Construção e validação de protocolo de cuidados de enfermagem ao paciente em pós-operatório imediato de neurocirurgia
Patients with neurological diseases when undergoing surgical procedures may present several complications and progress to negative outcomes, including death. Thus, specialized care in the Intensive Care Unit is necessary. In this context, nurses play a fundamental role in caring for patients with...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/52729 |
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| Resumo: | Patients with neurological diseases when undergoing surgical procedures may present
several complications and progress to negative outcomes, including death. Thus,
specialized care in the Intensive Care Unit is necessary. In this context, nurses play a
fundamental role in caring for patients with these conditions. However, in order to
achieve the best results, it is essential that this assistance is based on protocols and
clinical guidelines that standardize, guide and indicate care supported by scientific
evidence. The objective of this study was to build and validate a protocol directed to
nursing care for patients in the immediate postoperative period of neurosurgery in an
Intensive Care Unit. This is a methodological study, with a quantitative approach,
developed in a private hospital in the city of Natal/RN. In order to reach the proposed
objective, an integrative review was carried out to support the construction of the
protocol; and finally, the validation of the instrument with the Delphi Technique through
the consensus of judges, where the Content Validity Index with a value equal to or
greater than 78% was adopted. The study was approved by the Research Ethics
Committee of the Federal University of Rio Grande do Norte, authenticated by opinion
nº 5.617.669 and CAAE nº 59709322.1.0000.5537. Data were analyzed and organized
in tables, charts and in a descriptive way. As for the results, the integrative review
compiled a contribution of eight scientific articles that supported the construction of the
preliminary protocol. This instrument was validated by ten judges, maintaining in its
structural form a title of eighteen items that capture necessary information about nursing care for patients in the immediate postoperative period of neurosurgery in an Intensive
Care Unit. The instrument was validated in two rounds using the Delphi technique and
maintained a CVI of 0.90. Therefore, the protocol can contribute to the acquisition of
knowledge about nursing care for neurosurgical patients, communication between
nursing professionals, coordination of nursing care and the reduction of risks of harm to patients. |
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