Construction and validity of an online course for nurses on the analysis and interpretation of prenatal laboratory tests*

Authors

Keywords:

Nursing, Education, Nursing, Continuing, Educational Technology, Prenatal Care, Primary Health Care

Abstract

Objective: To develop and validate an online course for Primary Health Care nurses on the analysis and interpretation of prenatal tests for low-risk pregnancies.

Method: A technological development study employing the Analyze, Design, Develop, Implement, Evaluate model to create the course within a virtual learning environment. Content validity was conducted with eight specialists using an instrument that assessed aspects such as objectives, structure, presentation, and relevance, utilizing the Content Validity Index.

Results: A six-module course with a 30-hour workload was developed for a virtual environment. The content was validated, achieving a Content Validity Index of ≥ 0.80 across all domains and an overall score of 0.99.

Conclusion: This study highlights the importance of using educational technologies in nursing education. The development and validity of the course represent a significant step in integrating educational technologies, thereby strengthening professional training and practice.

Author Biographies

Silvana dos Santos Zanotelli, State University of Santa Catarina, Chapecó, SC, Brazil.

Nurse. PhD in Nursing, Faculty Member at the State University of Santa Catarina, Chapecó, SC, Brazil.

Adria Valquiria de Marco Patzlaff, Santa Catarina State University, Chapecó, SC, Brazil.

Nurse. Master of Science in Nursing, Santa Catarina State University, Chapecó, SC, Brazil.

Leila Zanatta, State University of Santa Catarina, Chapecó, SC, Brazil.

Pharmacist. PhD in Pharmacy, Faculty Member at the State University of Santa Catarina, Chapecó, SC, Brazil.

Joice Moreira Schmalfuss, Federal University of Fronteira Sul, Chapecó, SC, Brazil.

Nurse. PhD in Health Sciences, Faculty member at the Federal University of Fronteira Sul, Chapecó, SC, Brazil.

Vanessa da Silva Corralo, Community University of the Chapecó Region, Chapecó, SC, Brazil.

Pharmacist. PhD in Biological Sciences, faculty member at the Community University of the Chapecó Region, Chapecó, SC, Brazil.

Elisangela Argenta Zanatta, State University of Santa Catarina, Chapecó, SC, Brazil.

Nurse. PhD in Nursing, Faculty Member at the State University of Santa Catarina, Chapecó, SC, Brazil.

References

1. Ministério da Saúde (BR). Atenção primária [Internet]. Brasília, DF: Ministério da Saúde; 2025 [cited 2025 Apr 13]Notícias[about 6 screens]. Available from: https://www.gov.br/saude/pt-br/composicao/saps

2. Ministério da Saúde (BR). Painéis de monitoramento (SVS) [Internet]. Brasília, DF: DATASUS; 2024 [cited 2025 Apr 13]. Available from: https://datasus.saude.gov.br/paineis-de-monitoramento-svs/

3. Nunes BKA, da Silva JRF, Aoyama EA, Ogliari KBC. O impacto do pré-natal de qualidade e o bem-estar materno associados à redução da mortalidade. LEV [Internet]. 2025 [cited 2025 Sep 27];16(48):5789-811. Available from: https://doi.org/10.56238/levv16n48-092

4. Organização das Nações Unidas (ONU). Objetivo de Desenvolvimento Sustentável 3: saúde e bem-estar [Internet]. Brasília, DF: ONU Brasil; 2025 [cited 2025 Apr 14]. Available from: https://brasil.un.org/pt-br/sdgs/3

5. Conselho Federal de Enfermagem (COFEN). Resolução nº 516, de 24 de junho de 2016. Normatiza a atuação e a responsabilidade do Enfermeiro, Enfermeiro Obstetra e Obstetriz na assistência às gestantes, parturientes, puérperas e recém-nascidos nos Serviços de Obstetrícia, Centros de Parto Normal... [Internet]. Brasília, DF: COFEN; 2016 [cited 2025 Apr 14]. Available from: https://www.cofen.gov.br/resolucao-cofen-no-05162016/

