Validation of a nursing protocol for the evaluation and diagnosis of urinary retention in adults

Abstract

Background: In situations where the patient manifests urinary retention (UR), the physical examination is often inconclusive. Consequently, urinary catheterization is often the alternative procedure, leading to risks associated with this procedure for the patient, like urinary tract infection. Objective: To validate the content of a nursing protocol for the evaluation and diagnosis of UR in adults, with the support of the bladder scan, for use by Portuguese nurses. Methodology: Methodological study, with the opinion of experts through the Delphi technique and the Fehring Model, adapted to the cultural context. Results: Validation of the protocol was achieved in the first round of the Delphi technique, with the participation of 42 experts (CVI ≥ 0.90). The second round of the Delphi technique, with 26 experts, aiming at improving the protocol, obtained a CVI ≥ 0.88. Conclusion: The validation of this protocol represents an improvement in nursing knowledge. The instrument is considered a theoretical and practical means to support the promotion of nursing care quality.