2022
DOI: 10.1590/1980-265x-tce-2021-0047 View full text |Buy / Rent full text
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Abstract: Objective: to perform the adaptation, content validation and semantic analysis of a Multidisciplinary Checklist used in rounds in Intensive Care Units for adults. Method: a methodological study, consisting of three stages: Adaptation of the checklist, performed by one of the authors; Content validation, performed by seven judges/health professionals from a public teaching hospital in Paraná; and Semantic analysis, performed in a philanthropic hospital in the same state. Agreement of the judges and of the ta… Show more

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“…This intervention lasted for two years. Regarding the third period, the rounds were performed daily and checklist 2-'Multidisciplinary' (12) , validated by one of the authors, was completed. In this last period, the researcher together with the coordinator responsible for the ICU proposed the systematic use of the validated checklist (12) during the rounds and this strategy of multidisciplinary care remains in the ICU, even with the end of this study.…”
Section: Methodsmentioning
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“…This intervention lasted for two years. Regarding the third period, the rounds were performed daily and checklist 2-'Multidisciplinary' (12) , validated by one of the authors, was completed. In this last period, the researcher together with the coordinator responsible for the ICU proposed the systematic use of the validated checklist (12) during the rounds and this strategy of multidisciplinary care remains in the ICU, even with the end of this study.…”
Section: Methodsmentioning
“…A equipe multidisciplinar da UTI realizava rounds diários, porém o preenchimento do checklist 1 ocorria em dias intercalados. Esta intervenção da equipe multiprofissional com a discussão clínica/terapêutica do paciente direcionado pelo checklist 1 em apenas alguns dias da semana se estendeu por dois anos; período 3: pós-implementação do round com uso do "Checklist Multidisciplinar para Rounds em UTI" -versão 2 (13) , validado por uma das autoras. Neste período, a UTI realizava diariamente os rounds e o preenchimento do checklist 2.…”
Section: Protocolo Do Estudounclassified
“…Os checklists 1 e 2 contemplam 16 e 12 itens de intervenção/ cuidado ao paciente crítico, respectivamente, pautados nas melhores práticas em saúde: profilaxia para úlcera gástrica; profilaxia para tromboembolia venosa (TEV); elevação da cabeceira 30 0 ; analgesia adequada; sedação adequada; nutrição adequada; retirada de sonda vesical de demora (SVD); retirada de cateter venoso central (CVC); extubação/teste de respiração espontânea (TRE); pressão das vias aéreas/ventilação mecânica protetora; suspensão/ajuste de doses de antimicrobiano; controle glicêmico; profilaxia para lesão por pressão; retirada do leito; pressão do balonete da cânula (oro)traqueal; e oftalmoproteção (12)(13) . Destaca-se que os primeiros 12 itens de intervenção eram comuns entre os checklists 1 e 2.…”
Section: Protocolo Do Estudounclassified
“…The ICU multidisciplinary team performed daily rounds, but checklist 1 was completed on alternate days. This multidisciplinary team intervention with the clinical/therapeutic discussion of patients directed by checklist 1 in only a few days of the week lasted two years; period 3: round post-implementation using the "Multidisciplinary Checklist for ICU Rounds" -version 2 (13) , validated by one of the authors. During this period, the ICU performed the rounds daily and completed checklist 2.…”
Section: Study Protocolmentioning
“…This daily intervention of the round directed by checklist 2 was maintained in the ICU, even after the end of data collection for this study. Checklists 1 and 2 include 16 and 12 items of intervention/care to critically ill patients, respectively, based on best practices in health: prophylaxis for gastric ulcer; prophylaxis for venous thromboembolism (VTE); headboard elevation 30 0 ; adequate analgesia; adequate sedation; adequate nutrition; removal of indwelling urinary catheter (IUC); removal of central venous catheter (CVC); extubation/spontaneous breathing test (SBT); airway pressure/ protective mechanical ventilation; suspension/adjustment of antimicrobial doses; glycemic control; prophylaxis for pressure injury; removal from the bed; (oro)tracheal cannula cuff pressure; and ophthalmoprotection (12)(13) . It is noteworthy that the first 12 intervention items were common between checklists 1 and 2.…”
Section: Study Protocolmentioning