NURSING AND HEALTH ADVOCACY: DEVELOPMENT PROCESS OF AN EDUCATIONAL MANUAL

the method used to develop the manual was composed of three stages carried out from 2018 to 2020: an integrative review of studies published from 2010 to 2018, development of the content, and validation of the educational manual by experts.

Results:

based on the integrative literature review, 91 final articles related to the theme of advocacy in health and nursing were selected, which subsidized the definition of four themes: The meaning and fundamental elements for the practice of advocacy in nursing; Advocacy in teaching and the involvement of other care actors; Advocacy as a professional, moral, and ethical obligation; Advocacy about specific population groups. The themes contributed to the development of the educational manual content. After submission and validation by specialists, it was possible to define the layout, size, number of pages, and final design of the educational manual, which will be printed and handed out to nursing professionals and students, and made available online.

Conclusions:

the elaboration and validation of the manual help to build knowledge related to the professional practice of the nursing team and the exercise of advocacy in health.

DESCRIPTORS:
Health advocacy; Nursing; Patient rights; Ethics in nursing; Nursing Continuing Education

Aspects evaluated	Highlighted Item	Suggestions
Arrangement	Cover Topics Content	Evaluator 1: presentation of graphical elements. Reviewer 3: reorganization, to "make it more attractive and with less overloaded pages." Evaluator 3: correction of typos and formatting errors. Adjusting the sequence and focus on the different health services. Evaluator 3: reducing the amount of contente.
Writing style	Text	Evaluator 2: revision of the text in the excerpt about the concept of health advocacy. Adaptation of the concept of equity. Fix wording: "favored, missing the F."
Manual layout	Illustrations	Evaluator 2: greater harmony of colors. Use of less amount of colors so as not to make reading "tiresome and heavy." Evaluator 3: non-specific illustrations.
Motivation		Evaluator 3: "the educational manual still requires investments in text and layout to be material that is accessible, attractive and able to reach nurses working in different health services."

Aspects evaluated	Highlighted Item	Suggestions
Arrangement	Content	Evaluator 1: "the information is great, but I suggest shortening some topics that come up more than once or are too long, such as those referring to vulnerability and specific groups, advantages, among others."
Writing style	Text Language	Evaluator 1: summarize the text without losing the content and put more illustrations to make it lighter for those who are reading. Evaluator 2: "the fact that Health Advocacy is a new content, it becomes necessary a less technical language, so I agree with the writing style."
Motivation	Audience interaction	Evaluator 1: more illustrations that interact with the audience.

Modified Items	Before Evaluations	After Evaluations
Contents	Large content.	Rewriting of content in a shorter, clearer, and simpler way. Addition of topics and subtopics.
Writing/Language	Missing punctuation and writing erros.	Spelling adjustment.
Text	Large texts.	Rewriting and adjustment of the topics and texts.
Layout	Dull colors and lack of interactive images.	Modification of the manual design (colors, illustrations, and backgrounds).
Motivation	Little interaction with readers and few examples.	Inclusion of interactive texts, symbols, and images.

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Carla Aparecida Arena Ventura caaventu@gmail.com