CONSTRUÇÃO E VALIDAÇÃO DE TECNOLOGIA ASSISTENCIAL SOBRE CONSULTA DE
ENFERMAGEM NA ATENÇÃO PRIMÁRIA À SAÚDE
Hypertension; Diabetes Mellitus; Biomedical Technology; Office Nursing;
Primary Health Care.
Introduction: Systemic Arterial Hypertension and Diabetes Mellitus are chronic
conditions that require longitudinal follow-up and care for management and control.
Considering that these conditions are treated and followed up in primary health care,
it is almost always the nurse who welcomes them and carries out the initial
consultation. From this perspective, the main working instrument of this professional is
the Nursing Consultation (NC). Therefore, it is important to use technology, such as an
assistive device in the nursing consultation, in order to direct care to the person being
consulted. Objective: To build and validate health care technology, in the format of a
form for nursing consultations in primary health care for people with Systemic Arterial
Hypertension and/or Diabetes Mellitus, supported by the Theory of Diversity and
Universality of Cultural Care, by Madeleine Leininger. Material and Methods:
Exploratory methodological research developed in three stages: integrative literature
review, construction and content validation. The construction of the technology was
based on an integrative review, and validation was carried out by a committee of
experts and target audience, composed of nurses who care for chronic conditions in
primary health care or have expertise in the area. The committees responded to two
stages to validate the technology, namely, the first to validate the domains, and the
second to validate the items in each domain, for which the Agreement Rate and
Content Validity Index (CVI) were used, both with a cutoff point for validation at 80%
(0.8). Data collection took place from December 2023 to July 2024, using a
questionnaire sent via Google Forms to the committees; a round table discussion was
added for the target audience. The analysis and interpretation of the data was carried
out through the statistical treatment of the data using absolute and relative frequencies
to characterize the responses of the participants, the Binomial Test, to verify
agreement for content validation, with a significance level of five percent (5%), the
Kappa Index, to measure the level of agreement and consistency of the committees in
relation to the permanence or otherwise of the items in the technology and Cronbach's
alpha coefficient (α) to analyze internal reliability. Results: 11 experts, 35 people from
the target audience participated in the Technology Content validation, with an
agreement rate of 88.81% and 96.5% respectively; Content Validity Index of 0.91 and
0.92, respectively; Kappa index > 0.61 and Cronbach's alpha coefficient (α) 0.772 and
0.922 respectively. The contributions of the committees were partially, completely or
not accepted by the author. Conclusion: The assistive technology called "Nursing
Consultation for people with Hypertension and/or Diabetes based on Congruent Care"
was validated in the first round of evaluation by both committees, indicating that it is
reliable for use in the Nursing Consultation in primary care.