Adaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument

Abstract

Objective: To adapt and validate the content of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) to Brazilian culture. Methods: This is a methodological study that followed the stages of translation, synthesis, back translation, evaluation by a committee of five specialists, pre-test with 31 nurses, and evaluation by the author of the original instrument. The Content Validity Index (minimum 0.90) and the modified Kappa (minimum 0.74) were calculated to evaluate the content. Result: In the first round of content evaluation, 18 items had to be altered because they did not reach the minimum values established. Three items have not reached a consensus in the second round and had to be sent to the author of the original version. In the pre-test, 13 items were returned to the specialists because they suffered content changes. Conclusion: The Advanced Practice Nursing Competency Assessment Instrument (APNCAI) - Brazilian version was cross-culturally adapted, and its content was validated.

Validation of the Advanced Practice Nursing Competency Assessment Instrument in a hospital environment

“…It is a methodological study ( 16 ) that evaluated the construct validity (structural and hypothesis testing) and reliability (internal consistency) of the Advanced Practice Nursing Competency Assessment Instrument APNCAI - Brazilian version ( 15 ) in the hospital setting. For the description of the research, the study adopted the criteria of the checklist Consensus-Based Standards for the selection of health Measurement Instruments (COSMIN) ( 17 ) .…”

“…The instruments used for the collection were: a personal and professional characterization form of the sample, the APNCAI – Brazilian version ( 15 ) , and the “therapeutic interventions” category of the Nurse Competence Scale (NCS) ( 18 )…”

“…Those who accepted signed the Informed Consent Form, received the printed instruments, and delivered them completed to the researcher on the agreed day. The instruments used for the collection were: a personal and professional characterization form of the sample, the APNCAI -Brazilian version (15) , and the "therapeutic interventions" category of the Nurse Competence Scale (NCS) (18)…”

“…Therefore, the study highlights the Advanced Practice Nursing ( 10 , 11 , 12 , 13 , 14 , 15 ) Competency Assessment Instrument APNCAI – Brazilian version for its recognized methodological rigor and its application at different levels of healthcare to map the competencies of the APN ( 14 , 15 ) .…”

Contributions of Advanced Practice Nursing to Primary Health Care: A Scoping Review

“…APN stands out in the context of advanced practices since decisionmaking, leadership, and improved care planning are skills that underlie APN. The latter is responsible for mediating their ability to decide on care, as care management ultimately becomes the foundation of these practices (30,41).…”