Development of a care bundle for performing the newborn pulse oximetry screening by nursing staff

ABSTRACT Objective to describe the development of a bundle for the performance of pulse oximetry screening by nursing staff. Method this methodological study was conducted between October and December 2024 in a maternity hospital located in the interior of the state of Rio de Janeiro, Brazil. The development process occurred in three stages: identification of the informational needs of 27 nursing professionals regarding the pulse oximetry screening; literature review; and bundle development. Data analysis was performed using the IRaMuTeQ software with the Descending Hierarchical Classification method. Results the main informational needs reported by nursing staff were related to the use of the monitor, correct positioning, pulse oximetry parameters, appropriate timing for the test, result interpretation, and the need for retesting. The lack of training was widely mentioned. The bundle developed consists of four stages: before the test, test performance, result interpretation, and management of positive results. It includes nine items detailing the procedures, responsibilities, required checks, and spaces for verification. Conclusions and implications for practice the bundle, developed based on scientific evidence, facilitates adherence by providing clear and objective information. Its use contributes to minimizing errors and interpretation bias, while also systematizing the execution of the pulse oximetry screening. Furthermore, it strengthens care management and promotes continuing education in clinical practice.