Evaluation of advanced practice nurse competencies: validation of an instrument for primary care

Dias, Flávia Carvalho Pena; Ferreira, Thelen Daiana Mendonça; Vergílio, Maria Silvia Teixeira Giacomasso; Sastre-Fullana, Pedro; São-João, Thaís Moreira; Gasparino, Renata Cristina

doi:10.1590/1518-8345.6958.4449

person Flávia Carvalho Pena Dias

Study concept and design · Obtaining data · Data analysis and interpretation · Statistical analysis · Drafting the manuscript · All authors approved the final version of the text

schoolUniversidade Estadual de Campinas, Faculdade de Enfermagem, Campinas, SP, Brazil.schoolScholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

0000-0003-4599-8700

person Thelen Daiana Mendonça Ferreira

Study concept and design · Data analysis and interpretation · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolUniversidade Estadual de Campinas, Faculdade de Enfermagem, Campinas, SP, Brazil.schoolScholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

0000-0001-7491-9325

person Maria Silvia Teixeira Giacomasso Vergílio

Study concept and design · Data analysis and interpretation · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolUniversidade Estadual de Campinas, Grupo de Estudos e Pesquisa em Tecnologias para Gestão em Enfermagem (GEPTGE), Campinas, SP, Brazil.

0000-0001-7884-8886

person Pedro Sastre-Fullana

Study concept and design · Data analysis and interpretation · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolHospital Universitari Son Espases, Palma de Mallorca, Illes Balears, PM, Spain.

0000-0002-1447-5221

person Thaís Moreira São-João

Study concept and design · Data analysis and interpretation · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolUniversity of Rhode Island, College of Nursing, Kingston, RI, United States of America.

0000-0002-8520-6483

person Renata Cristina Gasparino

Study concept and design · Obtaining data · Data analysis and interpretation · Statistical analysis · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolUniversidade Estadual de Campinas, Faculdade de Enfermagem, Campinas, SP, Brazil.

0000-0001-8729-4707

personCorresponding author: Flávia Carvalho Pena Dias E-mail:
flapena@gmail.com https://orcid.org/0000-0003-4599-8700

Conflict of interest:

the authors have declared that there is no conflict of interest.

Associate Editor:

Aline Aparecida Monroe

*Dimensions of the IECEPA Brazilian version**		Initial model
*Dimensions of the IECEPA Brazilian version**	AVE ^†	Composite Reliability	Cronbach’s alpha
1 - Research and Evidence-Based Practice	0.42	0.85	0.81
2 - Clinical and Professional Leadership	0.47	0.78	0.64
3 - Professional Autonomy	0.51	0.89	0.86
4 - Interprofessional Relations and Mentoring	0.41	0.81	0.71
5 - Quality Management	0.56	0.83	0.74
6 - Care Management	0.47	0.84	0.77
7 - Teaching and Professional Education	0.62	0.87	0.79
8 - Health Promotion	0.54	0.82	0.71

*Dimensions of the IECEPA Brazilian version**		Initial model
*Dimensions of the IECEPA Brazilian version**	AVE ^†	Composite Reliability	Cronbach’s alpha
1 - Research and Evidence-Based Practice	0.48	0.85	0.79
2 - Clinical and Professional Leadership	0.54	0.78	0.57
3 - Professional Autonomy	0.51	0.89	0.86
4 - Interprofessional Relations	0.52	0.81	0.68
5 - Quality Management	0.56	0.83	0.74
6 - Care Management	0.51	0.84	0.76
7 - Teaching and Professional Education	0.62	0.87	0.79
8 - Health Promotion	0.55	0.82	0.71

