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

Altafini, Júlia; Dias, Flávia Carvalho Pena; Ferreira, Thelen Daiana Mendonça; Sastre-Fullana, Pedro; São-João, Thaís Moreira; Gasparino, Renata Cristina

doi:10.1590/0034-7167-2022-0705

Júlia Altafini Corresponding author: Julia Altafini E-mail: juliaaltafini@gmail.com

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Estadual de Campinas. Campinas, São Paulo, Brazil

https://orcid.org/0000-0003-2781-3450

Flávia Carvalho Pena Dias

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Estadual de Campinas. Campinas, São Paulo, Brazil

https://orcid.org/0000-0003-4599-8700

Thelen Daiana Mendonça Ferreira

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Estadual de Campinas. Campinas, São Paulo, Brazil

https://orcid.org/0000-0001-7491-9325

Pedro Sastre-Fullana

conception or design of the study/research

final review with critical and intellectual participation in the manuscript

Hospital Universitario Son Espases. Palma de Mallorca, Illes Balears, Spain

https://orcid.org/0000-0002-1447-5221

Thaís Moreira São-João

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

University of Rhode Island. Kingston, Estados, United States of America

https://orcid.org/0000-0002-8520-6483

Renata Cristina Gasparino

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Estadual de Campinas. Campinas, São Paulo, Brazil

https://orcid.org/0000-0001-8729-4707

Corresponding author: Julia Altafini E-mail: juliaaltafini@gmail.com

APNCAI^* * APNCAI - Advanced Practice Nursing Competency Assessment Instrument – Brazilian version; dimensions – Brazilian version	AVE^† † AVE – average variance extracted.
1 - Evidence-based Research and Practice	0.50
2 - Clinical and Professional Leadership	0.58
3 - Professional Autonomy	0.52
4 - Interprofessional Relations and Mentoring	0.52
5 - Quality Management	0.65
6 - Care Management	0.56
7 - Teaching and Vocational Education	0.67
8 - Health Promotion	0.61

Item	D1^*	D2†	D3‡	D4^§	D5	D6^¶	D7^**	D8^††
1.1	0.58	0.31	0.21	0.25	0.32	0.17	0.35	0.24
1.2	0.71	0.48	0.33	0.29	0.39	0.28	0.34	0.26
1.3	0.56	0.29	0.22	0.19	0.32	0.16	0.30	0.15
1.4	0.72	0.46	0.42	0.37	0.35	0.37	0.37	0.36
1.5	0.74	0.49	0.38	0.46	0.39	0.37	0.41	0.31
1.6	0.77	0.53	0.41	0.36	0.49	0.34	0.39	0.23
1.7	0.77	0.53	0.45	0.38	0.43	0.33	0.24	0.34
1.8	0.74	0.53	0.38	0.40	0.45	0.30	0.23	0.32
2.1	0.34	0.66	0.23	0.35	0.39	0.29	0.40	0.22
2.2	0.60	0.82	0.26	0.46	0.53	0.33	0.42	0.24
2.3	0.53	0.78	0.33	0.34	0.47	0.21	0.24	0.20
2.4	0.50	0.78	0.33	0.25	0.42	0.27	0.29	0.16
3.1	0.29	0.21	0.71	0.31	0.32	0.28	0.10	0.25
3.2	0.38	0.33	0.77	0.35	0.37	0.37	0.21	0.37
3.3	0.43	0.33	0.76	0.37	0.38	0.41	0.25	0.39
3.4	0.39	0.20	0.74	0.35	0.35	0.43	0.29	0.42
3.5	0.34	0.31	0.75	0.32	0.41	0.31	0.16	0.25
3.6	0.23	0.19	0.72	0.26	0.32	0.37	0.18	0.38
3.7	0.37	0.24	0.65	0.28	0.35	0.22	0.05	0.30
3.8	0.45	0.30	0.66	0.44	0.37	0.42	0.21	0.48
4.1	0.27	0.37	0.26	0.64	0.36	0.29	0.33	0.17
4.2	0.48	0.44	0.43	0.79	0.52	0.40	0.41	0.28
4.3	0.36	0.27	0.43	0.78	0.41	0.45	0.40	0.43
4.4	0.42	0.29	0.29	0.74	0.42	0.49	0.42	0.37
4.5	0.30	0.35	0.25	0.74	0.53	0.36	0.40	0.27
4.6	0.25	0.29	0.37	0.61	0.52	0.21	0.30	0.27
5.1	0.34	0.33	0.46	0.53	0.74	0.45	0.35	0.43
5.2	0.50	0.54	0.39	0.59	0.87	0.40	0.46	0.31
5.3	0.51	0.57	0.44	0.53	0.87	0.41	0.48	0.36
5.4	0.44	0.47	0.31	0.39	0.72	0.39	0.31	0.35
6.1	0.21	0.21	0.41	0.37	0.33	0.71	0.34	0.39
6.2	0.34	0.26	0.16	0.32	0.29	0.68	0.50	0.37
6.3	0.19	0.12	0.38	0.40	0.26	0.73	0.31	0.53
6.4	0.46	0.34	0.44	0.45	0.48	0.82	0.45	0.55
6.5	0.35	0.38	0.33	0.36	0.45	0.78	0.44	0.42
6.6	0.31	0.28	0.49	0.42	0.45	0.77	0.42	0.62
7.1	0.36	0.31	0.16	0.40	0.35	0.48	0.79	0.30
7.2	0.45	0.40	0.28	0.41	0.42	0.41	0.83	0.38
7.3	0.39	0.42	0.22	0.48	0.49	0.44	0.85	0.37
7.4	0.31	0.34	0.19	0.43	0.38	0.47	0.82	0.30
8.1	0.34	0.29	0.27	0.30	0.36	0.42	0.32	0.61
8.2	0.32	0.27	0.45	0.38	0.40	0.51	0.36	0.82
8.3	0.28	0.15	0.44	0.29	0.30	0.53	0.26	0.83
8.4	0.30	0.14	0.38	0.33	0.33	0.55	0.35	0.84

