Construction and validation of checklist for transfer of care at discharge of the post-anesthetic recovery room

Keywords: Patient safety. Communication. Patient transfer. Checklist. Validation study.

Abstract

Objective: To construct and validate checklist for communication in the transfer of in-hospital care of surgical patients discharged from the Post-anesthetic Recovery Room. Method: Methodological study conducted in two perioperative units of a tertiary school hospital, public, of regional coverage, from July 2020 to October 2021, in two stages: 1) preparation of the checklist with textual and integrative review, and meeting with experts in perioperative nursing; 2) validation, consisting of content analysis by panel of experts and pre-test with perioperative nurses. Items with minimum agreement of 0.80 were considered valid. Results: Checklist composed of 60 items and 127 sub-items, subdivided into four domains that form the mnemonic “IPRA”, I = patient identification, P = preoperative, R = performed in the surgical center and A = discharge from the post-anesthetic recovery room. All elements of the checklist obtained Content Validity Index above 0.95, being the general 0.99. Conclusion: The checklist was considered valid and can be used to promote communication in the transfer of care of the surgical patient at discharge from the post-anesthetic recovery room.

Downloads

Download data is not yet available.

Author Biographies

Odair José Saldanha Nunes, Universidade Federal de Santa Maria - UFSM

Nurse. University Hospital of Santa Maria (HUSM/EBSERH). Federal University of Santa Maria (UFSM).

Oclaris Lopes Munhoz, Universidade Federal de Santa Maria - UFSM

Nurse. Doctor in Nursing. Assistant Professor from the Nursing School of the Federal University of Rio Grande (FURG).

Graziela Maria Rosa Cauduro, Universidade Federal de Santa Maria - UFSM

Nurse. Doctoral Student by The Graduate Program in Nursing (PPGEnf) at the UFSM.

Etiane de Oliveira Freitas, Universidade Federal de Santa Maria - UFSM

Nurse. Doctor in Nursing. Assistant Professor from the Nursing Departament and  PPGEnf/UFSM.

Rafaela Andolhe, Universidade Federal de Santa Maria - UFSM

Nurse. Postdoc in Nursing. Assistant Professor from the Nursing Departament and PPGEnf/UFSM.

Tânia Solange Bosi de Souza Magnago, Universidade Federal de Santa Maria - UFSM

Nurse. Doctor in Nursing. Associate Professor from the Nursing Departament and PPGEnf/UFSM.

References

World Health Organization. Conceptual framework for the international classification for patient safety version 1.1: final technical report January 2009. apps-who-int.translate.goog. 2010 [acesso em:31 out. 2022]. Disponível em: https://apps-who-int.translate.goog/iris/handle/10665/70882?_x_tr_sl=en&_x_tr_tl=pt&_x_tr_%20hl=pt-BR&%20_x_tr_pto=sc

Pena MM, Melleiro MM. Eventos adversos decorrentes de falhas de comunicação: reflexões sobre um modelo para transição do cuidado. Rev Enferm UFSM. 2018; 8(3):616-25. DOI: https://dx.doi.org/10.5902/2179769225432

Sell BT, Amante LN, Martins T, Sell CT, Senna CVA, Loccioni MFL. Dimensioning of nursing professionals and the occurrence of adverse events on surgical admission. Cienc Cuid Saúde. 2018; 17(1). DOI: https://dx.doi.org/10.4025/ciencuidsaude.v17i1.33213

Witiski M, Makuch DMV, Rozin L, Matia G de. Communication barriers: perception of a healthcare team. Cienc Cuid Saude. 2019; 18(3). DOI: https://dx.doi.org/10.4025/ciencuidsaude.v18i3.46988

Mello TS de, Miorin JD, Camponogara S, Paula CC de, Pinno C, Freitas E de O. Fatores que influenciam para transferência do cuidado intra-hospitalar efetiva: Revisão integrativa. RSD. 2021; 28;10(9):e38910918153. DOI: https://dx.doi.org/10.33448/rsd-v10i9.18153

Barcellos GB. Comunicação entre os profissionais de saúde e a segurança do paciente. In Souza P, Mendes W. eds. Segurança do paciente: criando organizações de saúde seguras. 2ed. Editora FIOCRUZ; 2019:149-165. DOI: https://dx.doi.org/10.7476/9788575416426

Silva CL da, Oliveira LC de. A atuação do enfermeiro na sistematização de assistência de enfermagem perioperatória. REMS. 2021; 2(4):102. DOI: https://dx.doi.org/10.51161/rems/2536

Petry L, Diniz MBC. Communication between teams and the care transfer of critical. Rev Rene. 2020; 21:e43080. DOI: https://dx.doi.org/10.15253/2175-6783.20202143080

Müller M, Jürgens J, Redaèlli M, Klingberg K, Hautz WE, Stock S. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. 2018; (8): e022202. DOI: http://dx.doi.org/10.1136/bmjopen-2018-022202

Nemati SM, Fathi M, Nouri B, Valiee S. Effects of an specific methodology (I Pass the Baton) on quality of handoff information among Nurses: A comparative study. Journal of Healthcare Quality Research. 2022. 37(5):268-274 . DOI: https://dx.doi.org/10.1016/j.jhqr.2022.02.011

Chard, R. e Makary, MA (2015), Transfer-of-Care Communication: Nursing Best Practices. AORN JOURNAL, 102(4): 329-342. DOI: https://dx.doi.org/10.1016/j.aorn.2015.07.009

Brasil. Distrito Federal – DF. Ministério da Saúde. Fundação Oswaldo Cruz. Agência Nacional de Vigilância Sanitária. Segurança do Paciente 2014. [acesso em 12 abr. 2022] Available from : http://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_nacional_seguranca.pdf

Dantas HL de L, Costa CRB, Costa L de MC, Comassetto I. Como elaborar uma revisão integrativa: sistematização do método científico. Revista Recien. 2022;12(37):334-45. DOI: https://dx.doi.org/10.24276/rrecien2022.12.37.334-345

Pasquali L. Instrumentos Psicológicos: Manual Prático de Elaboração. Brasília: Lab Pam, IBAPP, 1999.

Rubio DMG, Berg-Weger M, Tebb SS, Lee ES, Rauch S. Objectifying content validity: Conducting a content validity study in social work research. Social Work Research. 2003;27(2):94–104. DOI: https://dx.doi.org/10.1093/swr/27.2.94

Bezerra CM, Cardoso MVLML, Silva GRF, Rodrigues EC. Creation and validation of a checklist for blood transfusion in children. Rev Bras Enferm. 2018;71(6):3020-6. DOI: http://dx.doi.org/101590/0034-7167-2018-0098

Lynn MR. Determination and quantification of content validity. Nurs res 1986, v 35(6):382-385.

Brasil. Ministério da Saúde. Política Nacional De Saúde Integral De Lésbicas, Gays, Bissexuais, Travestis E Transexuais. Brasília DF, 2013.[acesso em 29 mar 2022]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_saude_lesbicas_gays.pdf

SKK, Adamy EK, Pertille F, Argenta C, Silva CB da, Vendrusculo C . Applicability of the Nursing Process in hospital care: interface with best practices. Rev Enferm UFSM. 2022;12:e2. DOI: https://dx.doi.org/10.5902/2179769264972

Meireles T, Bernardino E, Borges F, Silva OL dos S, Rorato C, Bobrowec DC dos R, et al. Ferramentas utilizadas durante as transferências de pacientes: uma revisão integrativa. RSD. 2021; 10(17):e55101724200. DOI: https://dx.doi.org/10.33448/rsd-v10i17.24200

Pinheiro ALU, Cunha QB da, Dal Pai D, Silva RM da, Lima SBS de, Camponogara S. Nursing workload in a postanesthesia recovery room: a mixed-methodsstudy. Rev Enferm UFSM. 2020; 9: e6. DOI: https://dx.doi.org/10.5902/2179769240333

Munhoz OL, Andolhe R; Magnago TSBS, Arrial TS, Moreira LP. Fatores associados ao estresse da equipe de enfermagem de unidade de clínica cirúrgica. Saúde (Sta. Maria). 2020; 46 (2):e41499. DOI: https://dx.doi.org/10.5902/2236583441499

Lambert BL, Schroeder SR, Galanter WL. Does Tall Man lettering prevent drug name confusion errors? Incomplete and conflicting evidence suggest need for definitive study. BMJ Quality & Safety. 2016; 25(4): 233-240. DOI: http://dx.doi.org/10.1136/bmjqs-2015-004562

Magnago TSB de S, Lanes TC, Gonçalves NG da C, Ongaro JD, Almeida FO, Dalmolin GDL. Assessment of adherence to safe surgery checklist in a university hospital. Rev de Enferm UFSM. 2019; 9:e63. DOI: https://dx.doi.org/10.5902/2179769236780

Ribeiro L, Fernandes GC, Souza EG, Souto LC, Santos ASP dos, Bastos RR. Safe surgery checklist: filling adherence, inconsistencies, and challenges. Rev. Col. Bras. Cir. 2019; 46 (5): e20192311. DOI: https://dx.doi.org/10.1590/0100-6991e-20192311

Tostes MF do P, Galvão CM. Surgical safety checklist: benefits, facilitators, and barriers in the nurses’ perspective. Rev Gaúcha Enferm. 2019; 40 (spe):e20180180. DOI: https://dx.doi.org/10.1590/1983-1447.2019.20180180

Jost MT, Viegas K, Caregnato RCA. Systematization of perioperatory nursing assistance in patient Safety: na integrative. Revista SOBECC. 2018; 23(4), 218–225. DOI: https://dx.doi.org/10.5327/Z1414-4425201800040009

D’Eça Júnior A, Brito MVB, Rodrigues L dos S, Martins R de JS, Rabelo PC. Preoperative nursing visit checklist: data quality assessment. Rev Enferm UFSM. 2020; 10 e22. DOI: https://dx.doi.org/10.5902/2179769236082

Chiaratto HJ de AN, Lima PIM de, Mercês LP das, Zimmerli S Ângela T. A importância da avaliação pré-operatória durante o preparo pré-operatório. Rev Cient Fac Educ e Meio Ambient. 2022;13(edesp mcpc). DOI: http://dx.doi.org/10.31072

Vilefort LA, Sabino IM de O, Muniz LB, Santana MB de, Santos M de O, Júnior IBA, Baião PAM, et al. Principais complicações pós-operatórias: revisão narrativa. REAC. 2021; 36:e8853. DOI: https://dx.doi.org/10.25248/reac.e8853.2021.

Published
2023-08-18
How to Cite
Nunes, O. J. S., Munhoz, O. L., Cauduro, G. M. R., Freitas, E. de O., Andolhe, R., & Magnago, T. S. B. de S. (2023). Construction and validation of checklist for transfer of care at discharge of the post-anesthetic recovery room. Ciência, Cuidado E Saúde, 22. https://doi.org/10.4025/ciencuidsaude.v22i0.66042
Section
Original articles