Cross-cultural adaptation and validation of the Livello di Preparazione Alla Carriera Libero Professionale in Brazil

Silva, Matheus Moraes; Teodoro, Caroline; Menegaz, Jouhanna do Carmo; Ferreira, Glenda Roberta Oliveira Naiff; Trindade, Letícia de Lima; Bolina, Alisson Fernandes; Oliveira, Queuam Ferreira Silva de; Ribeiro, Olga Maria Pimenta Lopes; Stievano, Alessandro

doi:10.1590/1518-8345.7849.4647

person Matheus Moraes Silva

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved · Data curation · Project supervision and management

schoolUniversidade Federal do Pará, Faculdade de Enfermagem, Belém, PA, Brazil.schoolScholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

0000-0002-8879-2975

person Caroline Teodoro

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved · Data curation

schoolUniversidade do Estado de Santa Catarina, Departamento de Enfermagem, Chapecó, SC, Brazil.

0000-0002-4159-0057

person Jouhanna do Carmo Menegaz

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved · Data curation · Project supervision and management

schoolUniversidade do Estado de Santa Catarina, Departamento de Enfermagem, Chapecó, SC, Brazil.

0000-0002-7655-9826

person Glenda Roberta Oliveira Naiff Ferreira

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversidade Federal do Pará, Faculdade de Enfermagem, Belém, PA, Brazil.

0000-0002-8206-4950

person Letícia de Lima Trindade

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversidade do Estado de Santa Catarina, Departamento de Enfermagem, Chapecó, SC, Brazil.schoolUniversidade Comunitária da Região de Chapecó, Chapecó, SC, Brazil.

0000-0002-7119-0230

person Alisson Fernandes Bolina

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil.

0000-0002-1364-0176

person Queuam Ferreira Silva de Oliveira

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversidade Federal da Bahia, Salvador, BA, Brazil.schoolUniversidade do Estado da Bahia, Senhor do Bonfim, BA, Brazil.

0000-0002-3347-4339

person Olga Maria Pimenta Lopes Ribeiro

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolEscola Superior de Enfermagem do Porto, Porto, Portugal.

0000-0001-9982-9537

person Alessandro Stievano

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversity of Messina, Messina, Italy.

0000-0003-3508-2352

personCorresponding author: E-mail:
matheusmorais1980@gmail.com

Conflict of interest:

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

Associate Editor:

Rosana Aparecida Spadoti Dantas

Nursing students (n=328)	n * (%) ^†
Age (years)	Mean 27.50; median 24.00; SD ^‡ 7.58, minimum 20, maximum 60
Gender
Female	277 (84.46%)
Male	50 (15.24%)
Other	1 (0.30%)
Nationality
Brazillian	327 (99.70%)
Other	1 (0.30%)
Regions in Brazil
North	145 (44.21%)
Northeast	81 (24.70%)
Midwest	40 (12.19%)
Southeast	22 (6.71%)
South	40 (12.19%)
Administrative category of HEIs ^§
Private	206 (62.80%)
Public	122 (37.20%)
Academic organizationof HEIs ^§ (n*=34)
University	24 (70.58%)
University Center	5 (14.71%)
College	5 (14.71%)

Items	Factorial loads	Standard error	R² *	P-value
Factor one: care complexity
1 Degree of complexity of the service	0.649	0.043	0.422	0.001
2 Same service provided in several appointments	0.610	0.042	0.372	0.001
3 Several services in the same service	0.596	0.048	0.355	0.001
4 Consecutive service requests. different from the first, by the same customer	0.639	0.044	0.408	0.001
5 Care interventions planning	0.775	0.040	0.601	0.001
6 Urgent nature of the service	0.827	0.033	0.683	0.001
7 Provision of medical-hospital equipment, materials and supplies for regular use by the professional	0.668	0.054	0.447	0.001
Factor two: logistical characteristics
8 Distance from the customer’s home	0.619	0.044	0.383	0.001
9 Service during the night and early morning hours	0.920	0.031	0.847	0.001
10 Service on holidays	0.763	0.038	0.583	0.001
χ²/gl ^† = 2.0
CFI ^‡ = 0.989
TLI ^§ = 0.986
NFI ^\|\| = 0.979
RMSEA ^¶ = 0.058 (IC 90%** = 0.039–0.076)
SRMR ^†† = 0.066

