Construção e validação de conteúdo dos checklists de segurança do paciente no cuidado de enfermagem em unidades de terapia intensiva neonatal

Abstract

Introduction: Introduction: Patient safety in Neonatal Intensive Care Units (NICUs) is complex, considering the problems related to adverse events (AEs) and gaps in the lack of instruments that guide nursing care. Objective: Validate the check-in of nursing care during hospitalization and preparation for discharge. Methodology: Methodological study, conducted between 2017 and 2018. The first stage included the integrative review for the construction of the instruments guided by the guiding question: Which elements should compose nursing care checklists at admission, hospitalization and preparation for discharge, with a view to safety of the patient admitted to a NICU? The second was the validation of content of the checklists by nurses specialists in the theme, held in three rounds. According to the methodological criteria proposed by Pasquali, the corresponding headings, headings, fill-in guidelines, items and instructions, based on the International Patient Safety Goals and the National Patient Safety Program, were considered for validation the Content Validity Index (IVC) ≥ 0.90. The Survey Monkey® platform was used for data analysis and descriptive analysis. The first round was attended by 43 specialist nurses, 33 in the second and 32 in the third, who were asked to consider the relevance, objectivity, clarity and relevance of the items. Results: Of the 111 items evaluated in the total of the three checklists, 110 were validated with IVC (Content Validity Index) ≥ 0.90 after the suggested modifications and a single item was excluded from the admission checklist for presenting the IVC = 0.88. Conclusion: It was concluded that the contents of the Patient Safety Checklists in the nursing care at the time of admission, hospitalization and preparation for discharge from the NICU were considered valid by the committee of specialists. The need for constant improvement of checklists is emphasized. The results of the research are limited to the content validity, recommending, later, the clinical validation of the instruments.