Graphic protocol for the assessment of safe nursing care for hospitalized individuals with mental disorders: validation study
Nursing; Mental Health; Protocols; Patient safety; Validation Study.
Safety in the care of individuals with mental disorders hospitalized for years was neglected, so when considering the particularities, it is necessary to qualify professionals and services to minimize the risks associated with care. Thus, nursing plays an important role in the development of safer actions, since it has a continuous role during the hospitalization period. Thus, it is also important to highlight the importance of carrying out periodic assessments in services to identify weaknesses and potential in assistance in order to promote the adequacy of units through the implementation of measures that increase safety. From this perspective, the present study has as a guiding question: What should be the content and appearance of a protocol for the assessment of safe nursing care for hospitalized individuals with mental disorders? And, the general objective is to develop a graphic protocol validated in its content and appearance to assess safe nursing care for hospitalized individuals with mental disorders. This is a methodological study with a mixed approach, based on Pasquali's psychometrics, organized into three procedures: theoretical, in which a focus group was organized with mental health professionals and a scope review on safe care for individuals with mental disorders to define the contents that make up the protocol; empirical procedures for the construction of the graphic protocol and validation of its content and appearance through the Delphi technique via electronic form in Google forms, with the collaboration of judges / experts in the area in question; procedures and analytical, intended for data analysis where the Content Validation Coefficient was calculated. The study was approved by the Ethics and Research Committee of the Federal University of Rio Grande do Norte, under Certificate of Ethical Appreciation no 4.895,282. Two focus groups were held, lasting 45 minutes each, with professionals working in mental health references in Natal / RN. With the data from the focus groups and the scope review, the graphic protocol was constructed, which was submitted to the judges who made suggestions for improvement and after two rounds Delphi considered it valid. Thus, the graphic protocol for the assessment of safe nursing care for hospitalized individuals with mental disorders was considered valid in its content and appearance.