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The neonatal palliative care attitude scale: psychometric properties for portuguese neonatal nurses

2022-07-12Journal article Open access
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dc.contributor.authorSousa, Fátima Pacheco
dc.contributor.authorRoldão, Maria Graça
dc.contributor.authorRebotim, Ana Marisa
dc.contributor.authorFigueira, Ana Rita
dc.contributor.authorBarbosa, Joana
dc.contributor.authorFradique, Emília
dc.contributor.authorCurado, Maria Alice Santos
dc.date.accessioned2022-07-18T14:47:31Z
dc.date.available2022-07-18T14:47:31Z
dc.date.issued2022-07-12
dc.description.abstractBackground. This study is aimed to perform the translation and cultural adaptation of the Neonatal Palliative Care Attitude Scale (NiPCAS) and evaluation of its psychometric properties with Portuguese neonatal nurses. Methods. The research started with a scoping review that allowed the identification of the NiPCAS. It was a methodological study with a quantitative approach. The semantic equivalence of the items was adjusted with the participation of 20 neonatal nurse experts. They performed facial and quantitative content validation. Psychometric validation of the NiPCAS was performed on a nonprobability nurses sample (n = 283) in 13 level 3 neonatal units between July 2021 and February 2022. Confirmatory factor analysis using the polychoric correlation matrix was performed to estimate factor validity using the “lavaan” package for R statistical software. Internal consistency was estimated using Cronbach’s alpha coefficient, and item sensitivity was assessed using the asymmetry and kurtosis coefficients. Empirical indices were considered: chi-square over degrees of freedom; comparative fit index; normed fit index; Tucker–Lewis index, and root mean square error of approximation; average extracted variance and composite reliability were used to assess convergent validity. Results. Asymmetry and kurtosis were <|3| and <|7|, respectively, suggesting psychometric sensitivity. The convergent validity of the factors was: F1, FCF1 = 0.90 and for F2, FCF2 = 0.80, and a lower value for F3, FCF3 = 0.40. According to the squared correlation criterion average variance extracted (AVE) between the factors, there was no discriminant validity for F1 and F2, but there was discriminant validity for F1, F3, F2, and F3. Significance of results. This instrument has implications for providing end-of-life care to newborns and their families. The use of this instrument reveals several barriers and facilitating elements inherent in the organization and culture of the facility and nursing education.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doihttps://doi.org/10.1017/ S1478951522000797pt_PT
dc.identifier.issn1478-9523
dc.identifier.urihttp://hdl.handle.net/10400.26/41346
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCambridge University Presspt_PT
dc.subjectEnd-of-life carept_PT
dc.subjectFactor analysispt_PT
dc.subjectNeonatal intensive care unitpt_PT
dc.subjectPalliative supportive carept_PT
dc.subjectValidation studypt_PT
dc.titleThe neonatal palliative care attitude scale: psychometric properties for portuguese neonatal nursespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage6pt_PT
oaire.citation.issue2022pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titlePalliative & Supportive Carept_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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