Care for unplanned extubation prevention: analysis of the validity of an instrument’s content; [Cuidados para prevenção de extubação não planejada: análise da validade do conteúdo de um instrumento]

Torres G.M.; Do Nascimento E.R.P.; Hermida P.M.V.; de Malfussi L.B.H.; Galetto S.G.D.S. · Revista Brasileira de Enfermagem (2021) · DOI: 10.1590/0034-7167-2018-0998

Resumen

Objectives: to analyze the validity of a nursing care instrument content for unplanned extubation prevention in Intensive Care Units. Methods: a methodological study carried out with 40 nurses, containing 26 interventions distributed in the components: agitation/delirium/ pain management; respiratory device stability; weaning from sedation and spontaneous breathing assessment; human resource management. Content Validity Index, average and universal proportion, and Fleiss’ Kappa coefficient were applied. Results: Brazilian female experts stood out, with an average age of 44.9 years and a standard deviation of 7.75 years. Two interventions did not reach a valid Content Validation Index (≥0.78), when considering the set of evaluated criteria. A universal agreement of 4.0% was identified among Brazilians and 26.6% among foreigners. Conclusions: the instrument is relevant and represents “unplanned extubation prevention in Intensive Care Units”, which can be implemented in Brazil and in Latin countries, in Brazilian and foreign versions.