# Construction and assessment of the quality of a care protocol for insulin use in hospitalized children and adolescents

## TL;DR

This paper describes the creation and evaluation of a high-quality care protocol for safely using insulin in hospitalized children and adolescents.

## Contribution

The novel contribution is the development and validation of a pediatric insulin care protocol using systematic methodology and quality assessment tools.

## Key findings

- The protocol achieved high quality scores across all AGREE II domains, with the highest in rigor of development (96.1%).
- Most suggestions from evaluators were accepted, improving the protocol's quality and applicability.
- The final protocol is recommended for use by healthcare professionals in pediatric insulin therapy.

## Abstract

to develop and assess the quality of a care protocol for safe insulin use in hospitalized children and adolescents.

a methodological study developed in three stages: scoping review, protocol development, and quality assessment. The scoping review followed the JBI recommendations, using the PRISMA-ScR checklist. The protocol was constructed according to the Guide for the Construction of Healthcare Protocols, and quality assessment was carried out byjudges using AGREE II.

the protocol achieved a quality rating of 94.4% in the scope and purpose domain; 90.4% in stakeholder involvement; 96.1% in rigor of development; 95.2% in clarity of presentation; 92.8% in applicability; 97.6% in editorial independence; and 92.8% for overall guideline assessment. Judges made suggestions, most of which were accepted.

the protocol was constructed and assessed as a quality instrument recommended for use by healthcare professionals in the context of insulin therapy in pediatrics.

construir e avaliar a qualidade de um protocolo assistencial para uso seguro de insulina em crianças e adolescentes hospitalizados.

estudo metodológico, desenvolvido em três etapas: revisão de escopo, construção de protocolo e avaliação da qualidade. A revisão de escopo seguiu as recomendações da JBI, utilizando o checklist PRISMA-ScR. A construção do protocolo seguiu o Guia para a Construção de Protocolos Assistenciais, e a avaliação da qualidade foi realizada por juízes por meio do AGREE II.

o protocolo obteve qualidade de 94,4% no domínio escopo e finalidade; 90,4% no desenvolvimento das partes interessadas; 96,1 % no rigor do desenvolvimento; 95,2% na clareza da apresentação; 92,8% na aplicabilidade; 97,6% na independência editorial; e 92,8% na avaliação global. Os juízes fizeram sugestões, acatadas em sua maioria.

o protocolo foi construído e avaliado como instrumento de qualidade recomendado para uso por profissionais de saúde no contexto da insulinoterapia em pediatria.