Validação de formulários para inserção e acompanhamento de PICC em neonatologia

Abstract

Introduction: validation studies promote the improvement and legitimization of concepts with the aim of contributing to nursing care practice. Care protocols are technologies that are part of the organization of nursing work and constitute an important health management tool. Among the strategies aimed at improving the quality and safety of neonatal care, the use of forms stands out. Objective: to validate three instruments in form format for use in the passage and monitoring of PICC in neonatology. Method: this is methodological research, with a quantitative approach, which aimed to validate three instruments in form format for use in the passage and monitoring of PICC in neonatology. The criteria established by Pasquali's (1998) theoretical procedures were used for content validation, given their relevance in Brazilian nursing research related to the construction and validation of an instrument. It was divided into 3 stages: 1) Selection and Analysis of Judges; 2) Individual Validation of Form Content; 3) Group Validation of Form Content. Data analysis was performed using the agreement rate method in each domain. Results: 23 expert judges participated in the study, and their assessment was satisfactory regarding the aspects analyzed. The overall average percentage of agreement among the judges by category was 96% for relevance and 91% for clarity, confirming the validity of the forms. The items were considered pertinent, clear, and relevant to neonatology, and could be used in health care. Regarding the items, three were excluded; five were rewritten and three were repositioned. Conclusion: it is recommended that these forms be used as a model for the most diverse local practices. It is important to emphasize that the results of the study are limited to content validity, and that clinical validation of the instruments is subsequently recommended. It is also important to note the need for constant improvement of the forms and their computerization, such as the use of applications, which will only be possible if these are implemented in health services.