VALIDATION OF NURSING INTERVENTIONS TO PREVENT SKIN LESIONS IN HOSPITALIZED NEWBORNS

VALIDACIÓN DE INTERVENCIONES DE ENFERMERÍA PARA PREVENIR LESIONES CUTÁNEAS EN RECIÉN NACIDOS INTERNADOS

Objective  to determine the content validity of Nursing interventions to prevent skin lesions in hospitalized newborns, with an experts committee.

Method  a content validation methodological research study conducted by means of an online form between April and June 2018. The participants were five nurses from different Brazilian regions, with experience in the neonatal area: two professors, two stomatherapists, and one assistance nurse. The interventions evaluated were constructed based on scientific knowledge, resorting to the literature based on the available evidence, technical manuals and books, in addition to the researchers' experience in care for the newborn. The content was validated in two rounds. First, each intervention and its set were evaluated regarding agreement, using a minimum Committee Agreement Index (CAI) of 80%. Subsequently, a minimum Content Validity Index (CVI) of 0.8 was used to validate the clarity and relevance of the interventions.

Results  a total of 298 interventions were evaluated in the first round, and only eight did not obtain the adequate index. 39 interventions were evaluated in the second round, all reformulated based on the suggestions of the experts committee. Of these, there were eight not validated in the first round, 20 with small changes, and 11 newly elaborated interventions. All the interventions were validated in the second round, totaling 310 validated interventions.

Conclusion  the Nursing interventions proposed were considered valid regarding content, and can be used in the care provided to hospitalized newborns, in order to prevent skin lesions and to contribute with the quality of the assistance provided and with the safety of the neonatal patient.

DESCRIPTORS
Neonatal intensive care units; Newborn; Skin; Neonatal nursing; Nursing care; Validation studies