The use of the Delphi Method adjusted to evaluate the Stork Network: from Image-objective to Reality

Abstract

This study aims to evaluate the Stork Network (SN), a new pattern of intergovernmental program. The method was applied through the adjusted Delphi Method, with 13 specialists. It was constituted in 3 moments. A Logical Model (LM) was elaborated, with the purpose of showing the design of the actions of the program and its main components. By consensus the Delphi Matrix of Concordance with the proposal of the Goal Image was elaborated and validated. Finally, this Matrix was used as an instrument to evaluate the degree of implementation of the program. The results show that SN is classified in the Unsatisfactory Level, in the III Macro-regional Health in Pernambuco, corroborating the irrelevance of initiatives developed to strengthen the program. It is concluded that the application of this Delphi Method was consistent with the complexity of the object, given the lack of specific models for this purpose based on new institutional relations in the regionalization of the Unified Health System (SUS, acronym in Portuguese). This study showed its implications for nursing practice in the search for solutions for patient safety in maternal and child health care, pointing out the indispensability of these professionals to make SN more effective, especially in the face of a vulnerable and disadvantaged population in the interior of the semi-arid region, in an adverse political-economic scenario.

Development and validation of the Logical Model of the Neonatal Hearing Screening Program

“…Specialists were consulted with the "consensus conference" technique, proposed by Souza, Vieira da Silva and Hartz 20 , a process structured in three rounds of consultations. Its purpose is to obtain a collective and qualified opinion on specific issues until a consensus is achieved 16,[19][20][21][22] .…”

Epidemiology of gestational syphilis in a Brazilian state: analysis in the light of the social-ecological theory

“…Although RC aims at qualifying obstetric-neonatal health, has brought benefits to the mother-child binomial, and has been published for almost a decade, its actions are still insufficient. In an analysis conducted in Pernambuco, Brazil, based on an evaluation using the Delphi method, the quality of obstetric-neonatal care developed through the precepts of RC was unsatisfactory, pointing to the need to make the policy more effective, especially among people in situation of vulnerability, and in an adverse politicaleconomic scenario (16) .…”

Estrategias de gestión en el centro obstétrico antes de la pandemia de COVID-19

“…5 Revista Uruguaya de Enfermería, 2023;18(2):e2023v18n2a3 DOI: 10.33517/rue2023v18n2a3 -eISSN: 2301-0371 modelo destinada a diminuir os altos índices de morbimortalidade materna e infantil através de ações no pré-natal, parto e puerpério (10) , no entanto com a significativa possibilidade de piora das demandas obstétricas com a pandemia de COVID-19 novos desafios se desenham.…”