ABSTRACT
Objetivo: desenvolver um instrumento para avaliar a estrutura e o processo da assistência em saúde mental nos centros de atenção psicossocial e buscar evidências de validade de conteúdo. Método: estudo transversal, metodológico, com abordagem quantitativa, em duas etapas. Considerou-se a avaliação normativa, a partir de um instrumento de pesquisa (check-list). Na verificação dos níveis de concordância e de consistência entre os juízes (n=50), foram aplicados o Coeficiente Kappa e o Índice de Validade de Conteúdo. Resultados: a maioria dos juízes era da região Sudeste: enfermeiros, doutores, atuantes na docência e pesquisa. Na rodada 1, dos 40 itens propostos para o instrumento, 13 foram excluídos e 08 sugeridos. Na segunda rodada, dois novos sugeridos. Conclusão: a composição do instrumento foi aceita pelos juízes e os índices aplicados mostraram evidências de validade de conteúdo do mesmo.
Objective: this study aimed to develop an instrument to evaluate the structure and process of mental health care in Psychosocial Care Centers and to seek evidence of content validity. Method: cross-sectional methodological study with quantitative approach intwo stages. The normative evaluation of a research instrument (checklist) was carried out. The Kappa coefficient and the ContentValidity Index were applied to check the levels of agreement and consistency among judges (n=50). Results: most of the judgeswere from the southeast region: nurses, doctors, active in teaching and research. In phase 1, 13 of the 40 proposed items of the instrument were excluded and 08 suggested. In phase 2, two new items were suggested. Conclusion: the composition of theinstrument was accepted by judges and the applied indexes indicated evidence of validity of their content.
Objetivo: este estudio tuvo como objetivo desarrollar una herramienta para evaluar la estructura y el proceso de la atención sanitaria prestada en los centros de atención psicosocial y buscar evidencias de validez de contenido. Método: Estudio transversal, metodológico con enfoque cuantitativo en dos etapas. Se consideró la evaluación normativa, a partir de un instrumento de investigación (lista de comprobación). En la verificación de los niveles de concordancia y de consistencia entre los jueces (n = 50) seaplicaron el Coeficiente Kappa y el Índice Validez de Contenido. Resultados: La mayoría de los jueces eran del Sudeste: los enfermeros, doctores, activos en la docencia y en la investigación. En la fase 1, entre los 40 artículos propuestos, se excluyeron 13 y08 sugeridos. En la fase 2, dos nuevos fueron sugeridos. Conclusión: La composición del instrumento fue aceptado por los jueces y los índices aplicados indican evidencias de la validez de su contenido.
Subject(s)
Health Services Research , Mental Health , Mental Health Services , Quality of Health Care , Social Validity, ResearchABSTRACT
This is a descriptive quantitative research carried out at a Basic Health Unit in Natal, State of Rio Grande do Norte, aimed at measuring the knowledge that women have on the importance of the Pap test and the frequency in which they undertake it, as well as how they prepare themselves to undertake it and the causes that lead women to not submit to it. For data collection a structured interview prior to the gynecologic consultation was used, with an intentional sample of 120 women. The results show that the surveyed women are aware of the importance of the test, that most of them undertake it annually and that they generally have satisfactory knowledge as for the care they must take prior to undertaking it. Embarrassment and fear of the results are the main causes associated with the refusal to undertake the test. It can be concluded that the educative projects are to be focused on the importance, the frequency and the care that must be taken prior to the test, as well as on the professional-client interaction during the gynecologic consultation, with the aim of reducing women's embarrassment and fear.
