Abstract
ABSTRACTObjectives: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.
Highlights
The incorporation of good practices in childbirth and birth care is one of the main strategies for changing the obstetric model, reducing maternal and infant morbidity and mortality, and the access to quality services, as recommended by the World Health Organization (WHO), repeated by the health policies in Brazil(1-7).In the Brazilian context, it is worth mentioning the policy called “Rede Cegonha”, published by the Administrative Rule number 1459, of June 24, 2011
It is proposed the organization of services in healthcare networks with emphasis on the articulation between the prenatal care and places of delivery, strengthening the adoption of evidencebased practices by health professionals, presence of the partner, health education for parturients, family members and companions, and continuing education of professionals, to enhance changes in care directed to women and to the child(1,4-5)
The restructuring of care for pregnant women and the newborn, with a link between prenatal care in primary care and childbirth care in the hospital setting, are the main tools introduced by the “Rede Cegonha”(1-4)
Summary
In the Brazilian context, it is worth mentioning the policy called “Rede Cegonha”, published by the Administrative Rule number 1459, of June 24, 2011. It is proposed the organization of services in healthcare networks with emphasis on the articulation between the prenatal care and places of delivery, strengthening the adoption of evidencebased practices by health professionals, presence of the partner, health education for parturients, family members and companions, and continuing education of professionals, to enhance changes in care directed to women and to the child(1,4-5).
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