Care for unplanned extubation prevention: analysis of the validity of an instrument's content

• Main Authors: Giovanna Mercado Torres (Author), Eliane Regina Pereira do Nascimento (Author), Patrícia Madalena Vieira Hermida (Author), Luciana Bihain Hagemann de Malfussi (Author), Sabrina Guterres da Silva Galetto (Author)
• Format: Book
• Published: Associação Brasileira de Enfermagem.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1984-0446; 10.1590/0034-7167-2018-0998
• Keywords: Critical Care; Airway Extubation; Intensive Care Units; Patient Safety; Validation Study; Nursing; RT1-120
• Source: Revista Brasileira de Enfermagem

ABSTRACT 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.