APNCAI^* * APNCAI – Advanced Practice Nursing Competency Assessment Instrument – Brazilian version. dimensions – Brazilian version	1	2	3	4	5	6	7	8
1- Evidence research and practice	0.70
2- Clinical and professional leadership	0.65	0.76
3 - Professional autonomy	0.51	0.37	0.72
4- Interprofessional relations and mentoring	0.49	0.46	0.47	0.72
5 - Quality Management	0.56	0.60	0.50	0.64	0.80
6 - Care Management	0.42	0.36	0.50	0.52	0.51	0.75
7- Teaching and Vocational Education	0.46	0.45	0.26	0.53	0.50	0.55	0.82
8- Health Promotion	0.40	0.27	0.50	0.42	0.45	0.65	0.41	0.78

APNCAI^* * APNCAI - Advanced Practice Nursing Competency Assessment Instrument – Brazilian version. dimensions – Brazilian version	Composite reliability	Cronbach’s Alpha
1 - Evidence-based Research and Practice	0.89	0.85
2 - Clinical and Professional Leadership	0.85	0.76
3 - Professional Autonomy	0.90	0.87
4 - Interprofessional Relations and Mentoring	0.87	0.81
5 - Quality Management	0.88	0.81
6 - Care Management	0.88	0.84
7- Teaching and Vocational Education	0.89	0.84
8- Health Promotion	0.86	0.78

APNCAI* dimensions – Brazilian version	“Intervenções Terapêuticas” da ECE^†
1 - Evidence-based Research and Practice	0.3744
	< 0.0001 ^‡
	229
2 - Clinical and Professional Leadership	0.3450
	< 0.0001 ^‡
	232
3 - Professional Autonomy	0.3133
	< 0.0001 ^‡
	229
4 - Interprofessional Relations and Mentoring	0.4111
	< 0.0001 ^‡
	232
5 - Quality Management	0.3633
	< 0.0001 ^‡
	231
6 - Care Management	0.3719
	< 0.0001 ^‡
	231
7- Teaching and Vocational Education	0.4108
	< 0.0001 ^‡
	232
8- Health Promotion	0.3355
	< 0.0001 ^‡
	230

[1] Corresponding author: Julia Altafini E-mail: juliaaltafini@gmail.com

Brasil

Brasil

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

Validación del Inventario para Evaluación de Competencias en Enfermeras de Práctica Avanzada en el ámbito hospitalario

ABSTRACT

Objectives:

Methods:

Results:

Conclusions: