Assessment of the nursing care product (APROCENF): a reliability and construct validity study

Cucolo, Danielle Fabiana; Perroca, Márcia Galan

doi:10.1590/1518-8345.1495.2860

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Brasil

Revista Latino-Americana de Enfermagem

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Original Article • Rev. Latino-Am. Enfermagem 25 • 2017 • https://doi.org/10.1590/1518-8345.1495.2860 copy

Assessment of the nursing care product (APROCENF): a reliability and construct validity study^¹ 1 Paper extracted from Doctoral Dissertation "Carga de trabalho e sua influência sobre os resultados do processo de cuidar", presented to Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to verify the reliability and construct validity estimates of the "Assessment of nursing care product" scale (APROCENF) and its applicability.

Methods:

this validation study included a sample of 40 (inter-rater reliability) and 172 (construct validity) assessments performed by nurses at the end of the work shift at nine inpatient services of a teaching hospital in the Brazilian Southeast. The data were collected between February and September/2014 with interruptions. Cronbach's alpha and Spearman's correlation coefficients were calculated, as well as the intraclass correlation and the weighted kappa index (inter-rater reliability). Exploratory factor analysis was used with principal component extraction and varimax rotation (construct validity).

Results:

the internal consistency revealed an alpha coefficient of 0.85, item-item correlation ranging between 0.13 and 0.61 and item-total correlation between 0.43 and 0.69. Inter-rater equivalence was obtained and all items evidenced significant factor loadings.

Conclusion:

this research evidenced the reliability and construct validity of the scale to assess the nursing care product. Its application in nursing practice permits identifying improvements needed in the production process, contributing to management and care decisions.

Descriptors:
Validity of Tests; Nursing Assessment; Outcome and Process Assessment (Health Care); Validation Studies; Health Management; Hospital Administration

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Danielle Fabiana Cucolo Rua Engenheiro Augusto de Figueiredo, 437, Apto. 133C Jardim Bom Sucesso CEP: 13045-248, Campinas, SP, Brasil E-mail: danielle_cucolo@terra.com.br/ danielle.fabiana.cucolo@gmail.com

Proposition	Md (Q1-Q3)*
Discusses the most important items	5.0(4.0-5.0)
Discusses relevant factors of each item	5.0(4.0-5.0)
Permits a shared language among the professionals	4.0(4.0-5.0)
Presents clear statements	4.0(4.0-5.0)
Is very extensive	2.0(2.0-4.0)
Is complex	2.0(2.0-4.0)
The intensity of its grades increases	5.0(4.0-5.0)
Can be introduced in daily nursing practice	4.0(4.0-4.0)
Can produce useful data for management decision making	5.0(4.0-5.0)

Items*	Item1	Item2	Item3	Item4	Item5	Item6	Item7	Item8	Item-Total
Item1									0.67^†
Item2	0.39^†								0.46^†
Item3	0.45^†	0.34^†							0.51^†
Item4	0.47^†	0.13^§	0.42^†						0.60^†
Item5	0.52^†	0.30^†	0.38^†	0.47^†					0.68^†
Item6	0.34^†	0.20^‡	0.25^‡	0.31^†	0.36^†				0.43^†
Item7	0.52^†	0.41^†	0.45^†	0.45^†	0.58^†	0.33^†			0.69^†
Item8	0.45^†	0.42^†	0.42^†	0.61^†	0.59^†	0.22^‡	0.49^†		0.68^†

Items*	Two-factor model		Single-factor model
Items*	Factor1	Factor2	Factor1
Item1	0,60	0,49	0,77
Item2	^†	0,90	0,57
Item3	0,46	0,42	0,62
Item4	0,87	^†	0,71
Item5	0,74	0,32	0,79
Item6	0,31	0,48	0,53
Item7	0,62	0,49	0,79
Item8	0,74	0,32	0,79