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Enfermería Nefrológica

versão On-line ISSN 2255-3517versão impressa ISSN 2254-2884


CUEVAS-BUDHART, Miguel Ángel et al. Design and validation of a new nursing clinical registry for the continuity of care and patient safety in hemodialysis. Enferm Nefrol [online]. 2019, vol.22, n.2, pp.168-175. ISSN 2255-3517.


To design and validate a tool for improving nursing care process in a hemodialysis unit of a secondary level hospital.

Material and Method:

A quality improvement study was developed at Regional General Hospital N°1 Vicente Guerrero in Guerrero, Mexico, between may-august 2017. Hemodialysis nurse clinical record sheet was modified in two stages. For the design stage, a focus group with experts was carried out and for content validation, Delphi method was applied. The collected data were processed and analyzed with statistics program SPSS V.22.


70% of experts considered the instrument as good in terms of quality of the record. There was a discrepancy in the design, considered partially efficient (70%), since each expert evaluated according the area that dominated. All the observations made were included in the final design.


The instrument is valid, giving the right information about the patient prior to hemodialysis, satisfying legal requirements regarding the continuity of care.

Palavras-chave : patient care; quality; patient safety; continuity; hemodialysis; nursing record.

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