Prenatal care with blind pregnant women: validation of an instrument for nurses on knowledge, attitude and practice

Authors

  • Francisco Jardsom Moura Luzia University of International Integration of Afro-Brazilian Lusophony https://orcid.org/0000-0002-8386-6103
  • Monaliza Ribeiro Mariano Grimaldi University of International Integration of Afro-Brazilian Lusophony
  • Kariane Gomes Cezário Roscoche Federal University of Paraná
  • Josemara Barbosa Carneiro University of International Integration of Afro-Brazilian Lusophony https://orcid.org/0000-0003-4650-9809
  • Antonia Ellen Jardani de Souza Medeiros University of International Integration of Afro-Brazilian Lusophony
  • Liliana Andreia Neves da Mota Northern School of Health of the Portuguese Red Cross https://orcid.org/0000-0003-3357-7984
  • Cristina Maria Correia Barroso Pinto Porto School of Nursing https://orcid.org/0000-0002-6077-4150
  • Paula Marciana Pinheiro de Oliveira University of International Integration of Afro-Brazilian Lusophony

DOI:

https://doi.org/10.17533/udea.iee.v43n3e11

Keywords:

health knowledge, attitudes, and practice, prenatal care, nursing care, primary health care, people with visual impairments

Abstract

Objective. To verify evidence of validity of the instrument “Knowledge, Attitude, and Practice of Nurses in Prenatal Care for Visually Impaired Pregnant Women”.

Methods. Methodological study to assess content validity with the participation of 22 expert nurses (11 from the area of Sexual and Reproductive Health and 11 from the area of People with Disabilities). The instrument was adapted into a Google Forms questionnaire and assessed Objectivity, Clarity, and Relevance. The data were analyzed using the Content Validity Coefficient and Content Validity Ratio, in addition to calculating Cronbach's Alpha for internal consistency. Ten generalist nurses from Primary Care participated in the semantic validation, evaluating comprehension, relevance, and possible adjustments to the instrument, with calculation of the Semantic Concordance Index.

Results. The instrument obtained an overall Content Validity Coefficient above 0.90 for objectivity, clarity, and relevance, with internal consistency (Cronbach's Alpha = 0.89). The experts' suggestions improved the wording and structure. In semantic validation, the Semantic Concordance Index was 0.97, reinforcing clarity and applicability.

Conclusion. The instrument showed evidence of content validity, being objective, clear, and relevant for assessing the Knowledge, Attitude, and Practice of nurses in the prenatal care of pregnant women with visual impairment.

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Author Biographies

Francisco Jardsom Moura Luzia, University of International Integration of Afro-Brazilian Lusophony

Nurse, Ph.D. student.

University of International Integration of Afro-Brazilian Lusophony, Brazil.

Monaliza Ribeiro Mariano Grimaldi , University of International Integration of Afro-Brazilian Lusophony

Nurse, Ph.D. Professor of the Graduate Program in Nursing.

University of International Integration of Afro-Brazilian Lusophony, Brazil.

Kariane Gomes Cezário Roscoche , Federal University of Paraná

Nurse, Ph.D. Professor of the Nursing Department. 

Federal University of Paraná, Brazil.

Josemara Barbosa Carneiro, University of International Integration of Afro-Brazilian Lusophony

Nurse, Ph.D. student. 

University of International Integration of Afro-Brazilian Lusophony, Brazil.

Antonia Ellen Jardani de Souza Medeiros, University of International Integration of Afro-Brazilian Lusophony

Nurse, master's student.

University of International Integration of Afro-Brazilian Lusophony, Brazil.

Liliana Andreia Neves da Mota , Northern School of Health of the Portuguese Red Cross

Nurse, Ph.D. RISE-Health Teacher.

Northern School of Health of the Portuguese Red Cross, Portugal.

Cristina Maria Correia Barroso Pinto, Porto School of Nursing

Nurse, Ph.D. Professor of the Nursing Department.

Porto School of Nursing, Portugal.

Paula Marciana Pinheiro de Oliveira , University of International Integration of Afro-Brazilian Lusophony

Nurse, Ph.D. Professor of the Graduate Program in Nursing. 

University of International Integration of Afro-Brazilian Lusophony, Brazil.

References

1. Seidu AA, Malau-Aduli BS, McBain-Rigg K, Malau-Aduli AE, Emeto TI. Sexual lives and reproductive health outcomes among persons with disabilities: a mixed-methods study in two districts of Ghana. Reproductive Health. 2024; 21(1):69.

2. Machado CV. Democracy, citizenship and health in Brazil: challenges to strengthening the Unified Health System (SUS). Ciência e saúde coletiva. 2024; 29(7):e02192024.

3. Qi W, Li H, Lian Q, Zuo X, Yu C, Lou C, Tu X. Knowledge level and access barriers related to sexual and reproductive health information among youth with disabilities in China: a cross-sectional study. Reproductive Health. 2023; 20(1):84.

4. Mheta D, Sibiya MN, Nkosi PB. Experiences of Women with Disabilities in Accessing Maternal Healthcare Services: A South African Case Study. International Journal of Environmental Research and Public Health. 2023; 20(21):6966.

5. Cameron V, Roth J. Disability Through a Nursing Professional Development Lens. Journal for Nurses in Professional Development. 2024; 40(3):177-9.

