Cultural adaptation and validation of an instrument about nursing critical thinking skills

Oliveira, Jacqueline Faria de; Perez, Esperanza Zuriguel; Ferreira, Maria Beatriz Guimarães; Pires, Patricia da Silva; Barichello, Elizabeth; Barbosa, Maria Helena

doi:10.1590/0034-7167-2020-0720

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Brasil

Revista Brasileira de Enfermagem

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Brasil

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (2) • 2021 • https://doi.org/10.1590/0034-7167-2020-0720 copy

Cultural adaptation and validation of an instrument about nursing critical thinking skills

Adaptación cultural y validación de un instrumento sobre habilidades de pensamiento crítico en enfermería

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to validate the Nursing Critical Thinking in Clinical Practice Questionnaire regarding cultural aspects and metric properties.

Methods:

a methodological research carried out through cross-cultural adaptation, face and content validity, dimensional construct and known groups validity, test-retest reliability and internal consistency. 511 nurses from four hospitals participated in the study, of which 54 participated in retest.

Results:

the instrument validation for Brazilian Portuguese maintained equivalences, according to the original version. The dimensional validity demonstrated adjustment to the tetrafactorial structure of the original version (GFI=0.69). There were statistically significant differences in critical thinking skills between nurses with graduate degrees and who undertook training, reading articles, developing research and working in an institution with a longer time implementation of the Nursing Process. The instrument showed temporal stability (ICC 073-0.84; p<0.001) and adequate internal consistency (α=0.97).

Conclusions:

the instrument proved to be valid and reliable for the studied population.

Descriptors:
Nursing; Thinking; Nursing Process; Validation Study; Factor Analysis, Statistical

Variables	n (%)
Did you attend training on research results use in practice?
Yes	79 (15.5)
No	432 (84.5)
Did you attend training in search of scientific evidence?
Yes	243 (47.6)
No	268 (52.4)
Do you read scientific articles?
Yes	463 (90.6)
No	47 (9.2)
Do you develop or have you already developed research?
Yes	359 (70.3)
No	152 (29.7)

	n	Personal				Intellectual and Cognitive				Interpersonal and Self-Management				Technical
	n	x̅	s	p value	d	x̅	s	p value	d	x̅	s	p value	d	x̅	s	p value	d
Nursing Process implementation
Pioneer	94	126.6	12.95	0.002	0.36	157.2	14.1	<0.001	0.59	73.6	7.3	<0.001	0.55	22.0	2.3	<0.001	0.58
Others	417	122.0	12.49	0.002	0.36	148.0	15.7	<0.001	0.59	68.9	8.6	<0.001	0.55	20.6	2.5	<0.001	0.58
Attending stricto sensu graduate studies
Yes	140	124.6	12.98	0.064	0.18	152.2	16.0	0.031	0.21	71.1	8.2	0.04	0.20	21.5	2.5	0.001	0.57
No	371	122.3	12.54	0.064	0.18	148.8	15.6	0.031	0.21	69.3	8.6	0.04	0.20	20.6	2.5	0.001	0.57
Attending training on research use in practice
Yes	79	126.3	11.19	0.009	0.32	154.9	14.9	0.001	0.39	71.6	7.9	0.043	0.25	21.3	2.5	0.109	0.20
No	432	122.2	12.86	0.009	0.32	148.7	15.8	0.001	0.39	69.5	8.6	0.043	0.25	20.8	2.5	0.109	0.20
Attending training in search for scientific evidence
Yes	243	123.9	12.18	0.002	0.16	151.7	16.1	<0.001	0.24	70.8	8.2	<0.001	0.21	21.2	2.5	<0.001	0.24
No	268	121.9	13.09	0.002	0.16	147.9	15.3	<0.001	0.24	68.9	8.7	<0.001	0.21	20.6	2.5	<0.001	0.24
Reading scientific articles
Yes	463	123.7	12.71	<0.001	0.70	150.6	15.7	<0.001	0.63	70.3	8.4	<0.001	0.65	21.0	2.5	<0.001	0.83
No	47	114.9	9.55	<0.001	0.70	140.8	14.1	<0.001	0.63	64.9	8.0	<0.001	0.65	19.0	2.2	<0.001	0.83

Dimensions	Test		Retest		CCI	r	p value
Dimensions	x̅	s	x̅	s	CCI	r	p value
Personal	123.69	11.8	121.02	11.02	0.78	0.73	<0.001
Intellectual and Cognitive	147.37	12.45	148.19	12.20	0.80	0.81	<0.001
Interpersonal and Self-Management	68.91	6.63	68.74	6.78	0.73	0.61	<0.001
Technical	20.30	2.35	20.33	2.45	0.77	0.58	<0.001
Total	360.26	28.68	358.28	29.01	0.84	0.81	<0.001

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[1] Corresponding author: Maria Helena Barbosa. E-mail: mhelena331@hotmail.com