School Nursing Guide for student health promotion: construction and validity

Muniz, Emanoel Avelar; Queiroz, Maria Veraci Oliveira; Pinheiro, Patrícia Neyva da Costa; Silva, Maria Rocineide Ferreira da; Moreira, Thereza Maria Magalhães; Oliveira, Eliany Nazaré; Almeida, Isabelline Freitas Dantas Paiva de; Barbosa Filho, Valter Cordeiro

doi:10.1590/0034-7167-2022-0260

Emanoel Avelar Muniz Corresponding author: Emanoel Avelar Muniz, E-mail: emanoel.muniz@ifce.edu.br

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Instituto Federal de Educação, Ciência e Tecnologia do Ceará. Acaraú, Ceará, Brazil

Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil

https://orcid.org/0000-0002-8648-8523

Maria Veraci Oliveira Queiroz

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil

https://orcid.org/0000-0002-7757-119X

Patrícia Neyva da Costa Pinheiro

conception or design of the study/research

final review with critical and intellectual participation in the manuscript

Universidade Federal do Ceará. Fortaleza, Ceará, Brazil

https://orcid.org/0000-0001-7022-8391

Maria Rocineide Ferreira da Silva

conception or design of the study/research

final review with critical and intellectual participation in the manuscript

Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil

https://orcid.org/0000-0002-6086-6901

Thereza Maria Magalhães Moreira

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil

https://orcid.org/0000-0003-1424-0649

Eliany Nazaré Oliveira

Universidade Estadual Vale do Acaraú. Sobral, Ceará, Brazil

https://orcid.org/0000-0002-6408-7243

Isabelline Freitas Dantas Paiva de Almeida

final review with critical and intellectual participation in the manuscript

Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil

https://orcid.org/0000-0002-2284-1949

Valter Cordeiro Barbosa Filho

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil

Instituto Federal de Educação, Ciência e Tecnologia do Ceará. Aracati, Ceará, Brazil

https://orcid.org/0000-0002-4769-4068

Corresponding author: Emanoel Avelar Muniz, E-mail: emanoel.muniz@ifce.edu.br

EDITOR IN CHIEF: Antonio José de Almeida Filho

ASSOCIATE EDITOR: Alexandre Balsanelli

Focus group	Themes discussed	Nurses’ statements	Incorporation into the guide
FG 1	- Presentation of the research project and Pender’s HPM; - Suggestions for changes in IFCE nurses’ practice.	Seeking to understand students’ profile so that we can diagnose the situation and carry out actions focused on the needs of that moment. (Nur. 7)	- Description of nursing consultation and successful experiences; - Definition of facilitating factors and barriers for carrying out and assessing health promotion actions.
FG2	- Analysis of health behaviors and associated factors of young IFCE students.	[...] mental health is one of the biggest complaints that reach us [...] there should be more actions focused on mental health! (Nur. 10)	- Portrait of young IFCE students; - Strategies for mental health promotion and stress management.
FG3	Healthy eating promotion in the school context with young people: possibilities for interventions.	The day the company [food] takes a salad is the day that students less go to line up and still complain! [...]. (Nur. 2)	- Encouraging the consumption of natural and organic foods; - Resistance of students to acquire/maintain healthy eating behaviors.
FG4	Physical activity promotion in the school context with young people: possibilities of interventions.	The games are very present in my campus, whenever there are games, we have a very large audience that wants to go! (Nur. 2)	- Facilitating factors and barriers to physical activity promotion in IFCE; - Continuous support/encouragement to students in physical activity practices.
FG5	Mental health and stress management intervention promotion with young people in the school context.	With auriculotherapy, I had more visibility [...] these practices [ICP] give quick answers! (Nur. 7)	- Facilitating factors and barriers in the approach to young people’s mental health; - Use of art and Integrative and Complementary Practices.
FG6	Social support and health promotion: possibilities of interventions in the school context.	We always fight with the teaching sector to ensure a space in the school calendar for actions! (Nur. 5)	- Integration with the other sectors of the campus, conducting home visits and strengthening the bond of students with the institution.
FG7	Presentation and approval of the preliminary version of the School Nursing Guide.	The guide is a way for us to record and systematize what we already do and also expand our strategies. (Nur. 1)	- Limits and possibilities of nursing professionals’ performance in school health and consensual adjustments in technology.

