Desenvolvimento e validação do instrumento específico para complexidade assistencial de puérperas e recém-nascidos : escala de Fantinelli

Abstract

Objective: To validate a system of assessment of care complexity adapted to puerperae women and newborns infants attended at the joint accommodation. Methods: This is a cross-sectional study of psychometric validation of instruments, applied in a joint housing in southern Brazil, from July to November 2016. The questionnaire has 13 indicators, each of which is subdivided into four graduate items. For precision analysis of the instrument five criteria were adopted: a) internal consistency by Cronbach's Alpha; b) Intraclass correlation coefficient; C) correlation between categorical items, mediating the Kendall correlation; d) shaved ceiling and floor; e) factorial validity of the dominoes, and the Kaiser-Meyer-Olkin test was applied. Results: A total of 1,396 postpartum women with a mean age of 31.1 ± 5.7 years and gestational age of 37.9 ± 2.3 weeks were evaluated, with a predominance of the first gestation (50.7%). Regarding the application of the questionnaire, the mean of the total score of the 13 items was 22.5 ± 4.2, with an intermediate classification (52.9%). For the purposes of psychometric validation, the instrument presented Cronbach's alpha scores (αC) of 0.73 points and between minimum items of 0.70 and maximum of 0.74 points. In the correlation of αC by items and the total score, the instrument showed high ratios (r2: 0.84). In the evaluation of the intraclass correlation coefficient (ICC) of 0.73 points (95% CI: 0.71-0.75, p <0.001. Conclusion: Este estudo validou a Escala Fantinelli como uma escala de complexidade assistência para o alojamento conjunto. The questionnaire proves to be an important indicator of care in the health service, both for identification and for controlling the degree of complexity of the care required by puerperal and newborn infants.