Related Experiment Video
Updated: Nov 18, 2025

A Structured Approach to Extubation in Mechanically Ventilated Rats
Published on: July 18, 2025
Care for unplanned extubation prevention: analysis of the validity of an instrument's content
Giovanna Mercado Torres1, Eliane Regina Pereira do Nascimento2, Patrícia Madalena Vieira Hermida2
1Hospital Cayetano Heredia. Lima, Peru.
Objectives:
to analyze the validity of a nursing care instrument content for unplanned extubation prevention in Intensive Care Units.
Methods:
a methodological study carried out with 40 nurses, containing 26 interventions distributed in the components: agitation/delirium/pain management; respiratory device stability; weaning from sedation and spontaneous breathing assessment; human resource management. Content Validity Index, average and universal proportion, and Fleiss' Kappa coefficient were applied.
Results:
Brazilian female experts stood out, with an average age of 44.9 years and a standard deviation of 7.75 years. Two interventions did not reach a valid Content Validation Index (≥0.78), when considering the set of evaluated criteria. A universal agreement of 4.0% was identified among Brazilians and 26.6% among foreigners.
Conclusions:
the instrument is relevant and represents "unplanned extubation prevention in Intensive Care Units", which can be implemented in Brazil and in Latin countries, in Brazilian and foreign versions.
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