Construction and validation of indicators to evaluate the implementation of the kangaroo method using the Delphi technique

Authors

  • Joice Luiza Alves Cândido
  • Paulo Germano de Frias
  • Silvia Wanick Sarinho

DOI:

https://doi.org/10.26694/reufpi.v12i1.4435

Keywords:

Kangaroo Method, Evaluation of Research Programs and Instruments, Delphi Technique, Research on Health Services, Validation Study

Abstract

Objective: To present the validation process of a matrix of indicators to evaluate the implementation of the second and third stages of the Kangaroo Method (KM) in two reference maternity hospitals and in primary care in Recife. Methods: The construction and validation process followed four stages: (1) elaboration of the logical model of the 2nd and 3rd stage of the KM; (2) composition of the preliminary indicator matrix; (3) selection of experts, sending indicators to this group for analysis using the Delphi Technique; (4) consolidation of results and sending to experts for second consultation and final analysis. A Content Validity Index (CVI) equal to or greater than 80% was adopted to establish agreement. Results: The logical model was composed of components for the 2nd and 3rd stages of the KM, with the Education and Care subcomponents, and a component for the interface of the two stages, with the Management subcomponent. Of the 110 items presented, two did not present consensus in the first round and three suggestions for changes were made. Five new indicators were included, totaling 113 indicators at the end. Conclusion: The use of the Delhi technique made it possible to expand the consensus and validate the KM...

References

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Atenção humanizada ao recém-nascido: Método Canguru: diretrizes de cuidado. 2nd. Brasília: Ministério da Saúde (BR); 2019.

Goudard MJ, Lamy ZC, Caldas LN, Marba ST, Costa R, Lima GM, et al. Characteristics of skin-to-skin contact in Brazilian neonatal units: a multicenter study. Acta Paul Enferm. 2023;36:eAPE02442. DOI: 10.37689/acta-ape/2023AO02442.

Alves FN, Azevedo VM, Moura MR, Ferreira DM, Araújo CG, Mendes-Rodrigues C, et al. Impact of the kangaroo method of breastfeeding of preterm newborn infants in Brazil: an integrative review. Ciênc. Saúde Colet. 2020;25(11):4509-20. DOI: 10.1590/1413-812320202511.29942018.

Souza NA, Lamy ZC, Goudard MJ, Marba ST, Costa R, Caldas LN, et al. Factors associated with skin-to-skin contact less than 180 min/day in newborns weighing up to 1,800g: multicenter study. Ciênc. Saúde Colet. 2023;28(4):1021-9. DOI: 10.1590/1413-81232023284.14822022.

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Atenção humanizada ao recém-nascido: Método Canguru: manual técnico. 3. ed. Brasília: Ministério da Saúde; 2017.

Bezerra TC, Falcão ML, Goes PS, Felisberto E. Evaluation of professional training programs in health: indicator construction and validation. Trab. Educ. Saúde. 2016;14(2):445-72. DOI: 10.1590/1981-7746-sip00111.

Deslandes SF, Mendes CH, Pires TO, Campos DS. Use of the Nominal Group Technique and the Delphi Method to draw up evaluation indicators for strategies to deal with violence against children and adolescents in Brazil. Rev. bras. saúde mater. infant. 2010;10(suppl 1):S29-S37. DOI: 10.1590/S1519-38292010000500003.

Oliveira AH, Marins FA, Delamaro MC. Concordance measurement applying the Delphi method: proposal and evaluation of a set determinants factor of the Triple Helix existence. Prod. 2021;31(e20200110). DOI: 10.1590/0103-6513.20200110.

Nasa P, Jain R, Juneja D. Delphi methodology in healthcare research: How to decide its appropriateness. World J Methodol. 2021;11(4):116-29. DOI: 10.5662/wjm.v11.i4.116.

Niederberger M, Spranger J. Delphi technique in health sciences: a map. Front Public Health. 2020;8:457. DOI: 10.3389/fpubh.2020.00457.

Donabedian A. Quality assessment and assurance: unity of purpose, diversity of means. Inquiry [Internet]. 1988;25(1):173-92. Available from: https://pubmed.ncbi.nlm.nih.gov/2966122/.

