Diseño de un instrumento de valoración enfermera para el seguimiento de embarazo en Atención Primaria de salud y la validación de su contenido

Abstract

ObjectiveThis research aims to develop a nursing assessment tool, based on Gordon's Health Functional Patterns, through a content validation by a committee of experts, applying a Delphi technique. DesignAn assessment instrument with 53 items has been designed. SiteIt is carried out within the framework of a doctoral thesis, for its implementation by midwives of Primary Health Care. ParticipantsThe committee was made up of 16 professionals with a hide clinical, teaching and research experience who all participated in the entire validation process. InterventionIt has been assessed as a whole and in each of the items through four rounds of consultations, establishing a positive assessment of more than 60% to accept each item, as well as incorporating the suggestions provided by the committee. The final version had to reach a unanimous consensus. Main measurementsAll items were accepted with a score higher than 60%. ResultsThere were no contradictions between the inputs provided by the experts, so all of them were integrated into the final version that has a 100% approval by the committee. ConclusionAfter this process, a new assessment tool is presented to be applied by primary care midwives in the pregnancy monitoring. The questionnaire has been piloted with 50 pregnant women, determining the most prevalent nursing diagnoses, establishing the workload for the midwife of her implementation of individualized care plans to improve some health indicators of pregnant women.