VALIDATION OF THE KNOWLEDGE, ATTITUDE AND PRACTICE SURVEY ON NURSING ASSISTANCE DURING DELIVERY AND CHILDBIRTH

Melo, Priscila Santos Alves; Andrade, Priscyla de Oliveira Nascimento; Vasconcelos, Roseane Lins; Oliveira, Sheyla Costa de; Mendes, Ryanne Carolynne Marques Gomes; Linhares, Francisca Márcia Pereira

doi:10.1590/1980-265X-TCE-2020-0420

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Original Article • Texto contexto - enferm. 30 • 2021 • https://doi.org/10.1590/1980-265X-TCE-2020-0420 copy

VALIDATION OF THE KNOWLEDGE, ATTITUDE AND PRACTICE SURVEY ON NURSING ASSISTANCE DURING DELIVERY AND CHILDBIRTH

VALIDACIÓN DE LA ENCUESTA DE CONOCIMIENTO, ACTITUD Y PRÁCTICA SOBRE LA ASISTENCIA DE ENFERMERÍA EN EL PARTO Y EL NACIMIENTO

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to validate the Knowledge, Attitude and Practice survey on Nursing assistance during delivery and childbirth based on the concepts of Florence Nightingale's Environmental Theory and the recommendations of the National Guidelines for Assistance to Normal Delivery.

Method:

this is a methodological study in which the Knowledge, Attitude and Practice survey was elaborated, and validated regarding content and appearance. Data collection was carried out between the months of July and December 2017. The validations were performed by 22 nurses who work in delivery and childbirth care and the data were analyzed using the Content Validity Index and the Binomial test.

Results:

content and face validation evidenced that the agreement among the experts was satisfactory (Content Validity Index greater than 0.80 for all items evaluated).

Conclusion:

it is concluded that the survey can be used to assess the nurses' Knowledge, Attitude and Practice in relation to the Nursing assistance provided during delivery and childbirth.

DESCRIPTORS:
Knowledge; attitudes and practices in health. Nursing care. Obstetric Nursing. Validation studies. Nursing theory

Environments and elements of the Environmental Theory		Item Set - DNAPN^*	Survey Dimensions
Physical Environment	Eating and drinking Hygiene Noises Light Furniture Temperature Privacy Delivery devices	𐩐 Delivery assistance place; 𐩐 Professional assisting delivery; 𐩐 General care during labor; 𐩐 Assistance in the first delivery period; 𐩐 Assistance in the second delivery period; 𐩐 Assistance in the third delivery period; 𐩐 Diet during labor; 𐩐 Asepsis measures for vaginal delivery; 𐩐 Assessment of fetal well-being; 𐩐 Maternal care immediately after delivery; 𐩐 Pain management during labor; 𐩐 Analgesia; 𐩐 Information and communication; 𐩐 Physical and emotional support; 𐩐 Assistance to the newborn.	Knowledge about humanized care during delivery and childbirth based on the good practices
Psychological Environment	Emotions Feelings Bond with the professional assisting delivery Preparation for delivery		Attitude about humanized assistance to delivery and childbirth based on the good practices
Social Environment	Social network Professional assisting delivery Birth as a social event Social roles		Practice about humanized assistance to delivery and childbirth based on the good practices

