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Simulation effectiveness tool modified (SET-M): adaptation and validation for Brazil.

Ellen Cristina Bergamasco1, Diná de Almeida Lopes Monteiro da Cruz2

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The Simulation Effectiveness Tool - Modified (SET-M) was adapted to Portuguese, showing good reliability and validity for assessing simulation effectiveness in nursing education. This validated tool is now available for use in Brazil.

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Area of Science:

  • Nursing Education
  • Health Professions Education
  • Simulation-Based Learning

Background:

  • Simulation is crucial in nursing education for skill development.
  • Validated tools are needed to measure the effectiveness of simulation-based learning.
  • The Simulation Effectiveness Tool - Modified (SET-M) requires adaptation for diverse linguistic contexts.

Purpose of the Study:

  • To translate and culturally adapt the Simulation Effectiveness Tool - Modified (SET-M) into Brazilian Portuguese.
  • To evaluate the psychometric properties, including validity and reliability, of the adapted SET-M (SET-M Brazilian Version).
  • To establish a reliable instrument for assessing simulation effectiveness in Brazilian nursing education.

Main Methods:

  • Methodological study involving translation and adaptation of the SET-M.
  • Confirmatory Factor Analysis (CFA) was used to assess construct validity.
  • Reliability was evaluated using Cronbach's alpha, McDonald's omega, and test-retest measures.
  • Correlation analyses were performed with related instruments and participant demographics.
  • A convenience sample of 435 nursing students participated.

Main Results:

  • The SET-M Brazilian Version demonstrated acceptable psychometric properties.
  • Confirmatory Factor Analysis supported the factor structure with 17 of 19 items showing factor loadings > 0.30.
  • Reliability indexes were strong, with Cronbach's alpha ranging from 0.729 to 0.874 and McDonald's omega at 0.782.
  • No significant correlation was found between the SET-M Brazilian Version and the Simulation Design Scale or Individual Practice Assessment.
  • A positive correlation was observed between SET-M scores and participant age.

Conclusions:

  • The SET-M Brazilian Version is a valid and reliable instrument for evaluating simulation effectiveness in nursing education in Brazil.
  • The adapted 19-item, four-domain scale is ready for application in Brazilian healthcare simulation research.
  • Further studies utilizing diverse samples are recommended to broaden the applicability of the SET-M Brazilian Version.