Development and validation of interface for evaluation of pregnant women waiting for intra-hospital transfer

Keywords: Nursing, Obstetric Nursing, Nursing Process, Medical Records Systems, Computerized, User-Computer Interface

Abstract

Objective: to develop, validate and implement an interface in the electronic patient record for the evaluation of pregnant women who remain in the obstetric center (OC) or obstetric emergency (OE) awaiting intra-hospital transfer. Method: methodological study that used the Plan Do Study Act (PDSA) cycle to implement an improvement in service at a referral hospital for obstetrics in southern Brazil. The study development process took place between July 2021 and July 2022. The participants were nurses from the OC and institutional sectors of quality and information technology (IT). The PDSA cycle was used for content elaboration, validation, interface development and implementation of electronic record in the following steps: 1) Planning, data collection and structuring; 2) Form validation by means of Delphi Technique and construction; 3) Evaluation and 4) Implementation of the interface.  Results: the interface was developed integrating nurses from OC, quality sector and IT. After two validation cycles, it was developed in the hospital system, tested and approved to be implemented. Conclusion: the developed user-computer interface was validated by nurses, bringing greater quality to the tool and enabling the implementation of registration of the evaluation of pregnant women who remain in OC or OE in the electronic chart.

Downloads

Download data is not yet available.

Author Biographies

Caroline Santini Rauber, Federal University of Health Sciences of Porto Alegre

Obstetric Nurse. Master in Nursing

Rita Aquino Caregnato, Federal University of Health Sciences of Porto Alegre

Nurse. Doctor in Education. Professor of Undergraduate and Graduate Nursing Programs at the Federal University of Health Sciences of Porto Alegre

Aline da Silveira Lourenço, Federal University of Health Sciences of Porto Alegre

Nurse

Emiliane Nogueira de Souza, University of Health Sciences of Porto Alegre

Nurse. Doctor in Health Sciences: Cardiology and Cardiovascular Sciences. Associate Professor at the Federal University of Health Sciences of Porto Alegre

References

Sousa AR, Santos GLA, Silva RS, Carvalho ES. Reflexões sobre o processo de enfermagem no trabalho de enfermeiras frente à pandemia da covid-19. Enferm. Foco. 2020; 11(1): 62-67. Doi: https://doi.org/10.21675/2357-707X.2020.v11.n1.ESP.3501.

Conselho Federal de Enfermagem. 17 de janeiro de 2024. Resolução COFEN-736/2024, Brasília-DF, 2024 [citado em 2024 dez 04]. Disponível em: https://www.cofen.gov.br/resolucao-cofen-no-736-de-17-de-janeiro-de-2024/.

Michelon JM, Backes DS, Costenaro RGS, Ilha S, Lunardi VL, Zamberlan C. Nursing process directed to newborns in a usual risk maternity ward: nurses’ perceptions. Texto Contexto Enferm. 2023; 32: e20220197. Doi: https://doi.org/10.1590/1980-265X-TCE-2022-0197pt.

Paczek RS, Oliveira TK, Passberg LZ, Tanaka AKSR, Lana LD. Instrument for implementing the nursing process during Ostomate consultation: an experience report. Cienc Cuid Saude. 2022; 21: e59744. Doi: https://doi.org/10.4025/ciencuidsaude.v21i0.59744.

Dorneles FC, Schlotfeldt NF, França PM, Forno ND, Araújo NP, dos Santos AS, Dornelles CS. Processo de enfermagem e suas implicações na prática profissional do enfermeiro: revisão integrativa de literatura. Revista Eletrônica Acervo Saúde. 2021; 13(2): 1-9. Doi: https://doi.org/10.25248/reas.e6028.2021.

Cabral ALM, Cabral RWL, Silva JEL, Ferreira MLX, Bezerra LHC, Barbosa ATS. Systematization of nursing care in obstetrics: structuring a database. Nursing Ed. bras., Impr. 2021; 24(282): 6455-61. Doi: https://doi.org/10.36489/nursing.2021v24i282p6455-6461.

Conceição RM, Brito JS, Silva EV, Marcelino JFQ. Occupational therapy practice in a high-risk obstetric center. Cad. Bras. Ter. Ocup. 2020; 28(1): 111-126. Doi: https://doi.org/10.4322/2526-8910.ctoAO1927.

