Construction and validation of a nursing care protocol in anesthesia

methodological study of face and content validation, judging clarity, relevance, pertinence and comprehensiveness of a care protocol, elaborated from the integrative review of previous literature and based on the conceptual model of assistance perioperative nursing of Castellanos and Jouclas. The protocol was evaluated by five anesthesiologists and nurses from the surgical center. The results were analyzed through the content validity index.

Results:

among the 119 items assessed by experts, 11 (9.2%) instrument items presented content validity index of <80% and were changed. The items with disagreement were related to the selection and availability of materials and equipment, especially before anesthetic induction. The content validity index, obtained for the different items, proposed after the amendments mentioned, ranged from 80 to 100%, in the three periods of anesthesia, indicating the proper validity of the proposed content.

Conclusion:

the nursing care protocol in anesthesia was considered valid.

Descriptors:
Anesthesia; Nursing Care; Operating Room Nursing; Perioperative Nursing; Patient Safety; Checklist.

Item / nursing care	Evaluation criteria
Item / nursing care	Clarity	Relevance	Pertinence	Completeness
Before induction
*A) Operation of anesthesia equipment*
1) Perform anesthesia equipment test	40	100	100	60
2) To evaluate the availability of breathing circuit reserves according to the age range of the patient	80	80	80	60
3) Evaluate the color of soda lime	40	100	60	40
4) Blood pressure cuff	80	100	80	60
5) Multi-Parameter Monitor Alarm	60	100	100	60
*D) Airway material*
6) Separate endotracheal tube according to the patient's age range, consider the availability of three different numbers	60	100	100	60
*E) Organize materials for intubation*
7) Facial mask according to patient's age group	60	100	100	80
8) Nasogastric tube	80	100	80	60
*F) Difficult airway*
9) Availability of tracheostomy cannula	80	80	80	60
10) Esophageal-tracheal tube( *combitube* ) availability	100	80	80	60
Anesthetic induction
*C) Monitor the patient with*
11) Temperature	80	100	100	60

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
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[1] Corresponding Author: Cassiane de Santana Lemos Universidade de São Paulo Escola de Enfermagem Av Dr Eneas de Carvalho Aguiar, 419 Bairro: Pinheiros CEP: 05403-000, São Paulo, SP, Brasil E-mail: cassilemos@usp.br;cassifest@gmail.com

Item / nursing care	Evaluation criteria
Item / nursing care	Clarity	Relevance	Pertinence	Completeness
Before induction
*A) Operation of anesthesia equipment* 1) Perform the anesthesia equipment test according to the manufacturer's instructions, also verifying: connection of the equipment to the source of energy and battery, source of gases (oxygen, nitrous oxide, compressed air and vacuum) available, connected to the equipment and with pressure ≥50 Psi* or 3.2 kgf / cm ^2† , full and closed vaporizers, no gas oscillation with closed flowmeters.	80	100	100	100
2) Provide a set of breathing circuit according to the patient's age range	100	100	100	100
3) Evaluate the saturation (color) of the soda lime and consider the exchange if more than 50% is violet	100	100	100	100
4) Blood pressure cuff, according to the patient's physical characteristics (weight, age)	100	100	100	100
5) Adjust multi-parameter monitor alarms, according to the age range of the patient	80	100	100	100
*D) Airway material*
6) Separate endotracheal tube, according to the patient's physical characteristics (age, gender) and type of surgery, consider the availability of three different sizes	100	100	100	100
*E) Organize materials for intubation*
7) air cushion mask, according to the physical characteristics of the patient (weight, age)	100	100	100	100
8) Gastric probe: children from 4 to 10 Fr ^‡ /adults from 14 to 18 Fr ^‡	100	100	100	100
*F) Difficult airway*
9) Availability of tracheostomy cannula, according to the patient's physical characteristics (weight, age)	80	80	80	80
10) Availability of esophageal-tracheal tube (combitube), according to the patient's physical characteristics (height)	100	100	100	100
Anesthetic induction
*C) Monitor the patient with*
11) Thermometer	80	100	100	80

Brasil

Brasil

Construction and validation of a nursing care protocol in anesthesia1 1 Paper extracted from Master’s Thesis “Assistência de enfermagem no procedimento anestésico: protocolo para segurança do paciente”, presented at Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Construction and validation of a nursing care protocol in anesthesia¹ 1 Paper extracted from Master’s Thesis “Assistência de enfermagem no procedimento anestésico: protocolo para segurança do paciente”, presented at Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.