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Objectives: to analyze the validity of a nursing care instrument content for unplanned extubation prevention in Intensive Care Units.  Methods: a methodological study carried out with 40 nurses, containing 26 interventions distributed in the components: agitation/delirium/pain management; respiratory device stability; weaning from sedation and spontaneous breathing assessment; human resource management. Content Validity Index, average and universal proportion, and Fleiss’ Kappa coefficient were applied.  Results: Brazilian female experts stood out, with an average age of 44.9 years and a standard deviation of 7.75 years. Two interventions did not reach a valid Content Validation Index (≥0.78), when considering the set of evaluated criteria. A universal agreement of 4.0% was identified among Brazilians and 26.6% among foreigners.  Conclusions: the instrument is relevant and represents “unplanned extubation prevention in Intensive Care Units”, which can be implemented in Brazil and in Latin countries, in Brazilian and foreign versions.

Care for unplanned extubation prevention: analysis of the validity of an instrument’s content