Quality of rehabilitation nursing care for inclusion and accessibility: development of an instrument

Abstract

Objective: to develop and validate the content of the Rehabilitation, Accessibility and Social Inclusion in Nursing instrument. Methods: a methodological study involving the development of an instrument containing 33 items, followed by content validation by 110 nurses specialized in rehabilitation using the Content Validity Index. After validation, a reflective process was conducted to identify Nursing diagnoses, interventions and outcomes, culminating in the definition of quality indicators. Results: content validation presented a Content Validity Index above 0.90 for all items. The accessibility assessment stood out in the areas of housing (97.3%), outdoor spaces (94.5%) and work environments (91.8%). Quality indicators were developed in the following areas: home adaptation, service accessibility, employment and intervention for persons with disabilities. Conclusion: the instrument showed theoretical relevance for the Rehabilitation Nursing practice in the accessibility and social inclusion area. Contributions to practice: the instrument guides rehabilitation nurses in promoting social inclusion and accessibility while providing quality indicators for nursing care.

Keywords

• quality of health care
• social inclusion
• architectural accessibility
• rehabilitation nursing
• nursing care