Items evaluated	Agreement			p^*	P†	I-CVI‡
Items evaluated	Yes	No	Null	p^*	P†	I-CVI‡
1. Objective
1.1 The contents are coherent with the objective of the KAP survey.	22	0	0	1.00	1.00	1.00
1.2 The objective is clear and concise.	19	1	0	0.66	0.96	0.86
1.3 The content facilitates critical thinking about Nursing care.	22	0	0	1.00	1.00	1.00
1.4 The information presented is scientifically correct.	22	0	0	1.00	1.00	1.00
1.5 There is a logical sequence in the content proposed.	22	0	0	1.00	1.00	1.00
1.6 The information presented (quantity and depth level) can successfully cover the content on humanized care in delivery and childbirth and Florence Ningtinhgale's Environmental Theory.	22	0	0	1.00	1.00	1.00
1.7 The information/content presented are important to assess the quality of the assistance provided.	22	0	0	1.00	1.00	1.00
1.8 It will be able to promote a reflection by the professionals regarding their knowledge status, their willingness to carry out actions and their care practice.	22	0	0	1.00	1.00	1.00
2. Structure and Presentation
2.1 It is adequate/coherent for its application.	22	0	0	1.00	1.00	1.00
2.2 The language used is easy to understand.	22	0	0	1.00	1.00	1.00
2.3 It has an appealing design that keeps the respondent attentive.	20	1	1	0.86	0.98	0.91
2.4 The questions are presented in a structured and objective manner.	21	1	0	0.97	0.99	0.95
2.5 The form of presentation contributes to the nurses' reflection on care permeated by the good practices in delivery and childbirth care.	21	1	0	0.97	0.99	0.95
2.6 It supports the inference/achievement of the desired results.	22	0	0	1.00	1.00	1.00
2.7 It provides sufficient data for the assessment of humanization in Nursing assistance during delivery and childbirth.	22	0	0	1.00	1.00	1.00
2.8 The pages or sections are well organized.	22	0	0	1.00	1.00	1.00
3. Relevance
3.1 It allows for the reflection about knowledge, attitudes and practice.	22	0	0	1.00	1.00	1.00
3.2 It portrays aspects that must be reinforced in the assistance provided.	22	0	0	1.00	1.00	1.00
3.3 Once validated, it will allow for the transfer and generalization of the concepts for all childbirth care scenarios.	19	1	2	0.66	0.96	0.86
3.4 Once validated, it will enable the construction of knowledge by the professionals about humanization in Nursing assistance during delivery and childbirth.	21	0	1	0.97	0.99	0.95
3.5 Once validated, it can be used by health professionals/or educators and managers.	21	0	1	0.97	0.99	0.95
S-CVI§						0.972

Items evaluated	Agreement			I-CVI
Items evaluated	Yes	No	Null	I-CVI
1. Objective
1.1 The survey meets the objectives proposed.	22	0	0	1.00
1.2 It assists in the assessment about humanization in Nursing assistance to delivery and childbirth.	21	1	0	0.95
1.3 It is adequate to be applied.	22	0	0	1.00
2. General organization, presentation, coherence and format
2.1 The title is appealing and indicates the survey content.	21	1	0	1.00
2.2 The size of the title and of the content in the topics is adequate.	22	0	0	1.00
2.3 The topics follow a logical sequence.	22	0	0	1.00
2.4 There is coherence between the survey objectives and content.	22	0	0	1.00
3. Linguistics, comprehension and writing style
3.1 The writing style is clear and objective.	22	0	0	1.00
3.2 The text is interesting.	22	0	0	1.00
3.3 The vocabulary is easy to understand.	22	0	0	1.00
3.4 The theme of each section is associated with the corresponding text.	22	0	0	1.00
4. Degree of significance of the survey
4.1 The pages or sections seem to be organized.	22	0	0	1.00
4.2 The colors are appealing and they ease understanding.	22	0	0	1.00
4.3 The answer options are coherent.	22	0	0	1.00
4.4 It can be answered without difficulty.	21	1	0	0.95
5. Ability of the material to cause impact, motivation and interest
5.1 It is suitable for the profile of the nurses who provide direct care to women during labor, delivery and childbirth.	22	0	0	1.00
5.2 The contents are presented in a logical manner.	22	0	0	1.00
5.3 Interaction with nurses is invited by the texts, suggesting actions.	22	0	0	1.00
5.4 It invites/instigates behavior and attitude changes during care.	21	1	0	0.95
5.5 It proposes a reflection by nurses on the humanization of delivery and childbirth care.	20	1	1	0.90
S-CVI				0.989

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 AUTHORS
Priscila Santos Alves Melo priscilasantosalves@hotmail.com