Abstract
estimate the psychometric properties in the adaptation of the instrument Positions on Nursing Diagnosis to assess nursing staff members' attitudes towards the nursing process. methodological study with a non-probabilistic sample of 973 nursing assistants and 632 baccalaureate nurses from 35 hospitals and outpatient clinics affiliated with the São Paulo State Health Secretary. The validity of the 20-items instrument was checked through confirmatory factor analysis, which identified a more generally secondary-level factor, constituted by the three classical attitude factors. Reliability corresponded to 0.954 for the total instrument. the validity and reliability of the instrument Posições sobre o Processo de Enfermagem are appropriate . further research is needed to verify whether the items behave differently according to the respondent's professional category and to verify the instrument's behavior when applied to student samples.
Highlights
In response to COFEN Resolution 358/2009(1), many health institutions mobilized to put in practice the Nursing Care Systemization (NCS)
These study results showed that the instrument Posições frente ao Diagnóstico de Enfermagem (PDE), the name given to the version of the Positions on Nursing Diagnosis adapted for use in Brazil, possessed good psychometric properties
About twenty percent of the baccalaureate nurses worked in leading functions
Summary
In response to COFEN Resolution 358/2009(1), many health institutions mobilized to put in practice the Nursing Care Systemization (NCS). This process can be considered an innovation to the extent that planned changes are needed, aimed at improving nursing care delivery and registration systems, and individuals who participate in the set-up of the innovation perceive the process as something new which they need to adapt to(2). The change involves factors related to knowledge, attitudes and behaviors towards the intended innovation(3). Attitudes refer to personal disposition to approach or take distance from an idea or concept, involve affection, predispose to action and, influence behavior(4). It is important to study factors that can interfere in the implementation and maintenance of NCS in clinical practice, whether related to the institutional environment or the nursing professionals
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