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

Autores/as

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

Palabras clave:

Calidad de la Atención de Salud, Inclusión Social, Accesibilidad Arquitectónica, Enfermería en Rehabilitación, Atención de Enfermería

Resumen

Objetivo: Construir y validar el contenido del instrumento Rehabilitación, Accesibilidad, Inclusión Social en la Enfermería e identificar diagnósticos, intervenciones y estrategias de evaluación en enfermería para establecer indicadores de calidad en los cuidados de enfermería para la accesibilidad e inclusión social. Métodos: Estudio metodológico con la construcción de un instrumento con 33 ítems, seguido de validación de contenido por 110 enfermeros de rehabilitación, utilizando el Índice de Validez de Contenido. Tras la validación, se realizó un proceso reflexivo para identificar diagnósticos, intervenciones y resultados de enfermería, culminando en la definición de indicadores de calidad. Resultados: La validación de contenido presentó un Índice de Validez de Contenido superior a 0,90 para todos los ítems. La evaluación de la accesibilidad se destacó en las áreas de vivienda (97,3%), área exterior (94,5%) y trabajo (91,8%). Se desarrollaron indicadores de calidad: adaptación habitacional, accesibilidad a servicios, empleo e intervención en personas con discapacidad. Conclusión: El instrumento demostró relevancia teórica para enfermería de rehabilitación en área de accesibilidad e inclusión social. Contribuciones a la práctica: El instrumento orienta la práctica de los enfermeros de rehabilitación en la promoción de la inclusión social y la accesibilidad, e proporciona indicadores de calidad para los cuidados de enfermería.

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