ENDOTRACHEAL ASPIRATION IN CRITICALLY ILL PATIENTS: DEVELOPMENT AND VALIDATION OF A CHECKLIST

Abstract

Objective: to develop and validate a checklist-type instrument to identify adherence to recommendations in the endotracheal aspiration procedure in critically ill patients under mechanical ventilation, according to the Clinical Practice Guidelines of the American Association for Respiratory Care. Method: methodological, cross-sectional study with a quantitative approach. A checklist was elaborated for endotracheal aspiration procedures in critically ill patients under mechanical ventilation and submitted to the apparent and content validation process. Applied pre-test and interobserver reliability analysis from January to October 2021. Approved by the Ethics Committee. Results: In the apparent and content validation phase, five judges evaluated the instrument, its final version has 35 items. Interobserver reliability analysis was performed. Most items showed almost perfect strength of agreement. The Kappa coefficient values ranged from fair to perfect, and the reliability was considered excellent. Conclusion: The checklist is considered reliable.