Khan MR, Alam MJ, Tabassum N, Khan NA. Systematic review of the Delphi–AHP method in analyzing challenges to public-sector project procurement and the supply chain: a developing country’s perspective. Sustainability. 2022;14(21):14215. DOI: 10.3390/su142114215.

Sever D, Bostanci KT. The competencies of science teacher: a Delphi Study. Eur J Educ Stud. 2020;7(6):82-112. DOI: 10.5281/zenodo.3887330.

Massaroli A, Martini JG, Lino MM, Spenassato D, Massaroli R. The delphi method as a methodological framework for research in nursing. Texto & contexto enferm. 2017; 26(4):e1110017. DOI: 10.1590/0104-07072017001110017.

Silva MS, Sá LO. Content validation of an instrument to assess the impact of neurocognitive disorders in the family. Referência. 2020;5(2):e.19074. DOI: 10.12707/RIV19074.

Yusoff MS. ABC of content validation and content validity index calculation. Educ. Med. J. 2019;11(2):49. DOI: 10.21315/eimj2019.11.2.6

Gontijo TL, Meireles AL, Malta DC, Proietti FA, Xavier CC. Evaluation of implementation of humanized care to low weight newborns – the Kangaroo Method. J Pediatr (Rio J). 2010;86(1):33-9. DOI: 10.2223/JPED.1968.

Gontijo TL, Xavier CC, Freitas MI. Evaluation of the implementation of Kangaroo Care by health administrators, professionals, and mothers of newborn infants. Cad. saúde pública. 2012;28(5):935-44. DOI: 10.1590/S0102-311X2012000500012.

Cardoso JS, Lamy ZC, Lamy F Filho, Gomes MA, Queiroz AL, Gianini NO, et al. Análise situacional da implantação do Método Canguru em maternidades públicas brasileiras. In: Sanches MT, Costa R, Azevedo VM, Morsch DS, Lamy ZC, organizadores. Método Canguru no Brasil: 15 anos de política pública. São Paulo: Instituto de Saúde; 2015. p. 165-86.

Ferreira DO, Silva MP, Galon T, Goulart BF, Amaral JB, Contim D. Kangaroo method: perceptions on knowledge, potencialities and barriers among nurses. Esc. Anna Nery Rev. Enferm. 2019;23(4):e20190100. DOI: 10.1590/2177-9465-ean-2019-0100.

Fontes AM. Avaliação do grau de implantação da terceira etapa do método canguru em maternidade de referência para nascimentos de alto risco, Pernambuco [dissertação]. Recife (PE): Universidade Federal de Pernambuco; 2018.

Silva MV, Lamy ZC, Sousa AF, Hartz Z, Mendes CM, Ramos CV. Evaluation of the third stage of the kangaroo method in primary health care. Rev. Pesqui. (Univ. Fed. Estado Rio J.). 2022;14:e11116. DOI: 10.9789/2175-5361.rpcfo.v14.11116.

Reichert AP, Soares AR, Bezerra IC, Guedes AT, Pedrosa RK, Vieira DS. The third stage of kangaroo method: experience of mothers and primary healthcare professionals. Esc. Anna Nery Rev. Enferm. 2021;25(1):e20200077. DOI: 10.1590/2177-9465-EAN-2020-0077.

Medina MG, Silva GA, Aquino R, Hartz ZM. Uso de modelos teóricos na avaliação em saúde: aspectos conceituais e operacionais. In: Hartz ZM, Silva LM, organizadores. Avaliação em saúde: dos modelos teóricos à prática na avaliação de programas e sistemas de saúde [Internet]. Rio de Janeiro (RJ): Editora Fiocruz, 2005. p. 41-63.

Pizzolato AC, Sarquis LM, Danski MT, Cubas MR. Validation of an instrument for the Nursing Process Record in prehospital mobile emergency care. Rev. enferm. UFSM. 2023;13(e11):1-15. DOI: 10.5902/2179769271997.

Published

2023-12-12

How to Cite

1.
Cândido JLA, Frias PG de, Sarinho SW. Construction and validation of indicators to evaluate the implementation of the kangaroo method using the Delphi technique. Rev Enferm UFPI [Internet]. 2023 Dec. 12 [cited 2024 Nov. 22];12(1). Available from: https://periodicos.ufpi.br/index.php/reufpi/article/view/4435

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