Validation of the self-confidence scale of nursing care in urinary retention

Abstract

Objective: to validate an instrument to measure self-confidence of nursing care in urinary retention. Methods: methodological research study, carried out after ethical approval. A Likert-like scale of 32 items related to nursing care in urinary retention was applied to students of the graduate nursing course. For instrument validation, analysis of the sample adequacy and main components, Varimax orthogonal rotation and internal consistency analyses were developed. Results: in a sample of 305 students, there was high correlation of all items with the total scale and Cronbach's alpha of 0.949. The scale items were divided into five factors with internal consistency: Factor 1 (0.890), Factor 2 (0.874), Factor 3 (0.868), Factor 4 (0.814) and Factor 5 (0.773), respectively. Conclusion: the scale meets the validity requirements, demonstrating potential for use in evaluation and research.

Urinary retention: implications of low-fidelity simulation training on the self-confidence of nurses

“…To identify the confidence of nurses before and after the workshop, the subjects were asked to fill in a population characterization instrument and Self-Confidence Scale in Nursing Care in Urinary Retention (SSNCUR) (8) . SSNCUR was built and validated for use in the Portuguese language (8) .…”

“…SSNCUR was built and validated for use in the Portuguese language (8) . Its goal is to evaluate the nurse's self-confidence in UR Nursing Care.…”

“…Responses to SSNCUR items were scored from 1 to 5. Internal consistency calculations and scale factors analysis were performed, as recommended in the original instrument (8) . Data were analyzed using the SPSS software (version 22 for Windows).…”

“…Urinary catheterization is frequently performed in a sterile manner within healthcare institutions, and in cases when the catheter will remain in the patient for a longer period of time (urinary delay catheters), and/or with the clean technique at home when the patient and/ or caregiver performs the procedure as a treatment (5)(6) . Urinary catheterization is an invasive procedure which, although much discussed in the literature, still presents the patient with physical and psychological complications, often caused by the nurse's unpreparedness and the lack of incorporation of scientific evidence into professional practice (5,(7)(8) . To be performed properly, the procedure relies on the participation of a nurse who is competent in technical development and decision-making, both in full patient care and in the procedure, choice of clean or sterile technique, and choice of materials to be used, among others.…”

“…Self-confidence is essential and influences nurses' behavior and professional lives, qualifying the patient's physical and psychological care (15) . In UR nursing care, and particularly in performing urinary catheterization, it generates a level of certainty for patients and health staff, positively impacting the procedure (8) . In this context, to qualify nursing care in UR and urinary catheterization, it is essential to format programs that build self-confidence through professional development and the development of clinical skills.…”