Validação de conteúdo de um instrumento multiprofissional para rastreio do risco de broncoaspiração em ambiente hospitalar

Abstract

Introduction: Dysphagia is any difficulty in the swallowing process, in transporting the bolus from the mouth to the stomach. Bronchoaspiration caused by dysphagia, often silent, predisposes not only to pneumonia, but also the structural and functional impairment of the lungs, increasing morbidity and mortality. The proposal of the Multiprofessional Instrument for Screening the Risk of Bronchoaspiration in a Hospital Environment is to standardize the measurement of the assessment of the risk of bronchoaspiration by means of possible guidelines that may indicate greater risk. Objective: To develop a multiprofessional instrument for screening the risk of bronchoaspiration. Validate the instrument in content through judges (nurses, doctors, speech therapists and physiotherapists) experts who work in the hospital area. Perform content validation by analyzing the responses of professionals. Method: This is a cross-sectional, quantitative and qualitative study, with the following steps: development of a multiprofessional instrument for screening the risk of bronchoaspiration based on the literature review; validation of this instrument based on agreement between judges. The responses regarding the agreement assessment were categorical based on the Likert questionnaire. For analysis of agreement between the judges, the Content Validity Index for each item (IVC-I) and total (IVC-T) was used. Results: The results showed that all the judges showed agreement with respect to each item of the instrument and also in its entirety (IVC-T 1.0). Conclusion: The Multiprofessional Instrument for Screening the Risk of Bronchoaspiration in a Hospital Environment was developed and has content validity, ensured by an expert team in the area.