Abstract

ABSTRACTObjective:To construct and validate a nursing care protocol in anesthesia. Method:methodological study of face and content validation, judging clarity, relevance, pertinence and comprehensiveness of a care protocol, elaborated from the integrative review of previous literature and based on the conceptual model of assistance perioperative nursing of Castellanos and Jouclas. The protocol was evaluated by five anesthesiologists and nurses from the surgical center. The results were analyzed through the content validity index. Results:among the 119 items assessed by experts, 11 (9.2%) instrument items presented content validity index of <80% and were changed. The items with disagreement were related to the selection and availability of materials and equipment, especially before anesthetic induction. The content validity index, obtained for the different items, proposed after the amendments mentioned, ranged from 80 to 100%, in the three periods of anesthesia, indicating the proper validity of the proposed content. Conclusion:the nursing care protocol in anesthesia was considered valid.

Highlights

  • Anesthesia allows the patient comfort during surgery, once the choice of the anesthesia category is based on the type, duration and approach required during the surgical procedure, associated with the clinical, mental and psychological conditions of the patient

  • In this study the objective was to construct and validate a nursing care protocol in anesthesia. This is a methodological study of face validation and nursing care protocol content in anesthesia, based on results obtained in an earlier integrative review, evaluating the actions and care performed by the nursing team in the operating room during the anesthetic procedure[29]

  • All experts stated that the graphical presentation, the guidelines for the filling form and the sequence structure of the items allowed an adequate reading and understanding of the care to be performed by the nurse during the anesthetic procedure

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Summary

Introduction

Anesthesia allows the patient comfort during surgery, once the choice of the anesthesia category is based on the type, duration and approach required during the surgical procedure, associated with the clinical, mental and psychological conditions of the patient. The types of anesthesia are classified in general, regional and sedation[1]. General anesthesia is necessary for procedures that require complete immobility and unconsciousness. It can be classified in three ways, defined as total venous, when only venous drugs are infused, such as propofol and etomidate, general inhalation, when administration of inhalational anesthetics like sevoflurane, desflurane. The association between venous and inhalational anesthetics is defined as general balanced anesthesia[1,2]. The general anesthesia is constituted by the reversible unconsciousness, immobility, analgesia and autonomic reflex block, whose components are hypnosis, analgesia, muscle relaxation and neurovegetative block[2]. Anesthesia is an essential procedure to perform the surgical procedure, which requires planning of the surgical team for quality and safety of care provided to the patient

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