COVID-19: Protocol and Checklist for Nursing Care Management at Urgent Care Units

Leticia Pereira Orestes, Silmara Meneguin (), Aniele de Leo, Mayara Salles Gasparini Patini, Bruna Pegorer Santos and Cesar de Oliveira ()
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Leticia Pereira Orestes: Department of Nursing, Botucatu Medical School, Paulista State University, Botucatu 18618-687, SP, Brazil
Silmara Meneguin: Department of Nursing, Botucatu Medical School, Paulista State University, Botucatu 18618-687, SP, Brazil
Aniele de Leo: Department of Nursing, Botucatu Medical School, Paulista State University, Botucatu 18618-687, SP, Brazil
Mayara Salles Gasparini Patini: Department of Nursing, Botucatu Medical School, Paulista State University, Botucatu 18618-687, SP, Brazil
Bruna Pegorer Santos: Department of Nursing, Botucatu Medical School, Paulista State University, Botucatu 18618-687, SP, Brazil
Cesar de Oliveira: Department of Epidemiology & Public Health, University College London, London WC1E 6BT, UK

IJERPH, 2023, vol. 20, issue 3, 1-14

Abstract: Background: The 24 h urgent care units (24 h UCU) in Brazil are the main pre-admission hospital process of the public healthcare system and constitute an intermediate modality between primary care and hospital care. These units also provide care in cases of less severity that are not considered urgent. This study aimed to create and validate the content of a graphic protocol and checklist for the nursing care management of patients with a suspicion or confirmation of infection by COVID-19 at urgent care units. Methods: A methodological study was carried out in three phases: construct of items and dimensions of the checklist; evaluation of the checklist by specialists for content validation; and construct and content validation of the graphic protocol. Results: The checklist was evaluated by nine specialists. Eight items received suggestions for changes. Items with a content validity index ≥0.83 were maintained. With regard to content validity, despite the satisfactory level of agreement, the specialists suggested some changes in the writing of eight items. The graphic protocol was evaluated by six specialists and had an overall content validity of 0.97. Conclusion: The checklist with 44 items and three dimensions (Management, Biosafety and Care) and the protocol achieved a satisfactory standard of content validity for use at 24 h urgent care units. This protocol can contribute to the standardization and guidance of nursing actions in suspected and confirmed cases of COVID-19 at urgent care units, ensuring safe care based on scientific evidence.

Keywords: coronavirus infections; nursing care; nursing; emergency medical services; validation study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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