Items	1	2	3	4	5	AVI^¶	p value
Items	TD^{^* * TD - totally disagree;}	D^† † D - disagree;	PD^‡ ‡ PD - partially disagree;	A ^§ § A - agree;	TA^\|\|	AVI^¶	p value
1. Illustrations are suitable for the target audience	1	0	3	12	8	0.83	0.460
2. Illustrations are clear and convey ease of understanding	0	0	5	12	7	0.79	0.540
3. Illustrations are relevant to the understanding content by the target audience	0	0	2	14	8	0.92	0.115
4. Illustrations’ colors are suitable for the type of material	0	0	1	10	13	0.96	0.033^{^ Statistically significant disagreement (p<0.05).}
5. Illustrations’ shapes are suitable for the type of material	0	0	4	11	9	0.83	0.460
6. Illustrations depict the daily life of the intervention’s target audience	1	0	3	7	13	0.83	0.460
7. Figure arrangement is in harmony with the text	0	0	3	8	13	0.87	0.264
8. The figures used elucidate the educational material content	1	0	2	15	6	0.87	0.264
9. Illustrations help in exposing the theme and are in a logical sequence	0	0	0	15	9	1.0	0.091
10. Illustrations are in suitable quantity in the educational material	0	0	6	10	8	0.75	0.540
11. Illustrations are in suitable size in the educational material	0	1	2	13	8	0.87	0.149
12. Illustrations help in changing behaviors and attitudes of the target audience	2	0	7	11	4	0.62	0.000^{^ Statistically significant disagreement (p<0.05).}
Total						0.84

Item	D^* * D - disagree;	PA^† † PA - partially agree;	TA^‡ ‡ TA - totally agree; §Content Validity Index; p-value - exact binomial test (a - states of alternative hypotheses than the proportion of cases in the first group <0.80).	CVI^§	p value
OBJECTIVES	0	1	2	1.0
1. Contemplates proposed theme	0	3	21	1.0	0.661
2. Suitable for the teaching-learning process	0	4	20	1.0	0.661
3. Clarifies doubts about the theme covered	0	5	19	1.0	0.661
4. Provides reflection on the theme	0	5	19	1.0	0.661
5. Encourages behavior change	0	5	19	1.0	0.661
STRUCTURE/PRESENTATION	0	1	2	0.99
6. Language suitable for the target public	0	2	22	1.0	0.661
7. Language appropriate to educational material	0	3	21	1.0	0.661
8. Interactive language	0	11	13	1.0	0.661
9. Correct information	0	2	22	1.0	0.661
10. Objective information	0	6	18	1.0	0.661
11. Enlightening information	0	3	21	1.0	0.661
12. Necessary information	0	3	21	1.0	0.661
13. Logical sequence of ideas	0	2	22	1.0	0.661
14. Current theme	0	2	22	1.0	0.661
15. Appropriate text size	1	7	16	0.96	0.292
RELEVANCE	0	1	2	1.0
16. Encourages learning	0	3	21	1.0	0.661
17. Contributes to knowledge in the field	0	0	24	1.0	0.661
18. Arouses interest in the theme	0	2	22	1.0	0.661
Total/Ave- CVI				0.998

[1] Corresponding author: Emanoel Avelar Muniz, E-mail: emanoel.muniz@ifce.edu.br

Brasil

Brasil

School Nursing Guide for student health promotion: construction and validity

Guía de Enfermería Escolar para la promoción de la salud de jóvenes estudiantes: construcción y validación

ABSTRACT

Objectives:

Methods:

Results:

Conclusions: