Banca de DEFESA: CICERA MARIA BRAZ DA SILVA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : CICERA MARIA BRAZ DA SILVA
DATA : 13/12/2017
HORA: 14:30
LOCAL: Departamento de Enfermagem
TÍTULO:

Validation of Nurse Competence Scale (NCS) to Brazilian Portuguese

PALAVRAS-CHAVES:

Nursing. Professional Competence. Nursing Students. Cultural Adaptation. Validation Studies.

PÁGINAS: 207
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

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 nº 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 Competência 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.

MEMBROS DA BANCA:
Presidente - 347635 - REJANE MARIA PAIVA DE MENEZES
Interno - 347971 - BERTHA CRUZ ENDERS
Externo ao Programa - 347162 - ROSANA LUCIA ALVES DE VILLAR
Externo à Instituição - MARCELO VIANA DA COSTA - UERN
Externo à Instituição - PAULO SÁVIO ANGEIRAS DE GÓES - UFPE