Instrumento para avaliação domiciliar do enfermeiro na estratégia saúde da família: construção e validação

• Ano de defesa: 2026
• Autor(a) principal: SOUZA , Amanda Gomes de Araújo
• Orientador(a): SANTOS, Francisca Aline Arrais Sampaio
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Maranhão
• Programa de Pós-Graduação: PROG POS GRAD PROF EM SAUDE DA FAMILIA
• Departamento: DEPARTAMENTO DE MEDICINA II/CCBS
• País: Brasil
• Palavras-chave em Português: Enfermagem; visita domiciliar; avaliação em enfermagem; estratégia saúde da família.;
• Palavras-chave em Inglês: Nursing; home visit; nursing assessment; family health strategy.
• Área do conhecimento CNPq: Enfermagem de Saúde Pública
• Link de acesso: https://riufma.ufma.br/handle/riufma/29214

Introduction: the family health strategy (fhs) is a structuring axis of primary health care in brazil, in which home visits are an essential practice for health promotion, prevention, and comprehensive care. In this context, nurses play a central role, acting in the assessment of health conditions, environment, and family dynamics. However, weaknesses such as the lack of standardization and systematized instruments may compromise the quality of care. Therefore, the development of tools that guide professional practice in a scientific and organized manner becomes relevant. Objective: to develop and validate a guiding instrument for evaluating home care provided by nurses within the family health strategy. Method: this methodological study was conducted in three stages: instrument construction, content and face validation by experts, and semantic validation with nursing students. The instrument was structured based on the nursing outcomes classification (noc), encompassing three dimensions: health seeking behavior, safe home environment, and family health status. Experts were selected through analysis of their lattes curriculum, complemented by the snowball sampling technique. The instrument was distributed online via a link sent by email. After expert evaluation, necessary revisions were made, followed by semantic validation. Data collection was conducted after approval by the research ethics committee (rec), under protocol number 7239753. Results: sixteen experts with experience in the field participated in the content validation, predominantly professionals with clinical practice and training in family health.The content validity indices (CVI) showed high values across all items: Appearance (CVI 0.880), Content (CVI 0.907), and Relevance (CVI 0.918), indicating high agreement. The Cronbach’s Alpha coefficient of 0.901 demonstrated adequate internal consistency, reinforcing the reliability of the instrument. In the semantic validation, conducted with 22 students, good comprehension of the items was observed, with minor adjustments made to improve clarity. The process resulted in a final validated version of the instrument, considered applicable to clinical practice. Conclusion: the study achieved its objective by developing and validating an instrument for home care assessment by nurses in the fhs, presenting evidence of validity and reliability. The proposed tool contributes to the systematization of care, supporting the identification of health needs and the planning of more effective interventions. Its use may strengthen nursing practice in primary health care, promoting comprehensive, safe, and evidence-based care, as well as supporting future research in home care.