Construction and validity of an online course for nurses on the analysis and interpretation of prenatal laboratory tests*
Keywords:
Nursing, Education, Nursing, Continuing, Educational Technology, Prenatal Care, Primary Health CareAbstract
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.
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
How to Cite
Issue
Section
License
Copyright (c) 2026 Silvana dos Santos Zanotelli, Adria Valquiria de Marco Patzlaff, Leila Zanatta, Joice Moreira Schmalfuss, Vanessa da Silva Corralo, Elisangela Argenta Zanatta

This work is licensed under a Creative Commons Attribution 4.0 International License.
Cogitare Enfermagem reserves the right to make normative, orthographic, and grammatical changes to the published article to maintain the cultured standard of the language, while respecting the authors' style.
The published study is the sole responsibility of the author(s), and Cogitare Enfermagem is exclusively responsible for evaluating the manuscript as a scientific publication vehicle. Revista Cogitare Enfermagem is not responsible for any violations of Law No. 9,610/1998, the Brazilian Copyright Law.
Cogitare Enfermagem allows the author to hold the copyright of articles accepted for publication, without restrictions.
The articles published are licensed under the Creative Commons license CC BY 4.0 Creative Commons - Attribution 4.0 International - CC BY 4.0 - The attribution adopted by Cogitare Enfermagem is permitted:
- Share - copy and redistribute the material in any media or format.
- Adapt - remix, transform and build upon the material for any purpose, even commercially.
- Attribution - You must give proper credit, provide a link to the license, and indicate if changes have been made. You may do this in any reasonable way, but not in a way that suggests that the licensor endorses it or approves of its use.
- No additional restrictions - You may not apply legal terms or technological measures that legally restrict others from doing something that the license allows.





















