Gestational syphilis: development and validation of an instrument for the evaluation of clinical nursing practice
Abstract
Objective: to develop and validate a data collection instrument for the evaluation of the clinical practice of nursing to pregnant women with diagnosis of syphilis in primary health care. Method: methodological study of instrument construction and validation. The initial version (40 items) was developed based on national and international protocols and the Donabedian’s reference. The validation was performed by the Delphi Technique (two rounds) with seven judges. We used the Content Validity Index (≥0.80) and the Binomial Test (p<0.05). A pre-test was applied to 15 nurses from Primary Health Care. Results: version 2 (48 items) was validated by the judges, reaching a global Content Validity Index of 0.98. The Binomial Test confirmed the statistical agreement (p<0.05) for the maintained items. The pre-test resulted in version 3 (final, 48 items) in which clarity adjustments were made, demonstrating semantic adequacy. Conclusion: the study produced an instrument with validity of content, suitable to evaluate the nursing practice in assisting pregnant women with syphilis. The instrument is a robust tool to subsidize quality management and permanent education in primary health care, which may contribute to the elimination of congenital syphilis.
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