Qualidade dos cuidados de enfermagem de reabilitação para a inclusão e acessibilidade: construção de um instrumento

Rute Salomé da Silva Pereira; Maria Manuela Ferreira Pereira da Silva Martins; Ana Maria da Silva Pereira; Caroline Porcelis Vargas; Lucas Antunes; Marisa da Conceição Gomes Lourenço; Wiliam César Alves Machado

doi:10.36517/2175-6783.20252694665

Authors

Rute Salomé da Silva Pereira Universidade do Porto. Porto, Portugal https://orcid.org/0000-0002-4468-0787
Maria Manuela Ferreira Pereira da Silva Martins Universidade do Porto. Porto, Portugal https://orcid.org/0000-0003-1527-9940
Ana Maria da Silva Pereira Instituto Português de Oncologia do Porto Francisco Gentil. Porto, Portugal https://orcid.org/0000-0001-5485-1212
Caroline Porcelis Vargas Universidade Federal de Santa Catarina https://orcid.org/0000-0002-9904-0816
Lucas Antunes Universidade Federal de Santa Catarina https://orcid.org/0000-0002-5359-4039
Marisa da Conceição Gomes Lourenço Escola Superior de Enfermagem do Porto. Porto, Portugal https://orcid.org/0000-0001-5953-788X
Wiliam César Alves Machado Universidade Federal do Estado do Rio de Janeiro https://orcid.org/0000-0002-4325-7143

DOI:

https://doi.org/10.36517/2175-6783.20252694665

Keywords:

Quality of Health Care; Social Inclusion; Architectural Accessibility; Rehabilitation Nursing; Nursing Care.

Abstract

Objective: to develop and validate the content of the Rehabilitation, Accessibility and Social Inclusion in Nursing instrument. Methods: a methodological study involving the development of an instrument containing 33 items, followed by content validation by 110 nurses specialized in rehabilitation using the Content Validity Index. After validation, a reflective process was conducted to identify Nursing diagnoses, interventions and outcomes, culminating in the definition of quality indicators. Results: content validation presented a Content Validity Index above 0.90 for all items. The accessibility assessment stood out in the areas of housing (97.3%), outdoor spaces (94.5%) and work environments (91.8%). Quality indicators were developed in the following areas: home adaptation, service accessibility, employment and intervention for persons with disabilities. Conclusion: the instrument showed theoretical relevance for the Rehabilitation Nursing practice in the accessibility and social inclusion area. Contributions to practice: the instrument guides rehabilitation nurses in promoting social inclusion and accessibility while providing quality indicators for nursing care.

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