Construction and validation of checklist for disinfecting ambulances to transport Covid-19 patients

Alexandre, Ana Carla Silva; Galindo Neto, Nelson Miguel; Souza Silva, Maria Aparecida de; Silva Santos, Dária Catarina; Alcoforado, Josicleide Montenegro da Silva Guedes; Melo, Daniela Bezerra de

doi:10.1590/1983-1447.2021.20200312

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Original Article • Rev. Gaúcha Enferm. 42 (spe) • 2021 • https://doi.org/10.1590/1983-1447.2021.20200312 linkcopy

Construction and validation of checklist for disinfecting ambulances to transport Covid-19 patients

Construcción y validación de checklist para la desinfección de ambulancias para el transporte de pacientes Covid-19

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective To build and validate a checklist for disinfecting ambulances transporting patients with Covid-19.

Method Methodological study composed by the construction of a checklist and validation by 42 professionals, of which 35 professionals had expertise in patient transport/transfer and seven in hospital infection control. The item with a minimum agreement of 80% was considered valid, based on the Content Validation Index and binomial test.

Results The checklist had the steps performed for terminal disinfection of ambulances. It had 54 items, which included the personal protective equipment and used materials, disinfection of the driver's cabin, equipment, and the patient care cabin. The minimum agreement obtained was 85% and the mean of the Content Validation Index was 0.96.

Conclusion The checklist was considered valid in terms of content and can be used to disinfect ambulances transporting patients with Covid-19.

Keywords
Coronavirus infections; Disinfection; Validation study; Ambulances

Items	PPE^‡ and materials used		Disinfection of driver’s cabin
Items	CVI*	p^†	CVI*	p^†
Content
1- It is pertinent for the checklist	0.92	0.961	1	1
2- Help those who perform disinfection	0.97	0.998	1	1
3- It is scientifically correct	0.85	0.617	0.90	0.893
4- Presented in an understandable manner	1	1	1	1
Language
5- Compatible with the target audience	0.97	0.998	1	1
6- The sentences’ formulation is attractive	0.92	0.961	0.95	0.990
7- It is clear and objective	1	1	1	1
Layout
8- Font size favors reading	1	1	0.97	0.998
9- Colors make reading possible	0.90	0.893	0.88	0.617
10- The items disposition is organized	1	1	1	1
11- Number of pages is consistent	0.95	0.990	0.97	0.998

Items	Material removal and disinfection		Cleaning and washing the PCU^‡		Disinfecting the PCU^‡
Items	CVI*	p^†	CVI*	p^†	CVI*	p^†
Content
1- It is pertinent for the checklist	0.92	0.961	0.85	0.617	1	1
2- Help those who perform disinfection	0.97	0.998	0.97	0.998	1	1
3- It is scientifically correct	0.92	0.961	0.95	0.990	0.97	0.998
4- Presented in an understandable manner	0.97	0.998	0.97	0.998	1	1
Language
5- Compatible with the target audience	0.95	0.990	1	1	1	1
6- The sentences’ formulation is attractive	0.92	0.961	0.97	0.998	0.97	0.998
7- It is clear and objective	0.95	0.990	0.97	0.998	0.95	0.990
Layout
8- Font size favors reading	0.95	0.990	0.95	0.990	0.95	0.990
9- Colors make reading possible	0.92	0.961	0.92	0.961	0.95	0.990
10- The items disposition is organized	1	1	1	1	1	1
11- Number of pages is consistent	1	1	1	1	1	1

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Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

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[TFN1] Source: Research data, 2020.

[TFN2] Legend: *Item-level Content Validity Index; ^†binomial test; ^‡ EPI - personal protective equipment.