Development and Validation of a Navigation Protocol for Nurses in the Care of People with Acute Myeloid Leukemia
Patient navigation. Protocols. Acute myeloid leukemia. Nurse. Methodological research in Nursing.
Acute myeloid leukemia requires coordinated, continuous, and timely care due to its clinical severity and the complexity of the therapeutic pathway. In this context, the nurse navigator may contribute to care organization, barrier identification, and coordination among patients, families, and the multidisciplinary team. This study aimed to develop and validate a navigation protocol for nurses caring for people with acute myeloid leukemia. This is a methodological study with a quantitative approach, based on Pasquali’s framework and developed in three phases. In the theoretical phase, a scoping review was conducted according to the PRISMA-ScR recommendations to identify scientific evidence and structure the domains and items of the protocol. In the empirical phase, the preliminary version was submitted to content and appearance validation by eight nursing expert judges using a Likert-type scale, and to semantic analysis with four second-year nursing residents through the brainstorming technique. In the analytical phase, data were analyzed using the Content Validity Index and the Kappa coefficient. The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, through Plataforma Brasil, under opinion No. 7,939,668 and CAAE No. 90464325.1.3001.5292. The scoping review resulted in the inclusion of ten studies, which supported the development of the protocol, structured into 17 domains and 49 items. The expert evaluation showed satisfactory results, with a Content Validity Index equal to or greater than 0.80 for most of the evaluated items and domains. Kappa values varied among items, indicating different levels of agreement, which guided adjustments to the wording and organization of the final version. The semantic analysis confirmed the residents’ understanding of the items, with no need for further adjustments. It is concluded that the protocol presented evidence of content validity, appearance validity, and semantic comprehension, constituting a care technology applicable to the organization of nursing care for people with acute myeloid leukemia. The product may contribute to the standardization of practices, identification of barriers, continuity of care, and strengthening of the nurse navigator’s role. Future studies are recommended to assess its application, usability, and effectiveness in clinical practice.