Adherence to best care practices in normal birth: construction and validation of an instrument

Carvalho, Elisabete Mesquita Peres de; Göttems, Leila Bernarda Donato; Pires, Maria Raquel Gomes Maia

doi:10.1590/s0080-623420150000600003

Cited by 21 publications

(35 citation statements)

References 11 publications

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“…However, they still require the incorporation in the management of health services of tools that favor the systemic view of professionals to be consolidated as practices of health professionals, such as action plans, linking maps between units and technologies that favor the exchange of information between health units and professionals 1 - 2 , 11 . This may explain the moderate consistency of this dimension (0.60 <α ≤0.75) 14 - 15 .…”

Section: Discussionmentioning

confidence: 99%

“…It also contains questions about the socioeconomic, demographic and professional profile 11 . The items of the instrument referring to the professional practices follow the scale of five Likert points, transformed into values from 0 to 100, so ordered and scored: disagree completely (1=0 point), disagree partially (2=25 points) , does not know/does not apply (3=50 points), partially agrees (4=75 points), totally agrees (5=100 points).…”

Section: Methodsmentioning

confidence: 99%

“…The terms adherence and compliance have been used to designate the degree of coincidence between the behaviors of the individual (patient or client) and the therapeutic recommendations of the health professional 10 . In this study, adherence was adopted as the coincidence between the knowledge, attitudes, and practices of the professionals regarding the technical recommendations and scientific evidence on the childbirth care 11 .…”

Section: Introductionmentioning

confidence: 99%

“…The instrument of measures analyzed in this article is focused on the context of the health services, the multiple knowledge of the professionals, the values, beliefs, and ideas that intermediate the relationship established with the parturients 10 - 11 . It was constructed based on the practices proposed by the “Rede Cegonha” guidelines, treated as constructs to be measured (latent variable) through indirect observation of their manifestations in the daily work process in health, in the network of childbirth and birth care 12 .…”

Section: Introductionmentioning

confidence: 99%

“…It was constructed based on the practices proposed by the “Rede Cegonha” guidelines, treated as constructs to be measured (latent variable) through indirect observation of their manifestations in the daily work process in health, in the network of childbirth and birth care 12 . These manifestations were transformed into items (operational concepts) that constitute attitudes, knowledge, practices, behaviors, and opinions about the health and physical and psychological well-being of women 11 - 13 .…”

Section: Introductionmentioning

confidence: 99%

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Good practices in normal childbirth: reliability analysis of an instrument by Cronbach’s Alpha

Göttems

Carvalho

Guilhem

et al. 2018

Rev. Latino-Am. Enfermagem

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Objectives:to analyze the internal consistency of the evaluation instrument of the adherence to the good practices of childbirth and birth care in the professionals, through Cronbach’s Alpha Coefficient for each of the dimensions and for the total instrument. Method:this is a descriptive and cross-sectional study performed in obstetric centers of eleven public hospitals in the Federal District, with a questionnaire applied to 261 professionals who worked in the delivery care. Results:The study was attended by 261 professionals, 42.5% (111) nurses and 57.5% (150) physicians. The reliability evaluation of the instrument by the Cronbach Alfa resulted in 0.53, 0.78 and 0.76 for dimensions 1, 2 and 3, after debugging that resulted in the exclusion of 11 items. Conclusions:the instrument obtained Cronbach’s alpha of 0.80. There is a need for improvement in the items of dimension 1 that refer to attitudes, knowledge, and practices of the organization of the network of care to gestation, childbirth, and birth. However, it can be applied in the way it is used to evaluate practices based on scientific evidence of childbirth care.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Good practices in normal childbirth: reliability analysis of an instrument by Cronbach’s Alpha

Göttems

Carvalho

Guilhem

et al. 2018

Rev. Latino-Am. Enfermagem

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Assistance to Normal Delivery in Two Public Maternities: Perception of the Health Professionals

Oliveira

Assis

Amaral

et al. 2017

Rev Bras Ginecol Obstet

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Purpose To evaluate the perception of health professionals involved in the labor process and the assistance to normal delivery, comparing two hospitals in the city of Goiânia, Brazil, regarding the perception of these professionals when they are performing the routines and practices recommended by the World Health Organization (WHO). Methods This is an analytical comparative study with a quantitative approach, performed in two public hospitals in the city of Goiânia, in the state of Goiás, Brazil. The study included 86 professionals working in assistance to immediate labor in two hospitals. A questionnaire containing 40 questions was applied. The questionnaire related to the Program for the Humanization of Prenatal and Childbirth Care (PHPN, in the Portuguese acronym) of the Brazilian Ministry of Health, the presence of a companion, and the procedures performed. For the data analysis, we used the chisquare and Fisher's exact tests. Results Most of the professionals claimed to know about the PHPN proposed by Brazilian Ministry of Health in the two hospitals. With regard to good practices, most professionals said that they are performed in maternity ward 2, while on maternity 1, although many of them are present, there are still many unnecessary interventions. Conclusion When comparing the two maternity hospitals, maternity 2, which was created as a routine humanization model, manages to better adhere to the WHO recommendations. In maternity 1, there was a series of interventions considered by the WHO as ineffective, or used in an inappropriate manner.

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Construction and validation of an instrument for the assessment of care provided to people with suicidal behavior

et al. 2019

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OBJECTIVE: To develop and validate an instrument for evaluating primary health care professionals’ assistance to people with suicidal behavior. METHODS: This was a methodological study, which began with a literature review, followed by the elaboration of an instrument. In its first version, the instrument had 34 items, divided into four domains: “professional characterization,” “professional perception ” “professional knowledge/abilities,” and “organization of the care network.” Contents were validated using the Delphi method. Semantic analysis was performed by college-educated primary health care professionals in greater and lesser strata of ability. For internal consistency analysis, Cronbach’s alpha coefficient was calculated. The study was conducted between January and December 2017. RESULTS: After four Delphi rounds, the instrument was successfully validated. In its final form, it is comprised of 50 items, divided into five domains: “professional characterization,” “professional sensibility,” “professional experience,” “professional knowledge/abilities,” and “organization of the care network.” Questions belonging to the last four domains have answers on a five-point Likert scale. In the semantic analysis, 93.6% of the evaluations were “good” and “very good.” The instrument’s general Cronbach alpha was 0.90. CONCLUSIONS: The final version of the instrument was able to fulfill its objectives. It is useful as a support for epidemiological research and planning of health actions. The evaluation of professional approaches to suicidal behavior is crucial for the organization of suicide assistance services in primary health care, and for the integration of services provided by different care units

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Adherence to best care practices in normal birth: construction and validation of an instrument

Cited by 21 publications

References 11 publications

Good practices in normal childbirth: reliability analysis of an instrument by Cronbach’s Alpha

Good practices in normal childbirth: reliability analysis of an instrument by Cronbach’s Alpha

Assistance to Normal Delivery in Two Public Maternities: Perception of the Health Professionals

Construction and validation of an instrument for the assessment of care provided to people with suicidal behavior

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