CONSTRUCTION AND VALIDATION OF AN INSTRUMENT BASED ON THE SBAR MNEMONIC FOR THE TRANSITION OF CARE FOR CHILDREN AND ADOLESCENTS IN A PEDIATRIC INTENSIVE CARE UNIT
Communication; transitional care; pediatric nursing; pediatric intensive care units; nursing methodology research.
Communication is essential for the quality and safety of health care, especially in the transition of care, which involves the transfer of information and responsibilities between professionals from different sectors or shifts. A tool that has been widely used to standardize and optimize this communication, contributing to patient safety and reducing errors, is the mnemonic SBAR (Situation, Background, Assessment, and Recommendation). This study aims to build and validate an instrument for the transition of care for children and adolescents in Pediatric Intensive Care Units, based on SBAR. This is a methodological study with a quantitative approach, based on Pasquali's framework. It was developed in three poles or stages: theoretical pole through the scoping review, according to the PRISMA-ScR guidelines, to identify scientific evidence and structure the instrument items; empirical pole with the evaluation of content and appearance validity by 15 nursing specialists, using a Likert scale and the analytical pole that used statistical analysis by the Content Validity Index (CVI) and Kappa coefficient (k); and semantic analysis performed by three first-year nursing residents, through the brainstorming technique and evaluation of the understanding of the items with a Likert scale. The scope review resulted in the inclusion of six studies that supported the construction of the instrument, structured in five domains and 41 items. Validation by the specialists, through the Delphi technique, indicated high agreement in the clarity and representativeness of the items, with k and CVI values greater than 0.70 for all items. The semantic analysis, in the brainstorming, confirmed adequate understanding by the residents, without the need for adjustments with CVI above the cutoff point (>0.70). The instrument has the social impact of improving communication between health professionals, standardizing the information transmitted, strengthening teamwork, optimizing time and resources, and promoting a culture of patient safety in the institution. However, future studies are suggested to test its effectiveness in healthcare practice and its applicability in different hospital contexts.