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https://codas.org.br/article/doi/10.1590/2317-1782/20232022228pt
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Instrumento multiprofissional de rastreio para risco de broncoaspiração em ambiente hospitalar à população idosa: evidências de validade baseada nos processos de resposta

Multi-professional screening instrument for risk of broncho-aspiration in a hospital environment for the elderly population: validity evidence based on response processes

Paloma Alves Miquilussi; Rosane Sampaio Santos; Giselle Aparecida de Athayde Massi

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Resumo

RESUMO: Objetivo: O objetivo deste estudo foi validar, com base nos processos de resposta, o Instrumento Multiprofissional de Rastreio para o Risco de Broncoaspiração em Ambiente Hospitalar, direcionado à população idosa.

Método: O instrumento foi aplicado por juízes em pacientes distintos e selecionados de forma aleatória. Após a aplicação, os juízes foram entrevistados para que fosse possível verificar a impressão deles quanto à relevância dos itens e quanto a interpretação sobre o conteúdo escrito, bem como a questões gramaticais e semânticas. Foram consideradas sugestões de acréscimo de alternativas de perguntas e de respostas, além de propostas de adequação de questões que compunham o instrumento. As reações não verbais, tais como expressões faciais que sugeriram dúvidas ou hesitações, por parte dos juízes, em relação ao instrumento, também foram analisadas.

Resultados: A concordância dos juízes em relação a cada item do dispositivo foi calculada pelo Índice de Validade de Conteúdo (IVC), e pelo Coeficiente de Correlação Intraclasse (CCI), sendo que seus resultados demonstraram alto nível de concordância. Através das sugestões dos juízes, elaborou-se uma nova versão do Instrumento Multiprofissional de Rastreio para o Risco de Broncoaspiração em Ambiente Hospitalar à população idosa.

Conclusão: Os resultados obtidos demonstraram que a validade do Instrumento Multiprofissional para Rastreio do Risco de Broncoaspiração em Ambiente Hospitalar junto à população idosa, baseada nos processos de respostas, foi alcançada.

Palavras-chave

Transtornos de Deglutição, Idoso, Pneumonia Aspirativa, Estudo de Validação, Equipe de Assistência ao Paciente

Abstract

Purpose: The objective of this study was to validate the Multiprofessional Screening Instrument for Broncho-aspiration Risk in Hospital Environment, which is aimed at the elderly population, based on response processes.

Methods: Judges applied the instrument to different patients and randomly selected. After the application, the judges were interviewed so that it was possible to verify their impression regarding the relevance of the items about their interpretation of the written content, as well as grammatical and semantic issues. Suggestions for adding alternative questions and answers were considered, as well as proposals for adapting the questions that made up the instrument. Non-verbal reactions, such as facial expressions that suggested doubts or hesitations, by the judges concerning the instrument were also analyzed.

Results: The agreement of the judges concerning each item of the device was calculated by the Content Validity Index (CVI) and by the Intraclass Correlation Coefficient (ICC), and their results showed a high level of agreement. Through the suggestions of the judges, a new version of the Multi-professional Screening Instrument for the Risk of Broncho-aspiration in a Hospital Environment in the Elderly was elaborated.

Conclusion: The results obtained showed that the validity of the Multi-professional Instrument for Screening the Risk of Broncho-aspiration in the Hospital Environment with the elderly population, based on the response processes, was achieved and makes it a promising device to assist professionals in hospital care for the elderly.

Keywords

Deglutition Disorder; Aged; Pneumonia Aspiration; Validation Study; Patient Care Team

Referências

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Submetido em:
11/09/2022

Aceito em:
15/02/2023

665777eba95395612b228f92 codas Articles

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