Abstract
This methodological study aimed to evaluate the construct validity and reliability of the Brazilian-Portuguese version of Antonovsky's Sense of Coherence Questionnaire (ASCQ) among nursing professionals. The study included 211 professionals who worked in the surgical wards of eleven hospitals in a city in the interior of the State of Paraná-Brazil. The majority of participants were female (86.7%), with a mean length of service of 9.3 (SD=8.0) years. Construct validity was evaluated using Pearson correlation tests between the measures of sense of coherence and correlated constructs, obtaining strong negative correlations between sense of coherence and anxiety (r=-0.53) and sense of coherence and depression (r=-0.61). Internal reliability, assessed by Cronbach's alpha, obtained an acceptable value of 0.87. The Brazilian-Portuguese version of ASCQ maintained the psychometric properties of the original scale when used with nursing professionals.
Highlights
Antonovsky’s salutogenic model(1) has been considered in the health literature as a new approach for the evaluation of individuals with chronic health conditions or belonging to specific groups such as the elderly, adolescents, pregnant women, children and workers from different areas
The data collection instrument consisted of sociodemographic and professional data, through the adapted Brazilian-Portuguese version of Antonovsky’s Sense of Coherence Questionnaire (ASCQ)(2) and through the adapted to Portuguese version of the Hospital Anxiety and Depression Scale (HADS)(14)
The length of experience for the participants of this study presented a mean of 9.3 (SD=8.0) years, ranging from two months to 32 years
Summary
Antonovsky’s salutogenic model(1) has been considered in the health literature as a new approach for the evaluation of individuals with chronic health conditions or belonging to specific groups such as the elderly, adolescents, pregnant women, children and workers from different areas. The focus is on the resources of coping rather than the stressors(1). The sense of coherence, the key construct of this theory, is proposed to explain successful strategies for coping with stress. It is a global orientation that expresses the capacity of individuals to trust that, in their life, the stimulus originating from the internal and external environments are structured, predictable and explicable (comprehensibility); the resources are available so that they can meet the demands imposed by these stimuli (manageability), and that those demands are changes, worthy of investment and engagement (meaningfulness). Comprehensibility, Manageability and Meaningfulness are the three components that form the sense of coherence(2).
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