Baño del recién nacido: construcción y validez de contenido de instrumento

Estudio metodológico, desarrollado en el período de diciembre de 2018 a enero de 2019, en una Unidad de Alojamiento Conjunto Neonatal de un hospital de enseñanza, en tres etapas: levantamiento bibliográfico, construcción del instrumento y validez de contenido por nueve jueces. Se empleó el índice de validez de contenido arriba de 80% y análisis general con diez requisitos.

Resultados:

El instrumento ha sido organizado en tres dominios: cuidados antes del baño, durante el baño y después del baño, con el total de 20 ítems. Han sido realizadas dos rodadas de validez para adecuaciones de las sugestiones; la segunda presentó porcentual de concordancia entre los jueces igual o superior a 0,82.

Conclusión:

El instrumento “Buenas prácticas en el baño del recién nacido” ha sido considerado representativo y válido cuanto al contenido.

Descriptores:
Baños; Higiene de la Piel; Recién Nacido; Cuidados de Enfermería; Estudios de Validez

Practical observation of the bath		CVI
Before the bath
1	Gather the necessary materials and leave them ready in a safe place.	0.92
2	Close doors and windows.	0.92
3	Hygienize your hands.	0.92
4	Check the water temperature with the inside of the arm.	0.90
During the bath
	Carry out facial and scalp cleansing before putting the baby in water.	0.92
6	Clean the eyes from inside out, using a cotton ball with water in each eye.	0.86
7	Clean the scalp with soap and water, without rubbing.	0.92
8	Put the baby slowly in warm water and clean the neck, upper limbs, anterior thorax, back and lower limbs successively.	0.92
9	Clean the umbilical stump with soap and water during the bath.	0.88
10	Perform intimate hygiene of the girl from front to back, from the vaginal area to the rectal; and of the boy, washing the tip and the body of the penis with clean water.	0.82
After the bath
11	Wrap the baby in a dry towel and take it to the safe place.	0.92
12	Dry the skin and its folds with compressive and smooth movements, without rubbing.	0.92
13	Clean the nostrils with the tip of the bath towel or cotton ball.	0.90
14	Carry out the cleaning of the ears externally and after them with the index finger wrapped in the bath towel dampened with water.	0.86
15	Dry the umbilical stump with the tip of the towel or gauze or cotton flexible stems and apply 70% alcohol protecting the surrounding skin.	0.92
16	Use ointments in the perineum if there are signs of injury.	0.92
17	Close the diaper below the umbilical stump.	0.92
18	Perform oral hygiene with your index finger wrapped in a clean bath towel or gauze with filter water.	0.82
19	Talking to the baby/singing.	0.90
20	Breastfeeding the baby.	0.90
	Global CVI	0.94

Evaluated items	Average
Utility/pertinence	9.4
Consistency	8.7
Clarity	8.5
Objetivity	8.7
Simplicity	9.2
Exequibility	9.2
Vocabulary	9.2
Update	9.2
Accuracy	8.7
Instructional sequence of topics	9.0
Global evaluation	8.6

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding author: Maria Paula Custódio silva E-mail: maria_paulacs@hotmail.com