Validation of standard operating procedure for oral hygienization of intubated and tracheostomized patients

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Bruno Augusto Barros e Matos
Margani Cadore Weis Maia
Verusca Soares de Souza
Mara Regina Rosa Ribeiro
João Lucas Campos de Oliveira

Abstract

Introduction: In Intensive Care Units, oral hygiene is a care action directly related to the safety and well-being of the patient, being one of the main ways of preventing Pneumonia Associated with Mechanical Ventilation. Although relevant, the recommendations and standardization on oral hygiene among critically ill patients are diffuse. Objective: To construct and validate a standard operating procedure (SOP) for oral hygiene performed by the nursing team for intubated and tracheostomized patients in an Intensive Care Unit (ICU). Methods: Methodological study developed in five stages: technical-scientific support; construction of SOP; recruitment and selection of experts; validation and presentation of the final version. The SOP was subjected to validation by judges with academic and/or clinical expertise (n=13) from all regions of Brazil, who assessed the validity criteria for each SOP item: Scope, Clarity, Coherence, Criticism, Objectivity, Scientific writing; Relevance, Sequence, and Uniqueness. The Content Validity Indices (CVI) of each validity criterion, SOP item, and the general CVI were calculated. Results: The experts were nurses (38.5%), dentists (38.5%), doctors (15.4%) and physiotherapists (7.7%). None of the SOP items had a CVI lower than 0.80. The general CVI was 0.95 and the experts' suggestions were mostly accepted (78.6%). The final version is available as an infographic, which illustrates the stages of the oral hygiene process of the intubated and tracheostomized patient. Conclusion: The constructed SOP has a satisfactory face and content validity, making a final total of 43 items to be used for oral hygiene of intubated and tracheostomy patients.

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How to Cite
Matos, B. A. B. e, Maia, M. C. W., Souza, V. S. de, Ribeiro, M. R. R., & Oliveira, J. L. C. de. (2022). Validation of standard operating procedure for oral hygienization of intubated and tracheostomized patients. ABCS Health Sciences, 47, e022231. https://doi.org/10.7322/abcshs.2020252.1701
Section
Original Articles
Author Biographies

Bruno Augusto Barros e Matos, Hospital Universitário Júlio Müller (HUJM) – Cuiabá (MT), Brazil

Graduado em Odontologia pela Faculdade Cidade de Patos de Minas (2012). Possui pós-graduação em Odontologia Hospitalar pelo Hospital Universitário de Cuiabá (2017). Atualmente é cirurgião dentista - EBSERH da Universidade Federal de Mato Grosso, membro titular da Comissão de Odontologia Hospitalar do estado de Mato Grosso e mestrando em Ciências Aplicadas à Atenção Hospitalar pelo Hospital Universitário Júlio Muller.

Margani Cadore Weis Maia, Faculdade de Enfermagem, Universidade Federal de Mato Grosso (UFMT) – Cuiabá (MT), Brazil

Enfermeira. Mestre em Enfermagem. Professora Assistente da Faculdade de Enfermagem da Universidade Federal de Mato Grosso (UFMT).

Verusca Soares de Souza, Curso de Enfermagem, Universidade Federal de Mato Grosso do Sul (UFMS) – Coxim (MS), Brazil

Enfermeira. Doutora em Enfermagem. Professora Adjunta da Universidade Federal de Mato Grosso do Sul (UFMS), campus Coxim.

Mara Regina Rosa Ribeiro, Faculdade de Enfermagem, Universidade Federal de Mato Grosso (UFMT) – Cuiabá (MT), Brazil

Enfermeira. Doutora em Enfermagem. Professora Adjunta da Universidade Federal de Mato Grosso (UFMT).

João Lucas Campos de Oliveira, Escola de Enfermagem, Universidade Federal do Rio Grande do Sul (UFRGS) – Porto Alegre (RS), Brazil

Enfermeiro. Doutor em Enfermagem. Professor Adjunto da Escola de Enfermagem da Universidade Federal do Rio Grande do Sul (UFRGS)

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