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Elaboration and validity of admission and discharge checklists in Neonatal Intensive Care Units
Catharine Galvão Diniz1, Giulia Ribeiro Schettino Regne1, Daniela Cristina Zica Silva1,2
1Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, Minas Gerais, Brasil.
Insights
Patient safety checklists for Neonatal Intensive Care Units (NICUs) admission and discharge were developed and validated. These validated checklists aim to improve patient safety during transitions of care in NICUs.
Area of Science:
- Neonatal care
- Patient safety
- Healthcare quality improvement
Background:
- Safe patient management during admission and discharge is critical in Neonatal Intensive Care Units (NICUs).
- Standardized checklists can enhance care consistency and reduce errors during patient transitions.
Purpose of the Study:
- To develop and validate the content of checklists for safe admission and discharge procedures in Neonatal Intensive Care Units.
Main Methods:
- A methodological study involved a literature review, checklist construction, and content validation by 32 neonatal nursing specialists.
- Content Validity Index (CVI) using a Likert scale was employed, with items achieving a CVI of 0.90 or higher being accepted.
- Descriptive statistics were used to analyze the validity data.
Main Results:
- Two validated checklists were created: an 18-item admission checklist and a 7-item discharge checklist.
- The admission checklist required multiple validation rounds, with one item excluded. The discharge checklist achieved high validity (CVI ≥ 0.90) with all items accepted.
- Most items for the discharge checklist were validated in the first round, indicating strong initial consensus.
Conclusions:
- The developed checklists for Neonatal Intensive Care Unit admission and discharge content are considered valid.
- These validated instruments can serve as a foundation for improving patient safety protocols in NICUs.
- The study successfully established reliable tools for standardizing critical care transitions.
Objective:
To develop and validate the content of checklists for safe admission and discharge in Neonatal Intensive Care Units.
Methods:
A methodological study conducted between 2018 and 2020 in four stages: 1) literature review; 2) checklist construction; 3) content validity by 32 neonatal nursing specialists from different Brazilian states, predominantly from the southeastern region; 4) development of the final version of the instruments. Validity was performed using a Likert-type scale. Items with a Content Validity Index of 0.90 or higher were accepted. Descriptive statistics were used for data analysis.
Results:
The contents of two checklists were constructed and validated: one for admission, with 18 items, and another for discharge, with seven items. For the admission checklist, 41.03% of items were validated in the first round, 33.33%, in the second, and 23.08%, in the third. One item was excluded for not achieving the minimum Content Validity Index (>0.90). For the discharge checklist, all items achieved a CVI ≥ 0.90, with 64.7% validated in the first round and 35.3% in the second round. No items were excluded.
Conclusion:
The content of patient safety checklists for admission and discharge in Neonatal Intensive Care Units was considered valid.
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