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Tradução e validação da escala The Indicators of Quality Nursing Work Environments para o contexto cultural português
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| 1.82 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Enquadramento: A escala The Indicators of Quality Nursing Work Environment
(IQN-WE) com 65 itens, desenvolvida por Chiou-Fen Lin, Meei-Shiow Lu e Hsiu-Ying
Huang em 2016, teve o objetivo de desenvolver um conjunto de indicadores de
qualidade do Ambiente de Prática de Enfermagem (APE) no Taiwan. No presente
estudo efetuou-se a tradução e validação para o contexto cultural português do
questionário IQN-WE. O estudo decorreu em contexto hospitalar. A escala IQN-WE
considera aspetos mais recentes do APE, que se tornaram importantes nos últimos
anos. Assim, pela importância e pertinência da qualidade do APE a nível nacional,
considerou-se relevante traduzir e adaptar para a população portuguesa uma escala
com indicadores de qualidade do APE.
Objetivos: Adaptar culturalmente e linguisticamente a escala IQN-WE,
originando a versão portuguesa. Analisar as características psicométricas da escala
IQN-WE na versão portuguesa.
Métodos: O estudo realizado é do tipo quantitativo, observacional e descritivo transversal. A escala IQN-WE foi validado numa amostra de 142 enfermeiros
pertencentes a um centro hospitalar, em Portugal.
Resultados: Obteve-se um instrumento com 50 itens dividido em 5 dimensões,
com uma variância explicada total de 52,67% e KMO=0,843. Verificou-se uma matriz
de correlação linear de forte a moderada entre as dimensões. A validade de conteúdo
foi assegurada pela realização do pré-teste e pela equipa de peritos. A fiabilidade foi
garantida através da determinação da consistência interna, tendo sido testada através
do Alfa de Cronbach com 0,953. A validade de construto foi efetuada através da
Análise Fatorial Confirmatória. O Modelo fatorial da escala IQN-WE-PT apresentou
uma qualidade de ajustamento boa (2033,593/1119=1,817; CFI= 0,781; GFI= 0,675;
RMSEA=0,076; P [rmsea< ou =0,05] <0,001; MECVI = 18,031), com 5 fatores.
Conclusão: Alcançou-se um instrumento com 50 itens em 5 dimensões: Suporte
à Equipa e Desenvolvimento Profissional; Organização e Gestão da Equipa; Ambiente
de Prática Segura; Sistemas de Informação e Controlo do Risco; Remuneração e
Bem-Estar. A escala IQN-WE-PT evidenciou ser um instrumento adequado para ser
aplicado em Portugal, através das suas características psicométricas, em qualquer
contexto de Cuidados Hospitalares, Cuidados de Saúde Primários, Cuidados
Continuados Integrados e Estruturas Residenciais para Idosos.
Background: The Indicators of Quality Nursing Work Environment scale (IQN WE) with 65 items, developed by Chiou-Fen Lin, Meei-Shiow Lu and Hsiu-Ying Huang in 2016, aims to develop a set of quality indicators for the Nursing Practice Environment (APE) in Taiwan. In the present study, the IQN-WE questionnaire was translated and validated for the Portuguese cultural context. The study took place in a hospital context. The IQN-WE scale considers more recent aspects of the APE, which have become important in recent years. Thus, given the importance and relevance of the quality of the APE at national level, it was considered relevant to translate and adapt a scale with quality indicators for nursing practice environment for the Portuguese population. Objectives: Culturally and linguistically adapting the IQN-WE scale, originating the Portuguese version. Analyse the psychometric characteristics of the IQN-WE scale in the Portuguese version. Methods: This is a quantitative, observational, and cross-sectional descriptive study. The IQN-WE was validated in a sample of 142 nurses belonging to a hospital centre, in Portugal. Results: An instrument with 50 items divided into 5 dimensions was obtained, with a total explained variance of 52.67% and KMO=0.843. There was a strong to moderate linear correlation matrix between dimensions. Content validity was ensured by conducting the pre-test and by the expert team. Reliability was guaranteed through the determination of the internal consistency, having been tested using Cronbach's Alpha with 0.953. Construct validity was performed using Confirmatory Factor analysis. The factorial model of the IQN-WE-PT scale showed a good quality of adjustment (2033,593/1119=1,817; CFI= 0,781; GFI= 0,675; RMSEA=0,076; P [rmsea< or =0,05] <0,001; MECVI = 18,031), with 5 factors. Conclusion: An instrument with 50 items in 5 dimensions was achieved: Team Support and Professional Development; Team Organization and Management; Safe Practice Environment; Information Systems and Risk Control; Compensation and Welfare. The IQN-WE-PT scale proved to be an appropriate instrument to be applied in Portugal, through its psychometric characteristics in any context of Hospital Care, Primary Health Care, Integrated Continuing Care and Residential Structures for the Elderly.
Background: The Indicators of Quality Nursing Work Environment scale (IQN WE) with 65 items, developed by Chiou-Fen Lin, Meei-Shiow Lu and Hsiu-Ying Huang in 2016, aims to develop a set of quality indicators for the Nursing Practice Environment (APE) in Taiwan. In the present study, the IQN-WE questionnaire was translated and validated for the Portuguese cultural context. The study took place in a hospital context. The IQN-WE scale considers more recent aspects of the APE, which have become important in recent years. Thus, given the importance and relevance of the quality of the APE at national level, it was considered relevant to translate and adapt a scale with quality indicators for nursing practice environment for the Portuguese population. Objectives: Culturally and linguistically adapting the IQN-WE scale, originating the Portuguese version. Analyse the psychometric characteristics of the IQN-WE scale in the Portuguese version. Methods: This is a quantitative, observational, and cross-sectional descriptive study. The IQN-WE was validated in a sample of 142 nurses belonging to a hospital centre, in Portugal. Results: An instrument with 50 items divided into 5 dimensions was obtained, with a total explained variance of 52.67% and KMO=0.843. There was a strong to moderate linear correlation matrix between dimensions. Content validity was ensured by conducting the pre-test and by the expert team. Reliability was guaranteed through the determination of the internal consistency, having been tested using Cronbach's Alpha with 0.953. Construct validity was performed using Confirmatory Factor analysis. The factorial model of the IQN-WE-PT scale showed a good quality of adjustment (2033,593/1119=1,817; CFI= 0,781; GFI= 0,675; RMSEA=0,076; P [rmsea< or =0,05] <0,001; MECVI = 18,031), with 5 factors. Conclusion: An instrument with 50 items in 5 dimensions was achieved: Team Support and Professional Development; Team Organization and Management; Safe Practice Environment; Information Systems and Risk Control; Compensation and Welfare. The IQN-WE-PT scale proved to be an appropriate instrument to be applied in Portugal, through its psychometric characteristics in any context of Hospital Care, Primary Health Care, Integrated Continuing Care and Residential Structures for the Elderly.
Description
Keywords
Administração em enfermagem Ambiente de trabalho Psicometria Qualidade dos cuidados de enfermagem Estudo de validação Indicadores de serviços