Prática segura na administração de medicamentos injetáveis para prevenção de infecção relacionada à assistência à saúde: elaboração e validação de instrumento

Abstract

Introduction: Injectable medications are often used in health services, the knowledge of the professionals and adherence to good practices are essential for safety during their preparation and administration, which minimizes the risks of existing infection. Objective: To develop and to validate an instrument to measure the knowledge of nursing professionals about infection prevention in the administration of injectable medications. Method: Methodological study of quantitative approach. The conceptual structure of the instrument was guided on the situational diagnosis made with nursing professionals from the State of São Paulo, on national and international publications and guides about the subject. The evaluation was by face recognition and valuable content. To select the judges, the criteria used was: minimum professional experience of two years in assistance, experience in infection control or to be a researcher in the department of nursing in infection control department. For the assessment of each department an agreement rate above 80% was considered appropriate, for the items assessment, were considered valid those with Content Validity Index ≥ 0,8. After, the pre-test was performed with nursing professionals by snowball technique. Results: Final instrument consisting of 24 items, divided into four domains: preparation of the workplace, preparation of injectable medications, administration of injectable medications and disposal of sharps. Eleven judges validated the instrument, three domains obtained an agreement rate below 80% in relation to the inclusion of items, and that´s what were added three items, one item for each domain. In spite of all items reached a CVI> 0,80, twelve items had changed on the essay by suggestion of the judges. The pre-test was performed with 34 nursing professionals, and nine items had changed on the essay as suggested by the target audience. Conclusion: Tool developed by face validation and content, available to measure the knowledge of nursing professionals about infection prevention in the administration of injectable medications.