Graphic Protocol for Assessing Safe Nursing Care in Hemodialysis: a Validation Study

Abstract

Abstract Background The use of protocols allows systematizing, organizing and assessing services based on scientific evidence, thus helping the health work process. To validate the content and appearance of a graphic protocol for assessing safe nursing care for patients under hemodialysis. Method This is a methodological study with a quantitative approach developed between 2019 and 2020, organized into three procedures: theoretical, from a scoping review, regarding safe hemodialysis care; empirical studies in which the graphic protocol and checklist construction process took place. Finally, for validation using the Delphi technique, nine judges participated in two rounds to reach agreement among them. Data were tabulated and analyzed using simple descriptive statistics, Content Validity Coefficient (CVC) and level of agreement. Results Based on this scoping review content, a checklist and a graphic protocol were created, grouped into structure, process and result items. Regarding the content validity verification in Delphi I, the clarity, accuracy and modality criteria obtained CVC = 0.77 in the checklist. After adjustments and Delphi II, all indices were above 0.80. In the appearance validation process, in Delphi I, it was possible to achieve a total CVC greater than 0.80, in Delphi II, they were greater than 0.88, and the checklist presented a CVC of 0.91. Conclusion A graphic protocol and a checklist for assessing safe care for patients under hemodialysis, valid in their content and appearance, are presented.