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Clinic validation protocol for venous ulcers in high complexity.

Daniele Vieira Dantas1, Gilson de Vasconcelos Torres1, Marina de Góes Salvetti2

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Summary

This study clinically validated a treatment protocol for venous ulcers in complex healthcare settings. Adjustments improved the protocol's applicability and relevance for patient care.

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Area of Science:

  • Nursing
  • Clinical Protocol Development
  • Wound Care

Background:

  • Venous ulcers represent a significant challenge in complex healthcare services.
  • Standardized clinical protocols are essential for effective patient management.
  • Optimizing treatment protocols enhances clinical outcomes and resource utilization.

Purpose of the Study:

  • To conduct clinical validation of a treatment protocol for individuals with venous ulcers.
  • To refine the protocol for use in highly complex health services.
  • To ensure the protocol's applicability and relevance in clinical practice.

Main Methods:

  • Methodological quantitative study involving four specialist nurses.
  • Evaluation of 32 patients with venous ulcers.
  • Data analysis using the Kappa test (K ≥ 0.61) for inter-rater reliability.

Main Results:

  • Items with unsatisfactory Kappa coefficients were identified and excluded.
  • Experts recommended modifications to categories including anamnesis, examinations, pain/pulse verification, surgical treatment, recurrence prevention, and referral processes.
  • The protocol underwent adjustments based on expert feedback and clinical validation.

Conclusions:

  • The clinical protocol for venous ulcer treatment was successfully validated in a real-world setting.
  • Post-adjustment, the protocol comprises 15 categories and 76 items.
  • The validation process significantly optimized the instrument's applicability and relevance for clinical use.