Sistematização da assistência de enfermagem à gestante de alto risco: construção e validação de uma tecnologia para o cuidado

• Ano de defesa: 2016
• Autor(a) principal: Gomes, Linicarla Fabiole de Souza
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Palavras-chave em Português: Estudos de Validação; Gravidez de Alto Risco; Processos de Enfermagem
• Link de acesso: http://www.repositorio.ufc.br/handle/riufc/22135

This study aimed to develop an instrument of Nursing Care Systematization (NCS) for high-risk pregnancies, based on the Theory of Basic Human Needs (BHN); validate the instrument built as regards the appearance and content with expert judges; and verify the applicability of the NCS instrument with high-risk pregnant women in clinical practice. For this purpose, a methodological study took place in four stages: construction of the NCS instrument for high-risk pregnancies based on integrative review; clinical experience of the researchers and pertinent literature; appearance and content validation by 29 expert judges with experience in NCS and/or obstetrics; instrument improvement and construction of its second version; and finally, evaluation of the instrument applicability by 13 nurse practitioners of the Obstetric Clinic at the Assis Chateaubriand Maternity School (MEAC). This study resulted in a NCS instrument for high-risk pregnancies entitled “Nursing care plan to high-risk pregnant women,” contemplating 21 ND, of which 18 were related to psychobiological BHN and 3 to psychosocial BHN. This instrument was validated with an overall Content Validation Index (CVI) of 0.92. The instrument applicability received a satisfactory assessment according to the usability, functionality, and efficiency criteria, thus demonstrating that, according to nurse practitioners, the instrument is applicable in clinical practice in the care for high-risk pregnant women. It was concluded that the study achieved its objectives and that the product was a NCS instrument for high-risk pregnancies validated as regards the appearance and content and applicable in clinical nursing practice. The study limitation concerned the lack of literature on NCS in obstetrics or studies that had validated the contents of the diagnosis in pregnant women. Therefore, it is recommended the development of further studies involving the subject in question. We hope that our study can be used as a resource to further improvement of Nursing Care Systematization for pregnant women, as well as support the development of nursing care that helps the health promotion of the mother-child binomial.