Development and validation of instructional design for clinical nursing care for neonates with congenital heart defects in maternities

Author(s): Simone da Silveira Magalhães

The use of technology in Education is an irreversible tendency. Virtual learning environments (AVA) are tools that favor knowledge exchange. This is an applied research, with a methodological design, which the objective was to develop and validate an instructional design for nursing clinical care for neonates with congenital heart diseases in maternity hospitals, through Distance Education (EaD), other technology that helps professionals to increase their knowledge. Methodological delineation: Initially, consultations were made with documents and literature available for the elaboration of didactic content of educational technology. After, the virtual content of the instructional design was integrated to an AVA. Subsequently, the technology was evaluated by nine expert judges, working in different areas. Following internal validation, the external validation of the instructional design was carried out, with the application of an online course on nursing care to neonates with congenital heart diseases in maternity hospitals. The sample consisted of 37 nurses, who work in the neonatal units of the four largest maternity in Fortaleza. The nurses completed the course, including initial and final assessment. Results: Internal validation demonstrated a 91% agreement measure for technology, attributed by specialists in Nursing, Education, EAD and Design. The judges specialized in Informatics, agreed on 70% regarding the technology. Together, the expert judges obtained 85% agreement. Regarding external validation, the Student’s t test revealed statistically significant differences among the course members’ knowledge, demonstrated through the pre-test results and posttest, proving the effectiveness of the educational intervention implemented. Conclusion: The instructional design is valid and capable of increasing nurses’ cognitive knowledge. The exchange of knowledge among professionals from different areas brought quality and improved the proposed technology