Implementation of a flow protocol in home care for children with special healthcare needs.
Mariana Matias Santos, Beatriz Rosana Gonçalves de Oliveira Toso, Altamira Pereira da Silva Reichert, Paloma Mayara Vieira de Macena Lima, Eliane Tatsch Neves, Regina Aparecida Garcia de Lima, Elenice Maria Cecchetti Vaz, Neusa Collet
Abstract
Open AccessOBJECTIVES: to validate and implement a home care flow protocol for children with special healthcare needs. METHODS: mixed-method research conducted in home care services in Paraíba, Brazil, with 13 judges for content validity and 11 interviews with healthcare professionals after clinical implementation. Quantitative data were analyzed by calculating the Content Validity Index and Cronbach's alpha, and qualitative data were analyzed by inductive thematic analysis. Mixed-method analysis was performed by integrating data in a joint display. RESULTS: the instrument was considered substantial and valid, with a Cronbach's alpha of 0.87. There was a need for adjustments to the protocol flowchart in the "transportation", "communication with Primary Health Care", "Singular Therapeutic Project implementation", "telecare" and "emergency service activation" items. CONCLUSIONS: the protocol was considered functional for use by home services after incorporation of the suggested adjustments.