Tradução e adaptação cultural da Management of Aggression And Violence Attitude Scale – MAVAS – em enfermeiros brasileiros

Abstract

RESUMOEste estudo objetivou traduzir e adaptar culturalmente a Management of Aggression and Violence Attitude Scale -MAVAS -para uso no Brasil. As etapas metodológicas seguiram as diretrizes internacionais para adaptação cultural de escalas psicométri-cas: equivalência conceitual, equivalência semântica, equivalência de itens e equivalência operacional. A validade de conteúdo realizada por um grupo de juízes resultou numa escala composta por 23 itens divididos em quatro fatores com Coeficientes de Validade de Conteúdo (CVC) satisfatórios nos parâmetros avaliados: (0,88) para clareza de linguagem, 0,91 pertinência prática e 0,92 para relevância teórica. Os dados foram coletados no ano de 2011, em Londrina, PR, Brasil. Concluiu-se que a MAVAS-BR está traduzida e adaptada culturalmente para uso no Brasil e que o instrumento traduzido e adaptado apresenta validade de conteúdo satisfatória. Estudos futuros relacionados à MAVAS-BR são sugeridos, dentre eles a avaliação de suas qualidades psicométricas, como a validade de construto e a confiabilidade do instrumento. DESCRITORES Enfermagem psiquiátricaEscalas Agressão Estudos de validação ABSTRACTThis study translated and culturally adapted the Management of Aggression and Violence Attitude Scale -MAVAS -for use in Brazil (BR). The methodology followed the international guidelines for the cultural adaptation of psychometric scales: conceptual equivalence, semantic equivalence, items equivalence, and operational equivalence. A group of judges performed a content validity analysis that resulted in a 23-item scale divided into four factors with satisfactory content validity coefficients (CVCs) for the following parameters: clarity of language (CL; 0.88), practical relevance (PR; 0.91), and theoretical relevance (TR; 0.92). The data were collected in Londrina, state of Paraná, BR in 2011. The MAVAS was translated and culturally adapted for use in BR, and the MAVAS-BR exhibited satisfactory content validity. Future studies concerning the MAVAS-BR are suggested, including the evaluation of psychometric qualities, such as its construct validity and reliability. DESCRIPTORS Psychiatric nursing Scales AggressionValidation studies RESUMENEste estudio tuvo como objetivo traducir y adaptar culturalmente el Management of Aggression and Violence Attitude Scale -MAVAS -para su uso en Brasil. Las etapas metodológicas siguieron las directrices internacionales para la adaptación cultural de las escalas psicométricas: equivalencia conceptual, equivalencia semántica, equivalencia de los elementos y la equivalencia operacional. La validez de contenido realizado por un grupo de jueces resultó en una escala con 23 ítems divididos en cuatro factores, con Coeficientes de Validez de Contenido (CVC) satisfactorios en los parámetros evaluados: claridad del lenguaje (0,88), pertinencia práctica (0,91) y relevancia teórica (0,92). Los datos fueron recolectados en Londrina, PR, Brasil en el año de 2011. Se concluyó que el MAVAS-BR está traducido y adaptado culturalmente para su uso en Brasil y la tra...

Reliability and validity of the Management of Aggression and Violence Attitude Scale (MAVAS-BR) for use in Brazil

“…Originally, the MAVAS was developed on the basis of three explanatory models for aggressive behavior: an internal model, an external model, and a situational model 9,14,15 . This scale was designed to help improve and train professionals working in services where aggressive behaviors are common 14 and assumes that the knowledge of these professionals on the prediction and management of violent behavior also involves the recognition of their attitudes toward this problem.…”

“…In Brazil, the few published studies on this topic 8 have evaluated the profile of patients treated at psychiatric emergency services 9 . The studies that have evaluated the attitudes of nurses towards the problem are scarce, although this problem has been extensively studied in other countries [10][11][12] .…”

“…In this respect, there is evidence that their attitudes towards this problem can affect the manner in which they manage these types of behavior, such that positive attitudes may contribute to the development of interpersonal approaches, whereas negative attitudes may contribute to the use of coercive measures 10 and may consequently increase the unnecessary use of physical and chemical restraint 13 . On the other hand, the identification and characterization of the attitudes of health workers towards the management of aggressive behaviors may serve as a strategy to cope with this situation 9 , to promote more humanized care 9 , and to help develop protective measures for their own emotional health 4 .…”

“…Considering the need for more studies to identify the attitudes of nurses towards aggression and violent behavior in health care, particularly in mental health services, and the limited availability of psychometric instruments to investigate this problem in Brazil 9 , a scale developed in England, the "Management of Aggression and Violence Attitude Scale (MAVAS)" 14,15 , was translated and culturally adapted for use in Brazil (MAVAS-BR) and presented adequate content validity 9 .…”

“…Despite its validity from a cultural point of view, the psychometric properties of the MAVAS-BR 9 have not yet been tested. Therefore, this study aimed to validate the MAVAS-BR.…”