Validación transcultural de instrumento de evaluación de competencias de Enfermería de Práctica Avanzada para Brasil

Minosso, Kamila Caroline; Toso, Beatriz Rosana Gonçalves de Oliveira

doi:10.1590/0034-7167-2021-0165

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (suppl 6) • 2021 • https://doi.org/10.1590/0034-7167-2021-0165 linkcopiar

Validación transcultural de instrumento de evaluación de competencias de Enfermería de Práctica Avanzada para Brasil

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivos: realizar validación transcultural de la Modified Advanced Practice Nursing Role Delineation Tool a la lengua portuguesa brasileña.

Métodos: estudio metodológico, cuantitativo, con proceso de traducción y adaptación cultural de la herramienta. Comité de jueces compuesto por siete expertos. Recogida de datos del pre-test ocurrió de noviembre de 2020 a enero de 2021, con 30 enfermeros de un municipio del oeste de Paraná. Análisis de datos realizado por alfa de Cronbach, correlación intraclase y kappa.

Resultados: en el comité de jueces, el kappa obtuvo concordancia sustancial de 0,68 y correlación intraclase de 0,80, siendo aprobada la versión para aplicación en el pre-test; en esto, obtuvo alfa de Cronbach de 0,98 y correlación intraclase de 0,61.

Conclusiones: esa herramienta fue considerada adaptada culturalmente y puede ser utilizada en el país con objetivo de identificar las competencias de los enfermeros de la Atención Primaria para el desarrollo de enfermería de prácticas avanzadas.

Descriptores:
Enfermería de Práctica Avanzada; Estudio de Validación; Competencia Profesional; Atención Primaria de Salud; Enfermería en Salud Pública

Domains	Questions	CVI
1 - Direct broad care	1.2; 1.4; 1.5; 1.6; 1.8; 1.9; 1.11; 1.13	≥ 0.80
2 - System support	2.1; 2.4; 2.5; 2.6; 2.9
3 – Education	3.1; 3.2; 3.3; 3.6
4 – Research	4.1; 4.2; 4.3; 4.6
5 - Publication and professional leadership	5.1; 5.2; 5.4; 5.6
Practical domains	D1; D4

Characteristics	n	%
Sex
Female	24	80
Male	6	20
Age group (years)
20-29	1	3.3
30-39	24	80
40-49	4	13.3
> 50	1	3.3
Years of formal education
Graduation	1	3.3
Post-graduation - Specialization	25	83.3
Post-graduation - Residence	-	-
MS	4	13.3
PhD	-	-
Field of action of the nurse
Obstetrics	1	3.03
Clinical/assistance	13	39.4
Professor	1	3.03
Unit coordination	9	27.3
Management	7	21.2
District coordination	1	3.03
Health instructor	1	3.03
Time working in the profession (years)
< 1	4	13.3
2-5	3	10
6-10	16	53.3
11-15	2	6.66
16-20	2	6.66
> 20	3	10

Questão	No time n (%)	Little time n (%)	Some time n (%)	Quite some time n (%)	Much time n (%)	Total
Domain 1 - Direct broad care (14 questions)	29 (7.0)	65 (15.5)	101 (24.0)	142 (33.8)	83 (19.7)	420
Domain 2 - System support (9 questions)	22 (8.1)	38 (14.0)	68 (25.2)	81 (30.0)	61 (22.6)	270
Domain 3 - Education (6 questions)	37 (20.5)	34 (19.0)	48 (26.6)	47 (26.1)	14 (7.7)	180
Domain 4 - Research (6 questions)	47 (26.1)	43 (24)	46 (25.5)	39 (21.6)	5 (2.8)	180
Domain 5 - Publication and professional leadership (6 questions)	85 (47.2)	29 (16.1)	31 (17.2)	25 (14.0)	10 (5.5)	180
Practical domains
D1	2 (6.6)	5 (16.6)	3 (10.0)	11 (36.7)	9 (30.0)	30
D2	0 (-)	4 (13.3)	9 (30.0)	12 (40.0)	5 (16.6)
D3	2 (6.6)	7 (23.3)	10 (33.3)	6 (20.0)	5 (16.6)
D4	6 (20.0)	8 (26.6)	8 (26.6)	7 (23.3)	1 (3.3)
D5	6 (20.0)	7 (23.3)	4 (13.3)	12 (40.0)	1 (3.3)

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Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[TFN1] Note: CVI - Content Validity Index; D - Domain.