6. Sampaio CSM Tecnologia educacional direcionada para enfermeiros na docência. [dissertation on the Internet]. Fortaleza CE, Universidade de Fortaleza; 2024 [cited 2025 Apr 13]. 79 f. Available from: https://biblioteca.cofen.gov.br/tecnologia-educacional-direcionada-para-enfermeiros-na-docencia/

7. da Silva PS, Ferraz L. Creation of serious games in continuing education for prenatal care: Presenting a step-by-step guide. Saúde Debate [Internet]. 2025 [cited 2025 Dec 5];49(spe1):e9960. Available from: https://doi.org/10.1590/2358-28982025E19960P

8. You W, Donnelly F. A greater nurse and midwife density protects against infant mortality globally. Journal of Pediatric Nursing. [Internet] 2024 [cited 2026 Apr 25]:77:e158-66. Available from: https://doi.org/10.1016/j.pedn.2024.04.004

9. Seleme RB, Munhoz AS. O projeto instrucional em EAD. In: Anais do Congresso Internacional ABED de Educação a Distância [Internet]. 2009 [cited 2025 Dec 7]; Fortaleza, Brasil. Associação Brasileira de Educação a Distância; 2009; 13p. Available from: https://abed.org.br/congresso2009/cd/categoriaa.htm

10. Melo ESJ, da Silva MJN, Silva APN, Braga HFGM, de Oliveira BSB, Monteiro FPM, et al. Criteria for selecting experts in the evaluation of educational technologies in Nursing: an integrative review. Rev Rene [Internet]. 2024 Jun [cited 2026 Apr 25]:25:e92942. Available from: https://periodicos.ufc.br/rene/article/view/92942

11. Bockorni BRS, Gomes AF. A amostragem em snowball (bola de neve) em uma pesquisa qualitativa no campo da administração. RECEU [Internet]. 2021 [cited 2025 Apr 13];22(1):105-17. Available from: https://doi.org/10.25110/receu.v22i1.8346

12. Pasquali L. Testes referentes a construto: teoria e modelo de construção. In: Pasquali L. Instrumentação psicológica: fundamentos e práticas. Porto Alegre: Artmed; 2010. p.165-198.

13. Sari ABL, Adamy EK, Martini RG. Validation of a guide for peristomal skin care in adults with elimination ostomy. ESTIMA, Braz J Enterostomal Ther. [Internet] 2025 [cited 2026 Apr 25];23:e1567. Available from: https://doi.org/10.30886/estima.v23.1567_PT

14. Ausubel DP, Novak JD, Hanesian H. Meaning and meaningful learning. In: Psicologia educacional: uma visão cognitiva. Rio de Janeiro: Interamericana; 1980. p. 32-71.

15. Silva RA, Paiva MCL. The organization of the virtual learning environment in the DE: the students' point of view. Avaliação (Campinas) [Internet]. 2023 [cited 2025 Aug 13];28:e023021. Available from: https://doi.org/10.1590/S1414-40772023000100032

16. Leal DS. A inovação no ensino: o papel transformador dos ambientes virtuais de aprendizagem na educação contemporânea. International Integralize Scientific [Internet] 2025 [cited 2025 Aug 13];7(1):246-58. Available from: https://periodicosuneal.emnuvens.com.br/intersecao/article/view/611

17. Moreira MF, Nóbrega MML, Silva MIT. Comunicação escrita: contribuição para a elaboração de material educativo em saúde. Rev Bras Enferm [Internet]. 2003 [cited 2025 Dec 05];56(2):184-8. Available from: https://doi.org/10.1590/S0034-71672003000200015

18. Ladak Z, Grewal N, Kim MO, Small S, Leber A, Hemani M, et al. Equity in prenatal healthcare services globally: an umbrella review. BMC Pregnancy Childbirth [Internet]. 2024 [cited 2026 Apr 25];24:191. Available from: http://doi.org/10.1186/s12884-024-06388-0

