Abstract
ABSTRACT Objective: to perform the adaptation, content validation and semantic analysis of a Multidisciplinary Checklist used in rounds in Intensive Care Units for adults. Method: a methodological study, consisting of three stages: Adaptation of the checklist, performed by one of the authors; Content validation, performed by seven judges/health professionals from a public teaching hospital in Paraná; and Semantic analysis, performed in a philanthropic hospital in the same state. Agreement of the judges and of the target audience in the content validation and semantic analysis stages was calculated using the Content Validity Index and the Agreement Index, respectively, with a minimum acceptable value of 0.80. Results: in the content validation stage, the checklist obtained a total agreement of 0.84. Of the 16 items included in the instrument, 11 (68.75%) were readjusted and four (25%) were excluded for not reaching the minimum agreement. The readjusted items referred to sedation; analgesia; nutrition; glycemic control; headboard elevation; gastric ulcer prophylaxis; prophylaxis for venous thromboembolism; indwelling urinary catheter, central venous catheter; protective mechanical ventilation and spontaneous breathing test. Regarding the items excluded, they referred to the cuff pressure of the orotracheal tube and to Nursing care measures such as taking the patient out of the bed, pressure injury prophylaxis, and ophthalmoprotection. In the semantic analysis, the final agreement of the instrument's items was 0.96. Conclusion: after two evaluation rounds by the judges, testing in critically-ill patients and high inter-evaluator agreement index, the Multidisciplinary Checklist is found with validated content suitable for use in rounds in intensive care.
Highlights
The Checklist consists of a structured work tool, which includes a set of complex items or activities to be considered and/or performed, in order to confirm through systematic observation that the necessary actions and interventions are being operationalized while performing some activity[1].In the health area, using the checklist contributes to care management, as it qualifies the assistance provided and increases the safety of hospitalized patients
In order to ensure that important actions are not forgotten in the daily routine of the intensive care services, Brazilian researchers[6] adapted the initials of the ‘Fast Hug’[7] checklist acrostic, proposed by a Belgian physician based on the mnemonic resource called ‘Suspicion for good’
In order to standardize multi-professional care, legitimize the quality of the instrument used during the rounds of an Intensive Care Units (ICUs), and ensure assistance based on the best practices in an intensive care unit, this study aimed at: Carrying out the adaptation, content validation and semantic analysis of a Multidisciplinary Checklist used in rounds in an ICU for adults
Summary
The Checklist consists of a structured work tool, which includes a set of complex items or activities to be considered and/or performed, in order to confirm through systematic observation that the necessary actions and interventions are being operationalized while performing some activity[1].In the health area, using the checklist contributes to care management, as it qualifies the assistance provided and increases the safety of hospitalized patients. In Intensive Care Units (ICUs), daily use of a multidisciplinary checklist during the rounds (multi-professional bedside visit), contributes to increased adherence to evidence-based practices[4,5]. In this sense, in order to ensure that important actions are not forgotten in the daily routine of the intensive care services, Brazilian researchers[6] adapted the initials of the ‘Fast Hug’[7] checklist acrostic, proposed by a Belgian physician based on the mnemonic resource called ‘Suspicion for good’. Thereby, mnemonic resources help to standardize procedures that unify the best assistance practices among the evaluators/health providers[8]
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