Question	Version after translation and cultural adaptation	Version after reformulations according to the suggestions of the judges
Title	Modified Advanced Practice Nursing Role Delineation Tool	Modified Advanced Practice Nursing Role Delineation Tool (EMDF/EPA) - Brazilian version
APN activities	Indicate how much time you would spend in the following activities, in your current role, by signing the corresponding option. At the end, there is a space for commentaries. Here, the scale of Session B: 4 - Much time; 3 - Quite some time; 2 - Some time; 1 - Little time; 0 - No time.	Indicate how much time you spend in the following activities, in your current role, by signing the corresponding option. At the end, there is a space for commentaries. Here, the scale of Session B: 4 - Much time; 3 - Quite some time; 2 - Some time; 1 - Little time; 0 - No time.
1.1	Does the patient history and physical examination and records it.	Carries out the patient history and physical examination and records it.
1.3	Identifies and requests diagnostic tests and procedures.	Identifies and requests diagnostic exams and procedures.
1.7	Communicates to the patient/family a plan of care and response.	Communicates to the patient/family a plan of care and the responses.
1.10	Acts as a consultant to improve the attention to the patient in nursing practice, based on the expertise in the field of specialization.	Acts as a consultant (specialized guidance) to improve the care of the patient in nursing practice, based on the expertise in the field of specialization.
1.12	Coordinates an interdisciplinary plan for patient care.	Coordinates an interdisciplinary/interprofessional plan for patient care.
1.14	Facilitates the transit of the patient between the many services of the health system.	Facilitates the flow of the patient between the many services of the health system.
2.2	Contributes, consults, or collaborates with other health professionals in recruiting and retention activities.	Contributes, consults, or collaborates with other health professionals in recruiting and retention activities (follow up of the care practice of the professional during a certain period of time for the definitive hiring and/or approval of internships in the public service).
2.3	Participates in the strategic planning of the service, department, or hospital.	Participates in the strategic planning of the service, department, management, administration, hospital, or health system.
2.7	Acts as a mentor.	Acts as a mentor/tutor/preceptor/advisor.
2.8	Advocates in issues of nursing activities.	Defends the role of the nurse.
3.4	Acts as an informal educator for the team during direct care activities.	Acts as an educator for the team during direct care activities.
3.5	Facilitates the professional development of the nursing team through education.	Facilitates the professional development of the nursing team using continued/permanent education.
4.4	Uses research and integrates theory to practice, and recommend changes in policy, based on research.	Uses research and integrates theory to practice, and recommend changes in strategies/policies, based on research.
4.5	Identifies the clinical data that must be collected and are available in information systems for nursing and obstetric researches and for quality assurance projects.	Identifies the clinical data that must be collected, and which are available in information systems/records for nursing and obstetric researches and for quality assurance projects.
5.3	Acts as a consultant for individuals and groups within professional or lay communities and other hospitals/institutions.	Acts as a consultant for individuals and professional or lay groups and other hospitals/institutions.
5.5	Represents the image of the nursing professionals in institutional or community forums.	Represents the image of the nursing professionals in institutional and/or community forums.
Domain 2: System support	Activities that give support to systems that promote innovative care or facilitate the transit of the patient throughout the health system. The role of defending the rights of patients is also an important component of system support.	Activities that give support to systems that promote innovative care and/or facilitate the flow of the patient throughout the health system. The defense of the rights of patients is also an important component of system support.
Domain 3: Education	Activities that involve the dissemination of current scientific knowledge to the health team and to students, to improve their knowledge. Furthermore, it includes health education, the offering of information to the public, and allows them to deal with the disease, while also promoting wellbeing. This domain incorporates a wide variety of activities, including the education of graduation and post-graduation students, the informal development of professionals, the permanent education of the team, and formal presentations for other health professionals.	Activities that involve the dissemination of current scientific knowledge to the health team and to students, to improve their knowledge. Furthermore, it includes health education, and provides information to the public that allow them to deal with the disease, while also promoting wellbeing. This domain incorporates a wide variety of activities, including the education of graduation and post-graduation students, the informal development of professionals, the permanent education of the team, and formal presentations for other health professionals.
Domain 5: Publication and professional leadership	Activities that allow for the sharing and dissemination of the knowledge of a field which go beyond the institutional environment of an individual. It goes beyond the limits of the workplace, demanding commitment with the profession and with the public of the profession. The activities of this domain aim to promote the profession of the nurse and the health professionals.	Activities that allow for the sharing and dissemination of the knowledge of a field which go beyond the institutional environment of an individual. It goes beyond the limits of the workplace, demanding commitment with the profession and with the public of the profession. The activities of this domain aim to promote nursing and health professionals.