19. de Medeiros LS, Leite AG, Backes MTS, Lomba L, Halberstadt BMK, Backes DS. Development and validation of a serial album on pregnancy for expectant mothers and healthcare professionals. Rev Bras Enferm [Internet]. 2026 [cited 2026 Apr 25];79:e20250284. Available from: https://doi.org/10.1590/0034-7167-2025-0284pt

20. Boettcher S, dos Santos MM, Leonhardt GB, Mallon M, Vidal EF, de Souza LM, et al. Construction and validity of an online course for nurses on central venous catheters in children at home. Esc Anna Nery [Internet]. 2023 [cited 2025 Apr 13];27:e20220343. Available from: https://doi.org/10.1590/2177-9465-EAN-2022-0343pt

21. Cavichioli FCT, Blanes L, Garbe GG, Nicodemo D, Ferreira LM. Distance continuing education in nursing for wound care in prisons. Acta Paul Enferm [Internet]. 2022 [cited 2025 Dec 5];35:eAPE0174345. Available from: https://doi.org/10.37689/acta-ape/2022AO0174345

22. Lisbôa RL, Furtado KF, da Rosa VS, Evangelista CS, Paz AA. Educational technology for multidisciplinary training for managing waiting lists for elective patients. Rev Bras Enferm [Internet]. 2024 [cited 2026 Apr 25];77(3):e20230299. Available from: https://doi.org/10.1590/0034-7167-2023-0299pt

23. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Res Nurs Health [Internet]. 2007 [cited 2025 Apr 13];30(4):459-67. Available from: https://doi.org/10.1002/nur.20199

24. Conselho Federal de Enfermagem (COFEN). Resolução COFEN nº 564/2017: aprova o novo código de ética dos profissionais de Enfermagem [Internet]. Brasília, DF: COFEN; 2017 [cited 2025 Apr 13]. 3 p. Available from: https://www.cofen.gov.br/resolucao-cofen-no-5642017/

25. Conselho Federal de Enfermagem (COFEN). Resolução COFEN nº 672/2021: Altera a Resolução Cofen nº 516, de 23 de junho de 2016, que normatiza a atuação e a responsabilidade do Enfermeiro, Enfermeiro Obstetra e Obstetriz na assistência às gestantes… Brasília, DF: COFEN; [Internet] 2021 [cited 2025 Apr 13]. Available from: https://www.cofen.gov.br/resolucao-cofen-no-672-2021//

26. Almeida SR, de Azevedo VA, de Amorim BC, Freitas RG, dos Santos JJ, Suto CSS. Cuidado de enfermería da atenção primária à saúde no pré-natal: revisão integrativa. Enferm (Montev) [Internet]. 2025 [cited 2026 Apr 25];14(1):e417. Available from: https://www.researchgate.net/publication/391614028_Nursing_Care_in_Primary_Healthcare_in_Prenatal_Care_An_Integrative_Review

27. Amorim TS, Backes MTS, de Carvalho KM, dos Santos EKA, Dorosz PAE, Backes DS. Nursing care management for the quality of prenatal care in Primary Health Care. Esc Anna Nery [Internet]. 2022 [cited 2025 Aug 13];26:e20210300. Available from: https://doi.org/10.1590/2177-9465-EAN-2021-0300

28. Prosen M, Ličen S. Evaluating the digital transformation in health sciences education: a thematic analysis of higher education teachers’ perspectives. BMC Medical Education. [Internet]. 2025 [cited 2025 Aug 13];25:820. Available from: https://doi.org/10.1186/s12909-025-07420-3

Published

2026-08-24

How to Cite

Zanotelli, S. dos S., Patzlaff, A. V. de M., Zanatta, L., Schmalfuss, J. M., Corralo, V. da S., & Zanatta, E. A. (2026). Construction and validity of an online course for nurses on the analysis and interpretation of prenatal laboratory tests*. Cogitare Enfermagem, 31. Retrieved from https://revistas.ufpr.br/cogitare/article/view/101903

Issue

Section

Technological Innovation