Care protocol for fine-needle aspiration biopsy of breast and thyroid

Abstract

ABSTRACT:This study had the aim of building a care protocol for fine-needle aspiration biopsy of breast and thyroid. Using a convergent-care type qualitative approach, it was developed in a teaching hospital in southern Brazil, between September 2010 and April 2011. The study participants were 88 patients and 20 professionals who work in the Radiology Service. The protocol was built in three stages: development of educational activities in the waiting room with the patients for the identification of doubts and anxieties in relation to the examination; meetings held with the professionals for the evaluation and validation of the protocol; and search for scientific evidence in data sources. The organization of data allowed to elaborate the flowchart of patient care and the care protocol, which was organized in sequential activities and included the executor, the activity and the scientific justification. The professionals expressed the importance of the protocol, which brings advantages for patient care, such as agility, organization and the humanization of the service. El estudio objetivó construir un protocolo de cuidados para punción aspirativa con aguja fina de mama y tiroides. Con abordaje cualitativo, tipo convergente asistencial. el estudio fue realizado en un hospital de enseñanza en el sur de Brasil, en el periodo septiembre de 2010 a abril de 2011. Participaron del estudio 88 clientes y 20 profesionales que actúan en el Servicio de Radiología. La construcción del protocolo ocurrió en tres etapas: realización de actividades educativas em sala de espera junto a los clientes para identificación de dudas y ansiedades acerca del examen, encuentros con los profesionales para evaluación y validación del protocolo y búsqueda de evidencias científicas en las fuentes de datos. La organización de lós datos ha permitido la elaboración del organigrama de atendimiento del cliente y el protocolo de cuidados, que fue organizado en actividades secuenciales incluyendo el ejecutor, actividad y justificativa científica. Los profesionales indicaron la importancia del protocolo, trayendo beneficios para la asistencia del cliente, como la agilidad, organización y humanización del atendimiento. DESCRIPTORS: DESCRIPTORES:Evaluación en enfermería. Biopsia por aguja. Enfermería.

Validation methods of nursing protocols: an integrative review

“…All articles mention the literature review as part of protocol creation, be it a simple or structured literature review, such as integrative (12)(13)(14)(15) and systematic (16)(17) reviews, with emphasis on scoping reviews (4,6) . In some articles, literature review is associated with another type of data collection, such as interviews (18)(19)(20)(21) and group discussions (22)(23)(24) .…”

“…As for content validation method of protocols, assessment by experts was the most frequent (n=17), followed by expert assessment using Delphi Technique (n=12), and other methods such as convergent care research (Pesquisa Convergente Assistencial, abbreviated PCA) (24) .…”

“…PCA is a qualitative research approach that is characterized by the improvement of care practices from the introduction of innovations in such a context (46) . PCA differs from other similar methods precisely because it includes professionals with expertise in care knowledge, as illustrated in the article included in this review (24) , in which the protocol construction and validation process included 20 professionals.…”