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Previous issue date: 2017-12-13 / O processo de forma??o do enfermeiro exige o desenvolvimento das compet?ncias necess?rias ? sua atua??o, embora, seja comum pairar algumas d?vidas com rela??o ?s compet?ncias do rec?m-graduado. Objetiva-se validar o Nurse Competence Scale para a l?ngua portuguesa do Brasil. A escala avalia a compet?ncia do enfermeiro, constitu?da de 73 itens, distribu?dos em 7 categorias, demonstra ser sens?vel na diferencia??o dos n?veis de compet?ncia, incluindo a fase de transi??o de estudante de enfermagem para a fase de enfermeiro. Estudo metodol?gico desenvolvido entre setembro de 2016 a junho de 2017, ap?s a autoriza??o da autora principal do instrumento e a aprova??o pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, sob o parecer n? 1.766.255. Conduziu-se as validades de conte?do e de construto (dimensionalidade), e an?lise da confiabilidade (teste-reteste e consist?ncia interna), em duas etapas: a primeira, correspondeu ? adapta??o cultural do instrumento, e a segunda, ? verifica??o das qualidades psicom?tricas da escala adaptada. Participaram do estudo, 141 concluintes do curso de Gradua??o em Enfermagem de Institui??es P?blicas de Ensino Superior do estado do Rio Grande do Norte. O ?ndice de Validade de Conte?do foi de 0,99, e o coeficiente Kappa foi considerado quase perfeito. Dos 73 itens da escala, apenas 13 apresentaram diferen?a significativa no teste de compara??o de m?dias durante o teste-reteste (n = 30) para o n?vel de compet?ncia. O alfa de Cronbach total nessa etapa foi 0,97, e variou de 0,75 a 0,92, entre as categorias. E a segunda, participaram 111 concluintes, com m?dia de idade de 24,2 (DP = 3,5); sendo 84,7% do g?nero feminino e 95,5% sem experi?ncia anterior na ?rea de Enfermagem. O instrumento foi considerado de f?cil preenchimento, com tempo m?dio de aplica??o de 15 minutos, em ambas as etapas. Os alunos se autoavaliaram como tendo um bom n?vel de compet?ncia (m?dia geral = 73,9), com uma m?dia de uso efetivo dos itens na pr?tica, igual a 2, o que corresponde a ?usado ocasionalmente?. O n?vel de compet?ncia foi maior para a Fun??o de Apoio (80,5), e menor, para as Interven??es Terap?uticas (67,8). A an?lise de correla??o entre os itens da escala, apresentou-se de moderada a forte, com destaque para a correla??o entre as Interven??es Terap?uticas com as Fun??es Educativas (0,71), com as Fun??es Diagn?sticas (0,74) e com as Fun??es Gerenciais (0,78). A an?lise fatorial confirmat?ria demonstrou que o instrumento adaptado est? razoavelmente ajustado ? estrutura original proposta pela autora principal. Nessa etapa, o coeficiente alfa de Cronbach foi superior a 0,70, com exce??o da categoria Fun??o de Apoio (0,65). O processo de valida??o da escala foi alcan?ado, e a vers?o brasileira, denominada Escala de Compet?ncia do Enfermeiro mostrou-se v?lida e confi?vel para a amostra estudada. Acredita-se que a escala pode ser utilizada como ferramenta de avalia??o das compet?ncias de graduandos de Enfermagem, apesar da regionalidade dos dados. Recomenda-se a realiza??o de novos estudos, que permitam uma avalia??o mais profunda das qualidades psicom?tricas e compara??es entre resultados de pesquisas sobre o uso da vers?o brasileira do Nurse Competence Scale. / Although it is common to have some doubts about the skills of the recent graduate, the process of nurses? training requires the development of the skills necessary for their performance. The objective of this study is to validate the Nurse Competence Scale to Brazilian Portuguese. This scale evaluates nurses? competence, consisting of 73 items, distributed in 7 categories, showing to be sensitive in the differentiation of competence levels, including the transition phase from nursing student to the nurse phase. This is a methodological study developed between September 2016 and June 2017, after the authorization of the lead author of the instrument and approval by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under opinion n? 1,766,255. The content and construct validities (dimensionality), the reliability analysis (test-retest and internal consistency) were conducted in two stages. The first stage corresponded to the cultural adaptation of the instrument, and the second stage was the verification of the psychometric qualities of the adapted scale. There were 141 undergraduate students enrolled in the Undergraduate Nursing course of Public Institutions of Higher Education in the state of Rio Grande do Norte participated in the study. The Content Validity Index was 0.99, and the Kappa coefficient was considered almost perfect. Only 13 of the 73 items on the scale presented a significant difference in the test of comparison of means during the test-retest (n = 30) for the competence level. Cronbach's total alpha at this stage was 0.97 and ranged from 0.75 to 0.92 in the categories. In the second stage, there were 111 participants participating, with a mean age of 24.2 (SD = 3.5); 84.7% were female and 95.5% had no previous experience in the Nursing area. The instrument was considered easy to fill up, with an average application time of 15 minutes, in both stages. The self-evaluation of the students was as having a good level of competence (average of 73.9), with an average of effective use of the items in practice, equal to 2, corresponding to ?used occasionally?. The level of competence was higher for the Supporting Function (80.5), and lower for the Therapeutic Interventions (67.8). The analysis of correlation between the items of the scale was moderate to strong, especially the correlation between Therapeutic Interventions with Educational Functions (0.71), Diagnostic Functions (0.74) and Functions Management (0.78). The confirmatory factor analysis has shown that the adapted instrument is reasonably adjusted to the original structure proposed by the lead author. At this stage, Cronbach's alpha coefficient was higher than 0.70, except for the Support Function category (0.65). The scale validation process was reached, and the Brazilian version, called Escala de Compet?ncia do Enfermeiro was valid and reliable for the sample studied. It is believed that this scale can be used as a tool to evaluate the skills of nursing undergraduates, despite the regionality of the data. Further studies are recommended to allow a more thorough evaluation of the psychometric qualities and comparisons between research results using the Nurse Competence Scale Brazilian version.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24945 |
| Date | 13 December 2017 |
| Creators | Silva, C?cera Maria Braz da |
| Contributors | 17599750444, Enders, Bertha Cruz, 25444816415, Villar, Rosana L?cia Alves de, 23092025415, Costa, Marcelo Viana da, 86632515304, G?es, Paulo S?vio Angeiras de, 64162516472, Menezes, Rejane Maria Paiva de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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