Abstract
ABSTRACT Objectives: to perform the translation, cultural adaptation, and content validation of Death Attitude Profile Revised to the Brazilian context. Method: a methodological study that comprised the following stages: initial translation, synthesis of these translations, back translation, expert committee and pre-test conducted with 40 nursing students. The cultural adaptation process, which preceded content validation, carried out with three expert judges. Results: the Brazilian version of Death Attitude Profile Revised maintained semantic, idiomatic, conceptual and experiential equivalences to the original version. The final content validity coefficient of the scale reached 0.85 for language clarity and theoretical relevance and 0.86 for practical relevance. Regarding the theoretical dimensions, a substantial Kappa mean value among evaluators was obtained (0.709). Data analysis on internal consistency, performed by calculating Cronbach's alpha coefficient, displayed a reliability considered high (α = 0.892). Conclusion: it is extremely important to have an instrument adapted to the Brazilian reality that allows for measuring the attitudes towards death from both a positive and negative point of view because, by identifying these attitudes, interventions and training are designed to improve the care process in nursing. Thus, the cultural adaptation process resulted in a reliable adapted version with valid content. However, it is necessary to test the psychometric properties before using in care practice and research.
Highlights
In order to preserve the intellectual property of the original scale and to recognize the data obtained in Brazilian populations by our peers from the international community, the original acronym of the scale was kept in the Brazilian version
It is justified to perform the crosscultural adaptation of the scale in order to be able to conduct future studies that may allow comparisons between attitudes towards death in Brazil with other countries
Attitudes towards death influence practical and daily aspects of cares provided by the health professionals, especially nurses, to end-of-life individuals
Summary
Since it is part of the life cycle, health professionals, especially nurses, are often exposed to people dying under their care, finding it difficult to see it as an integral part of life, taking it as a result of therapeutic failure and of a bad effort to cure.[1,2,3,4]. A first stage to improve the training of health professionals, including nurses, will be to know their attitudes towards death. In this context, the theoretical framework of thanatology and palliative care offers a look that allows a deeper understanding of these attitudes.[4,5,6,7,8]. Positive attitudes are classified as accepting death, while negative attitudes denote fear and anxiety about death.[9]
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