<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0874-0283</journal-id>
<journal-title><![CDATA[Revista de Enfermagem Referência]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Enf. Ref.]]></abbrev-journal-title>
<issn>0874-0283</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Coimbra - Unidade de Investigação em Ciências da Saúde - Enfermagem]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0874-02832024000100213</article-id>
<article-id pub-id-type="doi">10.12707/rvi23.107.32774</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Técnica Delphi na validação de intervenções de enfermagem na abordagem ao doente com acidente vascular cerebral]]></article-title>
<article-title xml:lang="en"><![CDATA[Using the Delphi technique to validate nursing interventions for stroke patients]]></article-title>
<article-title xml:lang="es"><![CDATA[Técnica Delphi en la validación de intervenciones de enfermería para pacientes con accidente cerebrovascular]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Conde]]></surname>
<given-names><![CDATA[Catarina Isabel Almeida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[Hugo Miguel Santos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Politécnico de Leiria Escola Superior de Saúde ]]></institution>
<addr-line><![CDATA[Leiria ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Local de Saúde do Oeste  ]]></institution>
<addr-line><![CDATA[Torres Vedras ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Politécnico de Leiria Center for Innovative Care and Health TechnologyciTechCare ]]></institution>
<addr-line><![CDATA[Leiria ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>serVI</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0874-02832024000100213&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0874-02832024000100213&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0874-02832024000100213&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  A prevalência do acidente vascular cerebral continua elevada, sendo recomendada a existência de procedimentos clínicos.  Objetivo:  Validar, através da técnica Delphi, intervenções de enfermagem na abordagem ao doente com suspeita de acidente vascular cerebral em fase aguda, com um painel de especialistas.  Metodologia:  Realizou-se uma pesquisa Survey, com base num estudo quantitativo-descritivo, sendo que uma revisão sistemática de literatura foi realizada previamente.  Resultados:  Amostra composta por seis especialistas. Realizadas duas rondas da técnica Delphi, foram validadas intervenções de Enfermagem ao doente com suspeita de acidente vascular cerebral, em fase aguda, nomeadamente: correto encaminhamento tendo em conta o tempo de evolução dos sintomas; abordagem em sala de emergência (baseada na avaliação ABCDEFGH); vigilância e resposta a reações adversas durante e após trombólise.  Conclusão:  A validação das intervenções de enfermagem na abordagem ao doente com suspeita de acidente vascular cerebral em fase aguda levou à elaboração de uma instrução de trabalho sólida, direcionada aos enfermeiros.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  The prevalence of stroke remains high, where clinical procedures are recommended.  Objective:  To validate, using the Delphi technique, nursing interventions in the approach to patients with suspected stroke in the acute phase, with a panel of specialists.  Methodology:  A survey was carried out, based on a quantitative-descriptive study. A systematic literature review was carried out beforehand.  Results:  The sample consisted of six specialists. Two rounds of the Delphi technique were used to validate nursing interventions for patients with suspected stroke in the acute phase, namely: correct referral taking into account the time of symptom progression; emergency room approach (based on the ABCDEFGH assessment); monitoring and response to adverse reactions during and after thrombolysis.  Conclusion:  The validation of nursing interventions in the approach to patients with suspected acute strokes led to the development of a solid work instruction for nurses.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  La prevalencia de los accidentes cerebrovasculares sigue siendo elevada, por lo que se recomiendan procedimientos clínicos.  Objetivo:  Validar, mediante la técnica Delphi, las intervenciones de enfermería en el abordaje de pacientes con sospecha de accidente cerebrovascular en fase aguda, con un panel de especialistas.  Metodología:  Se realizó una investigación de tipo Survey, basada en un estudio cuantitativo-descriptivo. Previamente se realizó una revisión bibliográfica sistemática.  Resultados:  La muestra estaba formada por seis especialistas. Tras dos rondas Delphi, se validaron las intervenciones de enfermería para pacientes con sospecha de accidente cerebrovascular en fase aguda, a saber: derivación correcta teniendo en cuenta el tiempo de progresión de los síntomas; abordaje en urgencias (basado en la evaluación ABCDEFGH); seguimiento y respuesta a las reacciones adversas durante y después de la trombolisis.  Conclusión:  La validación de las intervenciones de enfermería en el abordaje de pacientes con sospecha de accidente cerebrovascular agudo condujo al desarrollo de una sólida instrucción de trabajo para enfermeras.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[acidente vascular cerebral]]></kwd>
<kwd lng="pt"><![CDATA[procedimentos clínicos]]></kwd>
<kwd lng="pt"><![CDATA[técnica Delphi]]></kwd>
<kwd lng="pt"><![CDATA[cuidados de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[cuidados críticos]]></kwd>
<kwd lng="en"><![CDATA[stroke]]></kwd>
<kwd lng="en"><![CDATA[critical pathways]]></kwd>
<kwd lng="en"><![CDATA[Delphi technique]]></kwd>
<kwd lng="en"><![CDATA[nursing care]]></kwd>
<kwd lng="en"><![CDATA[critical care]]></kwd>
<kwd lng="es"><![CDATA[accidente cerebrovascular]]></kwd>
<kwd lng="es"><![CDATA[vías clínicas]]></kwd>
<kwd lng="es"><![CDATA[técnica Delphi]]></kwd>
<kwd lng="es"><![CDATA[atención de enfermería]]></kwd>
<kwd lng="es"><![CDATA[cuidados críticos]]></kwd>
</kwd-group>
</article-meta>
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