 (9.2%) instrument items presented content validity index of <80% and were changed. The items with disagreement were related to the selection and availability of materials and equipment, especially before anesthetic induction. The content validity index, obtained for the different items, proposed after the amendments mentioned, ranged from 80 to 100%, in the three periods of anesthesia, indicating the proper validity of the proposed content. Conclusion:the nursing care protocol in anesthesia was considered valid.

Validation methods of nursing protocols: an integrative review

“…From reading the articles, data emerged concerning protocol creation. All articles mention the literature review as part of protocol creation, be it a simple or structured literature review, such as integrative (12)(13)(14)(15) and systematic (16)(17) reviews, with emphasis on scoping reviews (4,6) . In some articles, literature review is associated with another type of data collection, such as interviews (18)(19)(20)(21) and group discussions (22)(23)(24) .…”

Implementation of the protocol of nursing care in trauma in aeromedical service

“…A study of construction and validation of a nursing care protocol in anesthesia (10) showed that the use of protocols and checklists can help in the detection of errors and negligence in relation to care through proper verification of equipment and materials. The study also shows that its use promote the exchange of information among professionals about the clinical conditions of the patient, which improves their perception about teamwork and prevents harm -aspects which contribute to patient safety.…”

“…In this meander, the assistance protocols provide for the definition of a specific situation of assistence or care, describing details about the operational actions and specifications about the mode of execution and the professional executor. Thus, the protocols are justified because they are instruments that reduce the variability of conduct among professionals involved in health care, favor greater patient and professional safety, besides allowing the elaboration of process and results indicators, improving the quality of assistance (9)(10) .…”

Pulseira fotográfica como ferramenta inovadora no protocolo de identificação do paciente com transtorno mental agudo

“…Agregam aumento na segurança para o paciente e para o profissional; e auxiliam na tomada de decisão e na incorporação de novas tecnologias 11 . Possuem, também, como objetivo, favorecer a elaboração de indicadores de processos e resultados, aperfeiçoando a qualidade do atendimento 12 .…”