title: Clinic validation protocol for venous ulcers in high complexity.
abstract: OBJECTIVE
  To perform clinical validation of a clinical protocol for treatment of individuals with venous ulcers in highly complex health services.
  
  
  METHODS
  Methodological quantitative study conducted by four specialist nurses who evaluated 32 patients with venous ulcers, at the Onofre Lopes University Hospital, in Natal/Rio Grande do Norte. Data was collected between July and December/2013 and analysis was carried out using Kappa test (K), considering K ≥ 0.61.
  
  
  RESULTS
  Items with unsatisfactory Kappa coefficients were excluded and the experts suggested changes in the categories anamnesis; examinations; verification of pain and pulse signs; surgical treatment of chronic venous disease; prevention of recurrence; reference and counter-reference.
  
  
  CONCLUSIONS
  The protocol was validated in the clinical setting and, after adjustments, it contained 15 categories and 76 items. Validation optimized the instrument regarding applicability and relevance.
authors.affiliation: Universidade Federal do Rio Grande do Norte (UFRN), Departamento de Enfermagem. Natal, Rio Grande do Norte, Brasil.
authors.forename: Daniele Vieira
authors.initials: DV
authors.lastname: Dantas
authors.affiliation: Universidade Federal do Rio Grande do Norte (UFRN), Departamento de Enfermagem. Natal, Rio Grande do Norte, Brasil.
authors.forename: Gilson de Vasconcelos
authors.initials: GV
authors.lastname: Torres
authors.affiliation: Universidade de São Paulo (USP), Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica. São Paulo, São Paulo, Brasil.
authors.forename: Marina de Góes
authors.initials: MG
authors.lastname: Salvetti
authors.affiliation: Universidade Federal do Rio Grande do Norte (UFRN), Departamento de Enfermagem. Natal, Rio Grande do Norte, Brasil.
authors.forename: Isabelle Katherinne Fernandes
authors.initials: IK
authors.lastname: Costa
authors.affiliation: Universidade Federal do Rio Grande do Norte (UFRN), Departamento de Enfermagem. Natal, Rio Grande do Norte, Brasil.
authors.forename: Rodrigo Assis Neves
authors.initials: RA
authors.lastname: Dantas
authors.affiliation: Universidade Federal do Rio Grande do Norte (UFRN), Departamento de Enfermagem. Natal, Rio Grande do Norte, Brasil.
authors.forename: Rhayssa de Oliveira E
authors.initials: RO
authors.lastname: Araújo
mesh_terms: D002985:Clinical Protocols; D006801:Humans; D012720:Severity of Illness Index; D014647:Varicose Ulcer / Q000628:therapy*