Desenvolvimento e validação de um aplicativo móvel para monitoramento das mulheres submetidas a inserção de dispositivo intrauterino por enfermeiro

Abstract

Introduction: Among the long-acting reversible contraceptives available on the market, the copper intrauterine device (IUD) is the method offered by the Ministry of Health to be provided in the Unified Health System (SUS) network. Despite being a highly effective and safe form of contraception, including for adolescents and nulliparous women, the IUD is still not widely accessible in Brazil. To increase access to contraceptive methods in primary health care (PHC), especially the IUD, the Ministry of Health emphasizes the importance of nurses in the insertion of the IUD. To assist nurses in decision-making and monitoring women who use this method, it is necessary to develop a mobile application for monitoring the insertion of the IUD. Objective: The development and validation of a mobile application for monitoring women subjected to the insertion of a Copper TCu 380A IUD by nurses. Methodology: This is a methodological study of the construction, content validation, and appearance validation of an application, with qualitative and quantitative analysis, conducted in five stages. The validation involved the participation of a committee of 10 judges, formed by nurse preceptors trained in gynecological nursing consultations for more than two years. The Likert scale and the Content Validity Index technique of 70% or higher (CVI ≥0.7) were used for validation. The qualitative data analysis was performed using Laurence Bardin's Content Analysis. Results: A mobile application was developed to support the work of nurses monitoring women undergoing IUD insertion. Regarding the validation of general content, semantic evaluation, and usability assessment, there was 100% agreement among the judges. For suggested functions, relevance to the topic, and contribution to clinical reasoning, there was 90% agreement among the judges. Concerning accessibility, there was 80% agreement among the judges. The content validity index (CVI) of the instrument was 0.96. Conclusion: The developed application is easy to use, adequate, reliable, and important for advancing strategies that increase the confidence of IUD users inserted by professional nurses by promoting real-time data analysis.