Cartilha educativa para promoção do envolvimento do pai no parto e nascimento: construção e validação

Abstract

The objective of this study was to construct and validate an educational booklet to promote the father's involvement in childbirth and birth. It is a methodological study of quantitative nature, where an educational technology was constructed and validated. For the methodological path, the theoretical reference of Echer (2005) in the elaboration of the technology and the Online Modified Delphi Technique was used for validation of the content and the appearance. The booklet was created through an integrative review in the following databases: Scielo (Scientific Electronic Library Online); Lilacs (Latin American and Caribbean Literature in Health Sciences); Medline (Medical Literature Analysis and Retrieval System Online), BDENF (Nursing Database) and Publications of the Ministry of Health, where 52 publications were included and analyzed. In this way, the content of the technology was developed in eleven topics: Know the law of the companion; Benefits of parent participation; Preparing for the birth of the child; Labor: methods for pain control; Involvement of the father in normal childbirth; Positions for childbirth; First contact with the newborn; Involvement of the father in the cesarean section; Good practices in childbirth and birth; And after the birth? and Stimulus of the father in breastfeeding. In the validation stage, two successive rounds of evaluations by expert judges were carefully selected in the National Council for Scientific and Technological Development (CNPq) database. The analysis of consensuses and dissensions occurred by calculating the Content Validity Index (CVI). In the first round the booklet was evaluated by 42 experts through an online form in google forms, where in a likert scale and dialogue boxes could evaluate and suggest modifications. After accepting most of the suggestions, the second version of the booklet was elaborated, which was re-evaluated by 25 experienced judges, obtaining consensus among the experts regarding the suitability of material from the point of view of content and appearance with global IVC (0,97). Regarding the reliability of the evaluation instrument, the Cronbach's alpha was calculated for each domain / item and the full technology that scored (0.91), demonstrating homogeneity in the evaluations, being considered a very consistent and reliable instrument. It is hoped that the technology titled "Presence of Father: a booklet for the involvement of the father in childbirth and birth" will be used by nurses, subsidizing prenatal consultations and by parents, helping to prepare for the parturition period. It is believed that it is important to disclose the information contained in the booklet to the target audience during the pregnancy period in order to promote parental participation in events that include pregnancy, childbirth, birth and the puerperium. The study was governed by Resolution 466/12 of December 2012 of the National Health Council (CNS), which provide for the Guidelines and Norms Regulating research involving human subjects and submitted to the Scientific Committee of Sobral and the Research Ethics Committee (CEP ), obtaining the concept approved under opinion No. 2.454.504, CAAE: 79137417.8.0000.5053.