Department of Nursing, Botucatu Medical School, Paulista State University, Botucatu 18618-687, SP, Brazil.
Department of Epidemiology & Public Health, University College London, London WC1E 6BT, UK.
Int J Environ Res Public Health. 2023 Jan 25;20(3):2169. doi: 10.3390/ijerph20032169.
The 24 h urgent care units (24 h UCU) in Brazil are the main pre-admission hospital process of the public healthcare system and constitute an intermediate modality between primary care and hospital care. These units also provide care in cases of less severity that are not considered urgent. This study aimed to create and validate the content of a graphic protocol and checklist for the nursing care management of patients with a suspicion or confirmation of infection by COVID-19 at urgent care units.
A methodological study was carried out in three phases: construct of items and dimensions of the checklist; evaluation of the checklist by specialists for content validation; and construct and content validation of the graphic protocol.
The checklist was evaluated by nine specialists. Eight items received suggestions for changes. Items with a content validity index ≥0.83 were maintained. With regard to content validity, despite the satisfactory level of agreement, the specialists suggested some changes in the writing of eight items. The graphic protocol was evaluated by six specialists and had an overall content validity of 0.97.
The checklist with 44 items and three dimensions (Management, Biosafety and Care) and the protocol achieved a satisfactory standard of content validity for use at 24 h urgent care units. This protocol can contribute to the standardization and guidance of nursing actions in suspected and confirmed cases of COVID-19 at urgent care units, ensuring safe care based on scientific evidence.
巴西的 24 小时紧急护理单位（24 小时 UCU）是公共医疗保健系统的主要入院前流程，是初级保健和医院护理之间的中间模式。这些单位还为非紧急但病情较轻的患者提供护理。本研究旨在创建和验证用于管理疑似或确诊感染 COVID-19 的患者的护理管理的图形协议和检查表的内容。
这是一项分三个阶段进行的方法学研究：检查表项目和维度的构建；检查表由专家进行内容验证评估；以及图形协议的构建和内容验证。
检查表由九位专家进行了评估。八项条目收到了更改建议。内容效度指数≥0.83 的项目被保留。关于内容效度，尽管专家们的意见一致程度令人满意，但他们还是建议对八项条目的措辞进行一些修改。六名专家对图形协议进行了评估，其整体内容效度为 0.97。
该检查表有 44 个项目和三个维度（管理、生物安全和护理），以及协议在使用 24 小时紧急护理单位时达到了令人满意的内容有效性标准。该协议可以为紧急护理单位疑似和确诊 COVID-19 患者的护理行动标准化和指导提供帮助，确保基于科学证据的安全护理。
