Construção e validação de conteúdo para um protocolo de diagnósticos e intervenções de enfermagem da CIPE(R) em pacientes atendidos nas unidades de urgência neurológica

Abstract

Neurological disorders are the second leading cause of death in the world. Nursing care is crucial in establishing care, so a care plan is needed to meet the urgency and corroborate the entire line of care after the neurological event. In Brazil, they represent a serious public health problem. In this context, standardizing care for victims of neurological disorders in emergency rooms is of great importance. To this end, it is essential to use a tool to guide nursing care in emergency units that treat patients with neurological disorders. This study developed and validated the content of a Diagnostic and Intervention Protocol of the International Classification for Nursing Practice (ICNP®) for patients in neurological emergency units. The methodological research, with a quantitative approach, was conducted in two main stages: an integrative literature review and the construction of the protocol, following models such as that of Pasquali and the recommendations of Creswell and Creswell (2022). The content of the proposed protocol was validated by a committee of experts, highlighting the importance of standardized language and objective tools that direct care in a safe and effective manner. The validation process involved careful analyses of agreement and content validity indexes (CVI), reinforcing the reliability and applicability of the protocol. The creation of this tool seeks to ensure systematic and patient-centered care, promoting safety and quality of care in neurological emergencies and supporting nurses' practice in clinical decision-making.