Adaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument

Dias, Flávia Carvalho Pena; Baitelo, Tamara Cristina; Toso, Beatriz Rosana Gonçalves de Oliveira; Sastre-Fullana, Pedro; Oliveira-Kumakura, Ana Railka de Souza; Gasparino, Renata Cristina

doi:10.1590/0034-7167-2021-0582

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 75 (5) • 2022 • https://doi.org/10.1590/0034-7167-2021-0582 copy

Adaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument

Adaptación y validación del Inventario para Evaluación de Competencias em Enfermeras de Práctica Avanzada

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To adapt and validate the content of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) to Brazilian culture.

Methods:

This is a methodological study that followed the stages of translation, synthesis, back translation, evaluation by a committee of five specialists, pre-test with 31 nurses, and evaluation by the author of the original instrument. The Content Validity Index (minimum 0.90) and the modified Kappa (minimum 0.74) were calculated to evaluate the content.

Result:

In the first round of content evaluation, 18 items had to be altered because they did not reach the minimum values established. Three items have not reached a consensus in the second round and had to be sent to the author of the original version. In the pre-test, 13 items were returned to the specialists because they suffered content changes.

Conclusion:

The Advanced Practice Nursing Competency Assessment Instrument (APNCAI) - Brazilian version was cross-culturally adapted, and its content was validated.

Descriptors:
Translation; Validation Studies; Role of the Nursing Professional; Clinical Competence; Advanced Practice Nursing

Item	Equivalencies								Clarity		Relevance
	Semantic		Idiomatic		Conceptual		Cultural		Clarity		Relevance
	CVI	Kappa	CVI	Kappa	CVI	Kappa	CVI	Kappa	CVI	Kappa	CVI	Kappa
1.1	0.60	0.42	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76	1.00	1.00
1.5	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76	1.00	1.00
1.6	0.80	0.76	1.0	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00
1.7	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76
2.4	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76	0.60	0.42	0.80	0.76
3.1	0.60	0.42	0.60	0.42	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76
3.5	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76
4.6	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76	0.80	0.76
8.1	1.00	1.00	1.00	0.76	0.80	1.00	1.00	1.00	1.00	1.00	1.00	1.00
8.2	1.00	1.00	1.00	0.76	0.80	1.00	1.00	1.00	1.00	1.00	1.00	1.00
8.3	1.00	1.00	1.00	0.76	0.80	1.00	1.00	1.00	1.00	1.00	1.00	1.00

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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[1] Corresponding author: Flávia Carvalho Pena Dias E-mail: flapena@gmail.com

Item	Synthesis version – T12	Version resulting from the first evaluation round	Pre-test version
1.1	I work well as a primary researcher or collaborator with other health team professionals or with the community setting; I identify, conduct, and support research that promotes or benefits health care. .	I work either as the principal investigator or in collaboration with other health team professionals or with the community setting; I identify, lead, and support research that promotes or benefits health attention.	I work as a principal investigator or collaborator with other health team professionals or with the community setting; I shall identify, conduct, and support research that promotes or benefits health attention.
1.4	I lead the development of evidence-based plans to meet individuals, families, communities, and populations’ needs.	I lead the development of evidence-based plans to meet individuals, families, communities, and populations’ needs.
1.5	I apply effective strategies for changing professional conduct and teamwork to promote evidence-based practices and innovations in health care practice.	I use effective strategies to change professional conduct and teamwork to promote evidence-based practices and innovations in health attention practice.
1.6	I implement evidence-based algorithms, clinical guides, protocols, and interventions for the population.	I implement evidence-based algorithms, clinical guides, protocols, and clinical management flowcharts for the population.
1.7	I develop and implement mechanisms for periodic oversight and evaluation of policies that might influence health care services and interpret them into projects, structures, and programs.	I develop and implement periodic oversight and evaluation mechanisms of policies influencing health attention services and interpret them into planning, structures, and health programs.	I develop and implement periodic oversight and evaluation mechanisms of policies influencing health attention services and interpret them into plans, structures, and health programs.
1.8	I lead the promotion of interdisciplinary collaborations to implement outcome-oriented patient care programs that can meet the clinical needs of patients, families, populations, and communities.	I lead the promotion of interdisciplinary collaborations to implement outcome-oriented patient attention programs that can meet the clinical needs of patients, families, populations, and communities.
2.4	I issue recommendations based on the consulting process.	I make recommendations based on directions obtained by a specialist nurse.	I make recommendations based on a consulting process.
3.1	I prescribe, order and/or implement pharmacological and non-pharmacological interventions, treatments, and procedures as defined in health care plans within the appropriate legislative context.	I prescribe, delegate and/or implement pharmacological and non-pharmacological interventions, treatments, and procedures as defined in health attention plans within the appropriate legislative context.	I prescribe, direct and/or implement pharmacological and non-pharmacological interventions, treatments, and procedures as defined in health attention plans within the appropriate legislative context.
3.2	I diagnose complex and unstable health problems through collaboration and consultation with the multidisciplinary health team, as indicated by context, specialty, and personal knowledge and experience.	I diagnose complex and unstable health problems through collaboration and consultation with the health attention multidisciplinary team, as indicated by context, specialty, and personal knowledge and experiences.
3.5	I select, prescribe, and supervise therapeutic, pharmacological, and non-pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients, families, and groups, following professional training, institutional privileges, local and state laws, and professional regulations.	I select, prescribe, and supervise therapeutic, pharmacological, and non-pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients, families, and groups, following professional training, institutional regulations, local and state laws, and professional regulations.
4.3	I collaborate with health team members to provide inter-professional health care centered on patient, family, and/or community at the individual, organizational, and systemic levels.	I collaborate with health attention team members to provide inter-professional health assistance centered on patient, family, and/or community at the individual, organizational, and systemic levels.
4.6	I mentor the health team, students, and other professionals to acquire new knowledge and skills to help them in their professional practice.	I tutor the health care staff, students, and other professionals in acquiring new knowledge and skills to help them practice their profession.
5.2	I propose innovations to effect changes in clinical practice and improvements in health care outcomes.	I propose innovations to make changes in clinical practice and improvements in health attention outcomes.
6.5	I contribute to developing the overall health care system and adopt nursing models used in the system to achieve the best results.	I contribute to the development of the global health care system and adopt nursing models used in the system to achieve the best results.
6.6	I promote the ability of patients, families and/or communities to participate in decisions related to the process of their health needs, according to an assessment of patients, families and/or communities’ preferences with whom I work with and available resources.	I promote the patients’ capacity, families and/or communities to participate in decisions related to the attention process to their health needs, according to the evaluation of their preferences and available resources.
8.1	I participate in the development and implementation of health promotion programs for adolescents and adults.	I participate in the development and implementation of health promotion programs.	There was no consensus.
8.2	I offer secondary and tertiary prevention for adolescents and adults with multiple health problems or chronic diseases.	I offer secondary and tertiary prevention to users/patients with multiple or chronic health problems.	There was no consensus.
8.3	I promote self-care in adolescents and adults within the whole family and/or support systems and facilitate their participation in health care when appropriate.	I promote users/patients’ self-care within the whole family and/or support systems and facilitate their participation in health care when appropriate.	There was no consensus.