Trigueiro TH, Vicari K, Janiacki K da L, Rosa AP da, Kissula FK. Caracterização dos atendimentos de urgência e emergência clínica em uma maternidade de risco habitual: estudo transversal. Cogitare Enferm. 2022; 27: e83499. Doi: https://doi.org/10.5380/ce.v27i0.83499.

Gonçalves TS, Banaszeski CL. O impacto dos registros de enfermagem na assistência à saúde e sua relação com as glosas hospitalares. Revista Saúde e Desenvolvimento. 2020; 14(18). Disponível em: https://www.revistasuninter.com/revistasaude/index.php/saudeDesenvolvimento/article/view/983.

Macedo ER, Basílio ACM, Silva BJR, Santos BDV, Andrade CR de, Souza G de, Pardini RD. Fatores que dificultam a aplicação do processo de enfermagem pelos enfermeiros da atenção primária à saúde. REAS. 2022; 15(2):e9584. Doi: https://doi.org/10.25248/reas.e9584.2022.

Knudsen SV, Laursen HVB, Johnsen SP, Bartels PD, Ehlers LH, Mainz J. Can quality improvement improve the quality of care? a systematic review of reported effects and methodological rigor in plan-do-study-act projects. BMC health serv. res. 2019; 19(683):1–10. Doi: https://doi.org/10.1186/s12913-019-4482-6.

Katowa P, Mwiinga-Kalusopa V, Chitundu K, Kanyanta M, Chanda D, Mwelwa M, et al. Implementing Evidence Based Practice nursing using the PDSA model: Process, lessons and implications. Int J Afr Nurs Sci. 2020; 14:100261. Doi: https://doi.org/10.1016/j.ijans.2020.100261.

Zarili TFT, Castanheira ERL, Nunes LO, Sanine PR, Carrapato JFL, Machado DF, et al. Técnica delphi no processo de validação do questionário de avaliação da atenção básica (QualiAB) para aplicação nacional. Saúde Soc. São Paulo. 2021; 30(2): 1-14. Doi: https://doi.org/10.1590/S0104-12902021190505.

Wild CF, Nietsche EA, Salbego A, Teixeira E, Favero NB. Validation of educational booklet: an educational technology in dengue prevention. Rev. bras. enferm. 2019; 72(5): 1318-1325. Doi: https://doi.org/10.1590/0034-7167-2018-0771.

Marques VBV, Freitas D. Método delphi: caracterização e potencialidades na pesquisa em educação. Pro-posições, 2018; 29(2): 389-415. Doi: https://doi.org/10.1590/1980-6248-2015-0140.

Hasson, F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. Journal of Advanced Nursing, 2000; 32(4): 1008-1015. Doi: https://doi.org/10.1046/j.1365-2648.2000.t01-1-01567.x.

Picarillo AP. Introduction to quality improvement tools for the clinician. J Perinatol. 2018; 38(7): 929-935. Doi: https://doi.org/10.1038/s41372-018-0100-4.

Sulzbach SR, Argenta C, Adamy EK, Meschial WC, Zanatta EA, Abido SC. Evaluation of nursing records through Quality of Diagnoses, Interventions and Outcomes. Rev Enferm UFSM. 2022; 12: e26. Doi: https://doi.org/10.5902/2179769268189.

Costa C, Linch GFC. The implementation of electronic records related to the nursing process: integrative review. Rev Fun Care Online. 2020; 12: 12-19. Doi: http://dx.doi.org/10.9789/2175-5361.rpcfo.v12.6648.

Fritzen A, Santos DP, Rocha BS, Jost MT, Caregnato RCA, Linch GFC. Implementation of transoperative and immediate postoperative nursing diagnoses in the computerized management system. Rev. Esc. Enferm. USP. 2023; 57: e20220123. Doi: https://doi.org/10.1590/1980-220X-REEUSP-2022-0123en.

Parker AG, Bitencourt, JVOV, Biffi, P, Cocco, L, Galvan ACL. A informatização do processo de enfermagem em um hospital público catarinense: um avanço necessário. Processo de enfermagem: da teoria à prática no cuidado oncológico. Editora UFFS, 2023; 3: 139-156. Doi: https://doi.org/10.7476/9786550190606.0008.

Published
2025-02-26
How to Cite
Rauber, C. S., Caregnato, R. A., Lourenço, A. da S., & Souza, E. N. de. (2025). Development and validation of interface for evaluation of pregnant women waiting for intra-hospital transfer. Ciência, Cuidado E Saúde, 24(1). https://doi.org/10.4025/ciencuidsaude.v24i1.71893
Section
Original articles