Ventilator-associated pneumonia in adult patients: development and validity of a bundle and a checklist
DOI:
https://doi.org/10.17058/reci.v15i4.20355Keywords:
Ventilator-associated pneumonia, Critical care, Checklist, Validation study, Cross infectionAbstract
Background and Objectives: Ventilator-associated pneumonia is a lung infection that occurs 48 hours after the start of orotracheal intubation and invasive mechanical ventilation and is a common infection in intensive care. In the quest for higher quality care and patient safety, the objective of this study was to develop and validate the appearance of the bundle and checklist for the prevention of ventilator-associated pneumonia with professionals from the Adult Intensive Care Unit. Methods: methodological and quantitative study, which took place from January 2023 to November 2024, and was organized in two stages: (1) construction of the bundle and checklist; (2) validation of the instruments. The population consisted of 15 professionals in the field, who consented electronically to participate in the research. The data collection instrument was hosted on Google Forms®, with support from the WhatsApp® social network and email. The criteria of clarity and relevance were evaluated using the Suitability Assessment of Materials to measure the appearance of the bundle and checklist. Each item that obtained more than 80% agreement was considered valid. Results: Fifteen responses were obtained: 57.1% female; average age of 32 years; mostly professional nurses (42.9%). None of the validation criteria required changes, due to agreement greater than 0.80 on all items. Both instruments have internal consistency of 0.949, considered excellent. Conclusion: the bundle and checklist were evaluated as adequate, clear, and relevant tools, and their incorporation into practice can contribute significantly to the prevention of ventilator-associated pneumonia.
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