Validação de uma matriz avaliativa de planos de contingência para enfrentamento da covid-19

Abstract

Since March 2020 when the World Health Organization (WHO) declared a Public Health Emergency of International Concern for COVID-19. There was an increase in the number of people hospitalized for severe cases of the SARS-COV-2 coronavirus in Brazil. This generated an overload in the Brazilian health system, which was already accumulating problems. In this scenario, Federal University Hospitals (HUFs) have played an important role. Due to the urgency, developing plans for rapid responses to the spread is imperative. Contingency plans provide practical directions for managers and planners. However, there are no evaluative studies on this topic in the literature. After carrying out the state of the art in four databases, it was also identified the lack of indicators capable of evaluating the quality of the rapid response plans implemented in the HUFs. Therefore, the present study aimed to build and validate an evaluation matrix for COVID-19 coping plans in hospitals. This is a methodological and evaluative study, developed in two stages. The first covered the elaboration of research instruments from the theoretical framework, starting with the Logical Model (ML), which systematically and visually represents the steps that make up the National Contingency Plan, which later subsidized the elaboration of the Assessment Matrix (MAV). The second stage comprised the moment of validation of the indicator plan using the Delphi technique, and consisted of carrying out two sequential rounds of consultation with a panel of experts in the subject and in linguistics, previously selected from the Lattes platform. These rounds were interspersed with controlled feedback, thus seeking to obtain the most reliable consensus from this group of experts on the pertinence and clarity of the indicators developed in the first stage of the research. The result of the first round indicated an overall Concordance Rate (TC) of 96.68% among the participants and an overall Content Validity Index (CVI) for clarity of 0.86 and for representativeness it was 1.00. Based on the participants' statements, some adjustments were made to the MAV and ML and submitted to a new evaluation by the panel of experts. In the second round, the TC was 100% in all indicators evaluated, the general CVI was measured for clarity and representativeness at 1.00. Therefore, the matrix indicators were validated, being considered, in the opinion of the experts, to have the necessary relevance and clarity to be used in health institutions, being, therefore, indicators capable of evaluating the Contingency Plans, being able to contribute to the planning and monitoring of every action. In addition, it may support the formulation of care protocols, promoting safer practices, minimizing the risks inherent to hospitalization.