Inter-rater Reliability Testing of the Safety Protocol for Thirst Management

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Thirst is one of the most common and yet undertreated symptoms in the postoperative period, mainly because of the lack of safety criteria to support indication for thirst management strategies. A Safety Protocol for Thirst Management was developed and validated, and the objective of this article was to evaluate the inter-rater reliability of the protocol.


This is a methodological and applied study carried out in a teaching hospital in Brazil.


Safety criteria selected were the assessment of level of consciousness, presence of coughing and swallowing, and absence of nausea and vomiting.


Agreement between evaluators was almost perfect (Bachelors of Science in Nursing—Kappa of 0.968; nursing technicians—Kappa of 0.867).


The protocol is presented as a viable and useful tool to evaluate safety criteria that allow administration of strategies to mitigate thirst of patients in the postoperative period.

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