Translation and cross-cultural adaptation of "Hoja Verde de Salud Medioambiental Reproductiva" in Brazil

Abstract

Objectives: to perform a cross-cultural adaptation of "Hoja Verde de Salud Medioambiental Reproductiva", originally conceived in Spanish for Brazilian Portuguese. Methods: the translation and cross-cultural adaptation process was carried out in five stages: translation, synthesis of the versions, back-translation, the acquisition of a consensual version after reviewed by the committee specialists and the application of the pretest to obtain the final version. The interviews were carried out at two reference services in maternal and child health, both located in Recife, Pernambuco, which provided medical care for high-risk pregnancies with a diversified clientele regarding the region of the State. Results: there were difficulties in understanding some words during the pretest and the precision of dates for medication use, radiation tests, as well as weeks of pregnancy and breastfeeding duration in weeks. The committee specialists made some alterations on the questionnaire considering suggestions made by the interviewees. Conclusions: after the adaption process, an available instrument in detecting environmental risks which might be incorporated in the maternal and child health routines and could contribute in detecting and preventing diseases and the severities and promote health for Brazilian children.

Enfermería Medioambiental: recuperando el vínculo con la salud reproductiva

“…La hoja verde se enmarca dentro de la entrevista motivacional, se realiza cara a cara con la pareja embarazada y la duración aproximada de realización es de 5-7 minutos en función de las necesidades detectadas (detección y manejo de riesgos). La integración de la entrevista motivacional en el desarrollo de la hoja verde no solo nos facilita detectar los factores de riesgo "tangibles" antes descritos, además contribuye a identificar los riesgos "intangibles" y más comprometidos para las parejas embarazadas relacionados con la violencia estructural que les rodea: pobreza, hacinamiento, violencia de género… (Juan Antonio Ortega-García et al, 2013) Otra de las fortalezas de la herramienta es que ha sido adaptada a la realidad cultural de América Latina y es reproducible en cualquier contexto (Ribeiro et al, 2016). La experiencia de trabajo de los enfermeros y matronas en este campo corrobora la capacidad para identificar, manejar y prevenir los riesgos ambientales que existen en estos periodos en las parejas embarazadas o lactantes.…”