Avaliação de tecnologia gerencial na passagem de plantão de enfermagem no contexto de assistência ao paciente renal hemodialítico

Abstract

Hemodialysis is a complex treatment involving various risks for patients undergoing renal replacement therapy, including safety-related risks. Consequently, several management tools have been employed to ensure safe care. One of the challenges is effective communication. In light of this, the objective is to assess the applicability of a Managerial Technology for Effective Communication among the nursing team in hemodialysis clinics (TGCE-HD). This is a crosssectional study with a quantitative approach, using an instrument to evaluate TGCE-HD among the nursing team. The study was conducted at a hemodialysis clinic in a teaching hospital in Fortaleza, Ceará, Brazil. The instrument comprises two parts: the first includes sociodemographic data, and the second involves the evaluation of TGCE-HD. Regarding technology, there was an analysis of the clarity and comprehension of each item, as well as the size of TGCE-HD. The sample consisted of 18 nursing professionals from the teaching hospital's hemodialysis clinic. Data were analyzed and compared using the R Project for Statistical software, and subsequently evaluated through the application of the Content Validation Index and binomial test. A value above 0.85 was used to assess agreement, with a significance level of 5%. Results indicate a predominance of females at 88.8% (n=16); 77.7% (n=14) were nursing technicians; 50% (n=9) had a high school education; 44.4% (n=8) held two jobs; 72.2% (n=13) commonly provided assistance to four patients, and all participants considered the care to be safe, 100% (n=18). Team communication was classified as "excellent" in ten responses (55.5%). All domains showed overall agreement above 0.85 in the three assessed aspects; two items with lower-than-expected agreement in all three aspects were excluded. No item in domain one had agreement below 0.85. The managerial technology was found to be semantically clear, understandable, and of an applicable size for shift change, according to the judgment of the professionals surveyed, demonstrating its suitability for use by professionals and promoting effective communication among the nursing team, facilitating a safe and effective shift change.