Elaboration, validation and reliability of the safety protocol for pediatric thirst management

Abstract

Objective: to elaborate, validate and evaluate the reliability of the Safety Protocol for Pediatric Thirst Management in the immediate postoperative period. Method: methodological quantitative research, based on the assumptions on measurement instrument development. The protocol was elaborated after literature review, interview with specialists and observation of the child’s anesthetic recovery. The judges performed theoretical validation through apparent, semantic and content analysis. Content Validity Index was calculated for content validation, whose minimum established concordance was 0.80. Protocol’s reliability was evaluated in children between three and 12 years old in the Post Anesthesia Care Unit. Results: in its final version, the protocol consisted of five evaluation criteria: level of consciousness, movement, airway protection, breathing pattern and nausea and vomiting. It presented easy comprehension and relevant content, and all indexes exceeded the minimum agreement of 0.80. Pairs of nurses applied the protocol 116 times to 58 children, resulting in a high reliability index (kappa general = 0.98) Conclusion: the unprecedented protocol developed is valid and is a useful tool for use in anesthetic recovery, aiming to assess safety for reducing the thirst of infant patients.

Advances in the Management of Perioperative Patients' Thirst

“…This protocol includes the same criteria as the SPTM, with an additional assessment of intentional limb movement and respiratory patterns. The SPPTM obtained a CVI of 0.94 and an almost perfect interrater agreement (κ = 0.98) …”

“…For children who are 3 to 12 years of age, researchers developed the Safety Protocol for Pediatric Thirst Management (SPPTM) . This protocol includes the same criteria as the SPTM, with an additional assessment of intentional limb movement and respiratory patterns.…”

“…Nurse educators should include hands‐on observation of these maneuvers in the clinical environment. The SPTM and SPPTM protocols indicate that when there is any uncertainty about whether the patient can meet the assessment criteria, it is unsafe for the patient to swallow to remedy thirst, and the health care team member should resume the evaluation at a later time …”

Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding

“…After this assessment, a new meeting was held between the researchers, reaching a final proposal to submit to content validation. This process of development and construction of a new measurement instrument, through literature review and the clinical experience of focus groups, whether through interviews, observation of practical experience or consensus meetings, is widely used in studies of current literature (29)(30)(31)(32)(33)(34) .…”

“…A literature review showed that some authors recommend a committee composed of at least 5 and at most 10 professionals with clinical experience in the field and working at the time of the research (22) . Some studies that address content validation selected from 5 to 17 experts for the validation stage (29)(30)(31)33,(36)(37) .…”