Factors	Items	CI 95% *
Factors	Items	Cronbach’s alpha	McDonald’s omega
Factor one: care complexity	1, 2, 3, 4, 5, 6, 7	0.765 (0.724–0.802)	0.760 (0.720–0.800)
Factor two: logistical characteristics	8, 9, 10	0.673 (0.605–0.731)	0.686 (0.629–0.742)
Total		0.812 (0.779–0.840)	0.811 (0.781–0.842)

Items	Factorial loads	Standard error	R² *	P -value
Factor one: knowledge of administrative issues
1 Fair remuneration	0.739	0.030	0.546	0.001
2 Health advertising	0.777	0.026	0.603	0.001
3 Ways in which the independent professional operates (clinic, office or nursing company)	0.449	0.045	0.201	0.001
4 Opening a clinic, office or nursing company	0.776	0.024	0.603	0.001
5 Management of client documentation at home and/or in the clinic, office or nursing company	0.933	0.010	0.871	0.001
6 Management of administrative documentation for the clinic, office or nursing company	0.940	0.011	0.883	0.001
7 Patient privacy (General Data Protection Law)	0.694	0.031	0.481	0.001
8 Regulatory obligations on budget preparation and contracting	0.901	0.012	0.812	0.001
9 Different types of tax regimes (simple national, presumed profit, real profit,...)	0.972	0.007	0.944	0.001
10 Different types of invoices (electronic invoice, electronic service invoice, single invoice, ...)	0.942	0.010	0.887	0.001
11 Liability insurance and accident policy	0.958	0.009	0.918	0.001
12 Role of the Nursing Council in relation to the liberal professional	0.808	0.019	0.653	0.001
Factor two: knowledge of benefits and retirement issues
13 Functions of the National Social Security Institute (INSS)	0.934	0.007	0.873	0.001
14 Types of social security contributions from the National Institute of Social Security (INSS) for self-employed professionals (Normal Plan and Simplified Plan)	0.963	0.005	0.927	0.001
15 Differences between social security contributions from the National Institute of Social Security (INSS)	0.958	0.005	0.917	0.001
16 Differences between social security contributions from the National Institute of Social Security (INSS) for self-employed professionals (contribution based on the minimum wage or based on individual income)	0.417	0.036	0.174	0.001
17 Composition of the contribution amount	0.950	0.006	0.903	0.001
18 Social security benefits granted by the National Social Security Institute (INSS) (normal plan: retirement based on age, disability and contribution time, sickness benefit, maternity pay, imprisonment benefit, survivor’s pension, certificate of contribution time)	0.933	0.007	0.871	0.001
19 Social security benefits granted by the National Institute of Social Security (INSS) (simplified plan: retirement by age, sickness benefit, survivor’s pension, disability retirement, maternity pay, imprisonment benefit)	0.754	0.024	0.568	0.001
20 Differences between social security contributions and tax taxation	0.974	0.003	0.948	0.001
21 Deductibility of social security contributions	0.976	0.003	0.953	0.001
22 Regularity of contribution	0.957	0.005	0.915	0.001
χ²/gl ^† = 3.5
CFI ^‡ = 0.999
TLI ^§ = 0.998
NFI ^\|\| = 0.998
RMSEA ^¶ = 0.088 (IC 90%** = 0.081–0.095)
SRMR ^†† = 0.053

Factors	Items	CI 95% *
Factors	Items	Cronbach’s alpha	McDonald’s omega
Factor one: knowledge of administrative issues	1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12	0.941 (0.932–0.950)	0.944 (0.935–0.953)
Factor two: knowledge of benefits and retirement issues	13, 14, 15, 16, 17, 18, 19, 20, 21, 22	0.960 (0.954–0.966)	0.964 (0.959–0.970)
Total		0.965 (0.959–0.970)	0.967 (0.962–0.973)

[1] *n = Absolute frequency; ^†% = Percentage frequency; ^‡SD = Standard deviation; ^§HEIs = Higher Education Institutions

Cross-cultural adaptation and validation of the Livello di Preparazione Alla Carriera Libero Professionale in Brazil

Highlights: