[Instrument to collect nursing data in General Intensive Care Unit]

Area of Science:

• Nursing Science
• Clinical Informatics

Background:

• Effective nursing data collection is crucial for patient care in Intensive Care Units (ICUs).
• Existing tools may not adequately capture comprehensive patient data in diverse ICU settings.

Purpose of the Study:

• To develop and validate a comprehensive instrument for collecting nursing data in a General ICU.
• To enhance the systematization and quality of nursing care through a standardized data collection tool.

Main Methods:

• Action research methodology employed in three distinct phases.
• Identification and validation of empirical indicators from hospitalized adult ICU patients.
• Apparent and content validation of the instrument, resulting in a final version.

Main Results:

• Initial identification of 545 empirical indicators, refined to 179 indicators with an Index of Concordance (IC) > 0.80.
• The final instrument is structured into four key areas: Identification, Interview, Physical Examination, and Nurse Impressions and Intercurrences.
• The instrument demonstrated robust validation, ensuring its suitability for clinical use.

Conclusions:

• The developed instrument is expected to improve the identification of health/disease situations and nursing care needs.
• It is anticipated to foster stronger interpersonal relationships among nurses, patients, and families.
• The tool aims to highlight the importance of systematized nursing care for enhancing overall quality and stimulating further research.