Item	D1*	D2 ^†	D3 ^‡	D4 ^§	D5 ^\|\|	D6 ^¶	D7**	D8 ^††
1.3	0.61	0.26	0.05	0.10	0.31	0.22	0.05	0.03
1.4	0.65	0.29	0.37	0.24	0.25	0.28	0.09	0.36
1.5	0.72	0.37	0.21	0.28	0.32	0.31	0.24	0.24
1.6	0.75	0.30	0.19	0.24	0.39	0.31	0.15	0.18
1.7	0.73	0.31	0.13	0.11	0.38	0.22	0.05	0.16
1.8	0.69	0.41	0.20	0.31	0.32	0.30	0.17	0.26
2.1	0.29	0.83	0.23	0.29	0.32	0.24	0.16	0.28
2.2	0.35	0.77	0.08	0.23	0.35	0.17	0.10	0.20
2.4	0.44	0.59	0.16	0.14	0.26	0.04	0.16	0.12
3.1	0.10	0.21	0.62	0.18	-0.01	0.09	0.23	0.37
3.2	0.18	0.21	0.75	0.29	0.19	0.23	0.17	0.37
3.3	0.15	0.19	0.73	0.25	0.21	0.22	0.25	0.46
3.4	0.36	0.21	0.74	0.29	0.25	0.30	0.21	0.48
3.5	0.26	0.16	0.79	0.37	0.16	0.40	0.24	0.47
3.6	0.19	0.09	0.73	0.23	0.17	0.23	0.14	0.38
3.7	0.10	0.04	0.73	0.28	0.04	0.32	0.22	0.46
3.8	0.27	0.14	0.61	0.29	0.17	0.24	0.14	0.34
4.2	0.33	0.22	0.27	0.71	0.31	0.31	0.22	0.19
4.3	0.19	0.20	0.27	0.79	0.32	0.35	0.32	0.33
4.4	0.19	0.17	0.34	0.64	0.18	0.27	0.22	0.28
4.5	0.23	0.30	0.24	0.72	0.33	0.35	0.23	0.19
5.1	0.28	0.20	0.07	0.27	0.69	0.32	0.11	0.19
5.2	0.32	0.30	0.23	0.33	0.79	0.40	0.23	0.26
5.3	0.43	0.37	0.28	0.35	0.81	0.45	0.17	0.31
5.4	0.36	0.36	0.00	0.23	0.69	0.30	0.15	0.19
6.2	0.21	0.14	0.22	0.35	0.38	0.64	0.27	0.27
6.3	0.24	0.21	0.33	0.34	0.21	0.70	0.25	0.44
6.4	0.36	0.16	0.30	0.34	0.40	0.83	0.27	0.42
6.5	0.33	0.16	0.23	0.28	0.41	0.73	0.33	0.36
6.6	0.28	0.11	0.22	0.30	0.39	0.68	0.42	0.36
7.1	0.14	0.12	0.26	0.28	0.14	0.35	0.80	0.35
7.2	0.10	0.16	0.22	0.25	0.18	0.29	0.79	0.38
7.3	0.23	0.17	0.19	0.32	0.27	0.42	0.80	0.38
7.4	0.12	0.16	0.20	0.23	0.11	0.28	0.76	0.33
8.1	0.30	0.15	0.31	0.29	0.32	0.37	0.26	0.55
8.2	0.23	0.19	0.44	0.23	0.23	0.31	0.30	0.74
8.3	0.17	0.20	0.52	0.29	0.15	0.36	0.33	0.80
8.4	0.25	0.27	0.45	0.23	0.28	0.48	0.45	0,83

Dimensions of the IECEPA ^* Brazilian version	1	2	3	4	5	6	7	8
1- Evidence-based Research and Practice	0.69
2- Clinical and Professional Leadership	0.47	0.74
3 - Professional Autonomy	0.29	0.22	0.71
4 - Interprofessional Relations	0.33	0.31	0.39	0.72
5 - Quality Management	0.47	0.42	0.22	0.40	0.75
6 - Care Management	0.40	022	0.37	0.45	0.50	0.72
7- Teaching and Professional Education	0.19	0.19	0.28	0.35	0.23	0.43	0.79
8 - Health Promotion	0.32	0.28	0.59	0.35	0.33	0.52	0.48	0.74

*Dimensions of the IECEPA Brazilian version**	Therapeutic Interventions ECE ^†
1 - Research and Evidence-Based Practice	0.3888 <0.0001^‡
2 - Clinical and Professional Leadership	0.3508 <0.0001^‡
3 - Professional Autonomy	0.2701 <0.0001^‡
4 - Interprofessional Relations	0.3555 <0.0001^‡
5 - Quality Management	0.3555 <0.0001^‡
6 - Care Management	0.3972 <0.0001^‡
7 - Teaching and Professional Education	0.3419 <0.0001^‡
8 - Health Promotion	0.3049 <0.0001^‡

[1] *IECEPA = Instrument for the Evaluation of Advanced Practice Nurse Competencies Brazilian version; ^†AVE = Average Variance Extracted

Evaluation of advanced practice nurse competencies: validation of an instrument for primary care^*

Highlights:

Evaluation of advanced practice nurse competencies: validation of an instrument for primary care*

Highlights:

Evaluation of advanced practice nurse competencies: validation of an instrument for primary care^*