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Adaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument.

Flávia Carvalho Pena Dias1, Tamara Cristina Baitelo1, Beatriz Rosana Gonçalves de Oliveira Toso2

  • 1Universidade Estadual de Campinas. Campinas, São Paulo, Brazil.

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Summary

The Advanced Practice Nursing Competency Assessment Instrument was adapted and validated for Brazilian nurses. This culturally adapted tool, the APNCAI-Brazilian version, ensures accurate assessment of advanced practice nursing competencies in Brazil.

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Area of Science:

  • Nursing
  • Health Sciences
  • Cross-cultural Adaptation

Background:

  • Advanced Practice Nursing (APN) is a growing field globally.
  • Standardized tools are needed to assess APN competencies.
  • The Advanced Practice Nursing Competency Assessment Instrument (APNCAI) requires cultural adaptation for international use.

Purpose of the Study:

  • To translate and culturally adapt the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) for the Brazilian context.
  • To validate the content of the adapted APNCAI among Brazilian nursing experts.

Main Methods:

  • Methodological study involving translation, synthesis, and back-translation.
  • Content validation by a committee of five nursing specialists.
  • Pre-testing with 31 nurses and evaluation by the original instrument's author.
  • Statistical analysis using Content Validity Index and modified Kappa.

Main Results:

  • Initial content evaluation required alterations in 18 items to meet validity standards.
  • Further consensus issues led to three items being sent to the original author.
  • The pre-test phase necessitated content revisions for 13 items.
  • The final instrument achieved validated content.

Conclusions:

  • The Advanced Practice Nursing Competency Assessment Instrument (APNCAI) has been successfully cross-culturally adapted to Brazil.
  • The content of the APNCAI-Brazilian version has been validated, ensuring its suitability for assessing advanced practice nursing competencies in Brazil.