6. Huang A, Hong W, Zhao B, Lin J, Xi R, Wang Y. Knowledge, attitudes and practices concerning catheter‐associated urinary tract infection amongst healthcare workers: a mixed methods systematic review. Nursing Open. 2022; 10(3):1281-304.

7. Rebouças CBA, Pagliuca LM, Sawada NO, Almeida PC. Validation of a non-verbal communication protocol for nursing consultations with blind people. Revista Rene. 2012; 13(1):125-39.

8. Costa KN. Modelo de comunicação verbal com o cego: desenvolvimento e validação em consulta de enfermagem [Dissertation]: Repositório Institucional da UFC; 2009. Available in: http://www.repositorio.ufc.br/handle/riufc/2099.

9. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Guia de Atenção à Saúde das Mulheres com Deficiência e Mobilidade Reduzida. Secretaria de Atenção à Saúde; 2019. Available in: https://bvsms.saude.gov.br/bvs/publicacoes/guia_atencao_mobilidade_reduzida.pdf.

10. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Atenção ao pré-natal de baixo risco. Brasília: Ministério da Saúde; 2012. Available in: http://bvsms.saude.gov.br/bvs/publicacoes/cadernos_atencao_basica_32_prenatal.pdf.

11. Pasquali L. Psicometria: Teoria e aplicações. 5ª ed. Brasília, DF: Universidade de Brasília; 2013.

12. Chaves TD, Guedes TG, Perrelli JG, Albuquerque NL, Mangueira SD, Linhares FM. COVID-19 nas prisões: validação de um inquérito de conhecimento, atitude e prática. Acta Paulista de Enfermagem. 2023; 37:eAPE002811.

13. Carona C, Crespo C, Silva N, Lopes AF, Canavarro MC, Bullinger M. Examining a developmental approach to health-related quality of life assessment: Psychometric analysis of DISABKIDS generic module in a Portuguese sample. Vulnerable Children and Youth Studies. 2013; 8(3):243-57.

14. Coelho FU, Reigota SM, Cavalcanti FM, Regagnin DA, Murakami BM, Santos VB. Bladder ultrasound: evidence of content validity of a checklist for training nurses. Revista Brasileira de Enfermagem. 2024; 77(6):e20230183.

15. Wilson FR, Pan W, Schumsky DA. Recalculation of the Critical Values for Lawshe’s Content Validity Ratio. Measurement and Evaluation in Counseling and Development. 2012; 45(3):197-210.

16. Scaratti M, Johann GR, Argenta C, Zanatta EA. Content and semantics validation of an application for adolescents with diabetes mellitus. Acta Paulista de Enfermagem. 2023; 36:eAPE021031.

17. Giacomini I, Martins MR, Matijasevich A, Cardoso MA. Internal consistency of the Strengths and Difficulties Questionnaire in Amazonian children. Revista de Saúde Publica. 2023; 57(Supl.2):4s.

18. Chaves TD, Guedes TG, Perrelli JG, Albuquerque NL, Mangueira SD, Linhares FM. COVID-19 in prisons: validity of a knowledge, attitude and practice survey. Acta Paulista de Enfermagem. 2024; 37:eAPE002811.

19. Melo ESJ, Silva MJN, Silva APN, Braga HFGM, Oliveira BSB, Monteiro FPM, Barbosa LP. Criteria for selecting experts in the evaluation of educational technologies in Nursing: an integrative review. Revista Rene. 2024; 25:e92942.

20. Gomes DS, Souza PA, Assis GM, Paula DG. Validation of a mobile application for adults with neurological lower urinary tract dysfunction. Revista Latino Americana de Enfermagem. 2024; 32:e4323..

21. Arroio LF, Lopes JD, Barros AL, Lima EA, Lopes CT, Santos VB. Desenvolvimento e validação de conteúdo de um website para pacientes com doença arterial coronariana. Revista Brasileira de Enfermagem. 2023; 76(1): 76(1):e20220302.

22. Mattos LM, Barlem ELD, Barlem JGT. Propriedades psicométricas da escala de fatores de evasão nos cursos de graduação em Enfermagem. Educação por escrito. 2024;15(1):e44445.

23. Alvarenga JD, Sousa MF. Processo de trabalho de enfermagem na Atenção Primária à Saúde no estado da Paraíba – Brasil: perfil profissional e práticas de cuidados na dimensão assistencial. Saúde em Debate. 2023; 46(135):1077-92.

24. Duarte BAR, Leite TCP, Felix TR, Santana MAO, Giuliani CD. Home visits in rural areas: demands in primary care. Rural Remote Health. 2023; 23:8118.

25. Girardi KH, Zanatta L, Zocche DAA, Vendruscolo C, Hirdes A. Production and validity of a podcast to promote mental health among primary care users. Revista de Enfermagem da UFSM. 2024; 14:e40.

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Published

2025-11-19

How to Cite

Moura Luzia, F. J., Mariano Grimaldi , M. R., Cezário Roscoche , K. G., Barbosa Carneiro, J., Jardani de Souza Medeiros, A. E., Neves da Mota , L. A., Correia Barroso Pinto, C. M., & Pinheiro de Oliveira , P. M. (2025). Prenatal care with blind pregnant women: validation of an instrument for nurses on knowledge, attitude and practice. Investigación Y Educación En Enfermería, 43(3). https://doi.org/10.17533/udea.iee.v43n3e11

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ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS

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