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

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Abstract

Purpose:

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.

Design:

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

Methods:

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

Findings:

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

Conclusions:

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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