Desenvolvimento de instrumento relacionado à segurança do paciente na atenção domiciliar

Abstract

Introduction: Patient safety in health services is a practice recommended by the World Health Organization, and strengthened in Brazil by the National Patient Safety Program. In this context, home care deserves special attention on safe care, since it presents unique characteristics, such as greater dependence on the users, the care provided in a home environment, the continuous presence of the caregiver and the centrality of care in the patient’s and family’s domain. Home health practices require continuous management and monitoring. To assist in improving the quality and management of this particular care and in view of the limitations of the existence of an instrument in Brazil that measures patient safety at home, this research describes the stages of development and validation of an instrument based on three domains: Work processes of the Home Care Service – HCS; Patient, health team and caregiver safety in home care; HCS organization and management. Objective: To describe the stages of development of an instrument related to Patient Safety in Home Care and the test result of its psychometric properties. Method: Methodological research, structured in three stages: production of domains and items, content and apparent validation with judges’ evaluation, application of Content Validity Index (CVI) and semantic analysis of items. Data collection took place from January 2019 to June 2019. Results: In the validation of content and apparent, eight homecare experienced judges participated. A Content Validity Index (CVI) was used equal to or greater than 0.9 for the selection of items; thus, it was possible to reduce the original instrument from 70 to 34 items. In the test of the psychometric properties of the instrument, a total CVI of 0.96 was obtained, consistent with the evidence of acceptable reliability and validity. Two phases of semantic analysis were performed, in which participants demonstrated an adequate understanding of the items. Developed product: Content development and validation of an instrument “Patient safety in home care”. The instrument and its development and validation are present in the article “Development of an instrument related to patient safety in home care” submitted to a journal indexed in PubMed. Conclusions: An instrument with potential for use in home care was developed and that may contribute to future research on the subject.