RESUMEN
OBJECTIVES: to build, validate and verify the reliability of the Scale of knowledge about sexuality of people with spinal cord injury for nursing students. METHODS: a methodological study, following the steps: 1) Construction based on literature review; 2) Validation of the content with calculation of the Content Validity Index and the Modified Kappa Coefficient; 3) Pre-test with Nursing students; and 4) Measurement of reliability by internal consistency (Cronbach's alpha). RESULTS: the first version of the instrument presented 13 items. After validation, the items received values above 0.80 and 0.76 for the Content Validity Index and Modified Kappa Coefficient, and it was suggested to separate three items to contemplate gender-specific aspects. After pre-testing, it was recommended that the writing of two items be revised. The final scale, with 16 items, showed Cronbach's alpha equal to 0.93. CONCLUSIONS: the constructed scale presented valid content and proved to be reliable for application with nursing students.
Asunto(s)
Traumatismos de la Médula Espinal , Estudiantes de Enfermería , Humanos , Psicometría , Reproducibilidad de los Resultados , Sexualidad , Traumatismos de la Médula Espinal/complicaciones , Encuestas y CuestionariosRESUMEN
ABSTRACT Objectives: to build, validate and verify the reliability of the Scale of knowledge about sexuality of people with spinal cord injury for nursing students. Methods: a methodological study, following the steps: 1) Construction based on literature review; 2) Validation of the content with calculation of the Content Validity Index and the Modified Kappa Coefficient; 3) Pre-test with Nursing students; and 4) Measurement of reliability by internal consistency (Cronbach's alpha). Results: the first version of the instrument presented 13 items. After validation, the items received values above 0.80 and 0.76 for the Content Validity Index and Modified Kappa Coefficient, and it was suggested to separate three items to contemplate gender-specific aspects. After pre-testing, it was recommended that the writing of two items be revised. The final scale, with 16 items, showed Cronbach's alpha equal to 0.93. Conclusions: the constructed scale presented valid content and proved to be reliable for application with nursing students.
RESUMEN Objetivos: construir, validar y verificar confiabilidad de Escala de conocimiento sobre sexualidad de personas con lesión medular para estudiantes de Enfermería. Métodos: estudio metodológico, siguiendo las etapas: 1) Construcción basada en revisión de la literatura; 2) Validez de contenido con cálculo del Índice de Validez de Contenido y Coeficiente Kappa Modificado; 3) Pretest con estudiantes de Enfermería; y 4) Medida de confiabilidad por consistencia interna (alfa de Cronbach). Resultados: la primera versión del instrumento presentó 13 ítems. Posterior validación, estos recibieron valores arriba de 0,80 y 0,76 para el Índice de Validez de Contenido y Coeficiente Kappa Modificado, y sugerido separar tres ítems para contemplar aspectos específicos del sexo. Posterior pretest, recomendado la revisión de la escrita de dos ítems. La escala final, con 16 ítems, presentó alfa de Cronbach igual a 0,93. Conclusiones: la escala construida presentó contenido válido y se mostró confiable para aplicación con estudiantes de Enfermería.
RESUMO Objetivos: construir, validar e verificar a confiabilidade da Escala de conhecimento sobre sexualidade de pessoas com lesão medular para estudantes de Enfermagem. Métodos: estudo metodológico, seguindo as etapas: 1) Construção baseada em revisão da literatura; 2) Validação do conteúdo com cálculo do Índice de Validade de Conteúdo e do Coeficiente Kappa Modificado; 3) Pré-teste com estudantes de Enfermagem; e 4) Medida da confiabilidade pela consistência interna (alfa de Cronbach). Resultados: a primeira versão do instrumento apresentou 13 itens. Após validação, os itens receberam valores acima de 0,80 e 0,76 para o Índice de Validade de Conteúdo e Coeficiente Kappa Modificado, e sugeriu-se separar três itens para contemplar aspectos específicos do sexo. Após pré-teste, recomendou-se a revisão da escrita de dois itens. A escala final, com 16 itens, apresentou alfa de Cronbach igual a 0,93. Conclusões: a escala construída apresentou conteúdo válido e mostrou-se confiável para aplicação com estudantes de Enfermagem.
RESUMEN
ABSTRACT: BACKGROUND: The sexuality of people with spinal cord injury (SCI) is a subject often neglected by healthcare professionals because of their lack of knowledge or understanding of how to proceed in this context. Different teaching strategies can be used to fill this knowledge gap, such as clinical simulation and peer-assisted learning. This study evaluates the effects of an educational intervention on nursing students' knowledge acquisition about the sexuality of individuals with SCI and on the students' self-confidence and satisfaction with the experience. METHODS: Quasi-experimental, pretest-posttest design was conducted with nursing students (N = 54). The intervention was the application by a senior-level nursing student of 2 scenarios of high-fidelity clinical simulation. The primary outcome was the knowledge about the sexuality of people with SCI. The secondary outcome was the satisfaction and self-confidence in learning. We performed descriptive and inferential statistics and built multiple linear regression models. RESULTS: The effect of the intervention on knowledge acquisition ranged from the mean of 1.26 in the pretest to 3.10 in the posttest. The means in the scores of satisfaction and self-confidence were considered excellent and correlated with knowledge acquisition. Previous attendance of a class on SCI positively interfered in the scale of knowledge acquisition. CONCLUSION: We verified an effect size ranging from medium to large magnitude for knowledge acquisition, and great satisfaction and self-confidence in learning through the use of simulated experience and peer-assisted learning.
