Tecnologia educativa em saúde para sensibilização dos profissionais sobre lista de verificação do parto seguro

Abstract

Health education technologies, such as the video case, constitute a more engaging and thought-provoking communication channel, given the power of audio and video in attracting spectators. This strategy significantly increases the possibility of sharing knowledge and experiences with many viewers, furthermore it can be disseminated through the internet. Objectives: To describe the steps in the production and content analysis of a video case to sensitize health professionals about the Safe Childbirth Checklist, in order to contribute with quality and safety of parturition and birth care improvement. To develop a video on Safe Childbirth Checklist. To analyze the content of the video with specialists in obstetrics, patient safety, and nursing care systematization. To produce a final version of the video and an article describing the production methodology. Raising awareness among health professionals about the Safe Childbirth Checklist. Methods: A methodological study based on the development of educational technology, with the participation of nine specialists, was carried out in two stages: 1- The first stage of creation was developed in three phases: Pre-production, Production, and Post-production, as proposed by Fleming. At pre-production a scoping review was elaborated to adequate the content and script writing; the script contained objectives, content, a list of the interviewed experts, the images to be recorded, target audience, recording set and presentation location, resources needed for development, available budget and expected results. The storyboard was created with the insertion of visual elements, such as figures, photos, and text. During the production phase, there were recorded scenes to show the use of WSCC in a real situation at the obstetrical center, as well as at one public maternity hospital, besides recording interviews with specialists. This step was done at a public hospital’s obstetric center and at the Escola Superior de Ciências da Saúde college, in Distrito Federal, Brazil. At the post-production phase, the video was edited and reviewed by the researchers. The first stage took place from October to December 2018. 2- At the second stage, of evaluation, the video was submitted for content analysis by the specialists who took part in the production. These attendees confirmed and approved the use of the excerpts from selected speeches and analyzed the content through the Content Validity Index (CVI), with a semi-structured questionnaire answered by nine specialized professionals. This second part was carried out from January to March 2019. The project was approved by the Research Ethics Committee (statement 2836028). Results: The produced video addresses the main causes of maternal mortality, the Safe Childbirth Checklist and the systematization of nursing care, being 15 minutes and 28 seconds long, with the approval of 100% of the specialized judges in CVI. This study resulted in a manuscript entitled “Video case on the Safe Childbirth Checklist: Awareness of Health Professionals”, and an audio-visual educational technology titled “Safe childbirth video case” available for sharing on the internet at https://youtu.be/rQo0P-27z0U. Conclusion: The video development for professionals’ awareness on the use of the WHOSCC and safe obstetric practices in the delivery assistance made use of the knowledge of specialists in obstetrics, patient safety and systematization of nursing care. The content analysis was obtained, and the material was evaluated by the judges as relevant, hence the specialists emphasized the importance of using the video in continuing education of health professionals: nurses, doctors, nursing technicians, as well as in educational activities. This study is expected to encourage implementation of the WHO Safe Childbirth Checklist in health institutions and to support the continuing education of crews, the midwifery and maternity sectors in order to favor the deployment of new practices among Health Care Networks of Brazilian’s Unified Health System (SUS). The results of this study could also collaborate with the improvement of future health actions and promote adherence to the safety culture in maternal and childcare for all those involved.