Table 2 Second expert validity test results
Competency | Behavioral indicators | CVIb | |
|---|---|---|---|
1. Professionalism (7 → 7 indicators) | Ethical behaviors | 1.1 Protects patients’ personal information. | 1.00 |
1.2 Assesses patient’s consciousness level and informs the patient of the maintenance if needed (such as the start and end of POHCa) . | 1.00 | ||
1.3 Sets regular times for POHC or acts in compliance with pre-set times. | 0.94 | ||
1.4 Reports to the person in charge in case the patient experiences problems. | 0.89 | ||
Professional behaviors | 1.5 Receives adequate training in order to provide POHC. | 0.94 | |
1.6 Explains the importance of POHC to the patients undergoing endotracheal intubation. | 0.94 | ||
Infection control | 1.7 Has knowledge of sterilization and sanitization procedures to prevent cross-contamination and acts accordingly. | 1.00 | |
2. Before POHC (10 → 10 indicators) | Infection control | 2.1 Ensures hand hygiene. | 1.00 |
2.2 Has knowledge of personal protective equipment (such as gloves) and utilizes what is needed. | 1.00 | ||
Patient condition | 2.3 Has knowledge of the patient’s date of admission and diagnosis and provides appropriate POHC based on the patient’s disease. | 0.94 | |
2.4 Assesses the patient’s consciousness level and whether the patient is undergoing intubation. | 1.00 | ||
2.5 Evaluates the patient’s eligibility for POHC. | 0.72 | ||
2.6 Assesses if any taping on the intubation tube is loosened. | 0.94 | ||
2.7 Assesses the pressure within the intubation tube and reports to the person in charge if there is an issue. | 0.83 | ||
Preparation for practical work | 2.8 Evaluates oral hygiene status and documents the examination outcomes. | 1.00 | |
2.9 Prepares the tools and equipment required for each individual patient at the time of POHC. | 0.94 | ||
2.10 Turns on the aspirator and connects the disposable suction tube to the aspirator catheter. | 1.00 | ||
3. During POHC (6 → 6 indicators) | Infection control | 3.1 Performs the necessary infection control during POHC (such as hand hygiene, etc.). | 0.94 |
Patient condition | 3.2 Has knowledge of comfortable postures for the patient to safely undergo POHC. | 0.89 | |
POHC | 3.3 Has knowledge of POHC for ICUc patients and performs accordingly. | 0.94 | |
3.4 Uses the appropriate necessary medication based on the patient’s condition (e.g., chlorhexidine mouthwash, gel to relieve mouth dryness, etc.). | 0.94 | ||
3.5 Removes saliva or solution used for POHC using an aspirator or gauze. | 1.00 | ||
Documentation | 3.6 Documents the performed procedures. | 0.89 | |
4. After POHC (7 →8 indicators) | POHC and organization | 4.1 Assesses potential residual solution or saliva in the oral cavity and removes it if needed after the procedure. | 1.00 |
4.2 Documents the amount, type, and color of the saliva covering the tools (e.g., toothbrush) or disposables used for maintenance. | 0.89 | ||
4.3 Cleans the equipment properly and disposes of the used materials and solutions appropriately. | 1.00 | ||
Patient condition | 4.4 Confirms the location (or position) of the intubation tube. | 0.94 | |
4.5 Confirms the safety of the patient’s posture after POHC, according to the patient’s systemic condition. | 0.94 | ||
Preparation for next POHC | 4.6 Appropriately cleans, sterilizes, sanitizes, and stores the used equipment. | 0.94 | |
4.7 Verifies the equipment stock and prepares the items required for the next POHC. | 0.89 | ||
5. Cooperation (8 → 7 indicators) | Professional behaviors | 5.1 Understands and applies the rules and regulations of the team and takes responsibility for their own actions within the team. | 1.00 |
5.2 Puts active effort into achieving the common goals of the team. | 1.00 | ||
Problem-solving abilities | 5.3 Observes the performance of the teammates and corrects mistakes if needed. | 0.89 | |
5.4 Predicts the needs of the teammates and provides help if needed. | 1.00 | ||
5.5 Respects the teammates and puts effort into understanding their situation and position. | 1.00 | ||
5.6 Asks for the teammates’ help when feeling overwhelmed by an excessive workload. | 1.00 | ||
Communication | 5.7 Communicates with fluency using official language/vocabulary. | 1.00 | |
5.8 Cooperates with oral hygiene management team members or other medical staff to provide optimal POHC. | 1.00 | ||