Adaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument.

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

doi:10.1590/0034-7167-2021-0582

Abstract

To adapt and validate the content of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) to Brazilian culture. 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. 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. The Advanced Practice Nursing Competency Assessment Instrument (APNCAI) - Brazilian version was cross-culturally adapted, and its content was validated.

Highlights

There is a growing interest in different countries to adhere to practices that can innovate and improve the access of patients/users to health systems to support the needs of the population, mainly due to the rise of chronic diseases
Each group of activities is associated with a specific dimension of the nursing profession; and, in your self-assessment, you should take into consideration only the activities performed by you.”
Those requirements met the cross-cultural adaptation of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) for the Brazilian culture, which was systematically carried out, according to international literature’s recommendations, similar to other studies[21-22]

Summary

Introduction

There is a growing interest in different countries to adhere to practices that can innovate and improve the access of patients/users to health systems to support the needs of the population, mainly due to the rise of chronic diseases. The APN first emerged in the United States in 1960 and consisted of a complex process encompassing research, education, care practice, and management. It is necessary that this professional has specialized knowledge acquired through graduate courses, integrates a multidisciplinary team, and practices in care management for patients/users with acute and chronic conditions[3]. They must have the ability to perform assessments, propose diagnoses, prescriptions, implement projects and care proposals, and be a reference in the contact between patients/users and health services[2]

Results

Discussion

Conclusion