Elaboração e validação de conteúdo de instrumento para avaliação da qualidade dos serviços de acolhimento com classificação de risco em obstetrícia

Abstract

Objective: to develop and validate the content of the instrument for evaluating the quality of the Reception service with Risk Classification in Obstetrics (ACCRO) with evaluation dimensions for users, health professionals, and managers. Methods: a methodological study with a quantitative that is divided into two stages: in the first, a study was developed to create an instrument divided into three modules: with a dimension for the user (module 1), for health workers (module 2) and for the manager (module 3). Content validation was then carried out by a committee of judges (experts) specialized in the area. The instrument was created based on the theoretical framework proposed by Donabedian and the objectives proposed by the World Health Organization and the Ministry of Health through the Prenatal and Birth Humanization Program. The analysis of this stage was carried out using the committee's agreement index (CI), Content Validity Index (CVI), and Kappa index to evaluate and reach the ideal parameters of agreement and content validity between the judges. Results: The instrument was validated for content in stage 1 of the study, after evaluation by the Committee of experts, considering values for CVI, CI, and Kappa equal to or greater than 0.8 for each item evaluated. Conclusion: The instrument reached a good level of content validation to be used to evaluate the quality of ACCRO care from the perspective of users, health professionals, and managers of maternal and child services and thus enable improvements to achieve compliance with Institutional actions. It is expected that the completion of the other validation stages (empirical and analytical pole) of this study will favor the safe use of the instrument to evaluate what is intended regarding the quality of Reception services with Obstetric Risk Classification.