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

OBJECTIVES: to evaluate the measurement properties of the Advanced Practice Nursing Competency Assessment Instrument - Brazilian version, in the hospital environment. METHODS: a methodological study conducted in a hospital with 238 nurses. Three instruments collect the data: sample characterization form, Brazilian version of the Advanced Practice Nursing Competency Assessment Instrument, and the category "therapeutic interventions" of the nurse competence scale. Construct validity was verified by confirmatory factor analysis and Spearman's correlation coefficient, and reliability by Cronbach's Alpha and composite reliability. RESULTS: in the factor analysis, the model converged to a satisfactory result. The study found acceptable evidence of reliability (Cronbach's Alpha, 0.76-0.87; and composite reliability, 0.85-0.90). CONCLUSIONS: the instrument demonstrated evidence of construct validity and internal consistency and can be used in practice.

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 / Validação do Instrumento para Avaliação de Competências do Enfermeiro de Prática Avançada em ambiente hospitalar

ABSTRACT Objectives: to evaluate the measurement properties of the Advanced Practice Nursing Competency Assessment Instrument - Brazilian version, in the hospital environment. Methods: a methodological study conducted in a hospital with 238 nurses. Three instruments collect the data: sample characterization form, Brazilian version of the Advanced Practice Nursing Competency Assessment Instrument, and the category "therapeutic interventions" of the nurse competence scale. Construct validity was verified by confirmatory factor analysis and Spearman's correlation coefficient, and reliability by Cronbach's Alpha and composite reliability. Results: in the factor analysis, the model converged to a satisfactory result. The study found acceptable evidence of reliability (Cronbach's Alpha, 0.76-0.87; and composite reliability, 0.85-0.90). Conclusions: the instrument demonstrated evidence of construct validity and internal consistency and can be used in practice

RESUMEN Objetivos: evaluar las propiedades de medida del Instrumento para Evaluación de Competencias del Enfermero de Práctica Avanzada - versión brasileña, en ambiente hospitalario. Métodos: estudio metodológico, realizado en un hospital, com 238 enfermeros. Los datos fueron recolectados mediante tres instrumentos: ficha para caracterización de la muestra; versión brasileña del Instrumento para Evaluación de Competencias del Enfermero de Práctica Avanzada; y la categoría "Intervenciones Terapéuticas" de la Escala de Competencia del Enfermero. La validez de constructo verificada por meio del análisis factorial confirmatorio y del coeficiente de correlación de Spearman; y la confiabilidad, por medio del alfa de Cronbach y de la confiabilidad compuesta. Resultados: en el análisis factorial, el modelo convergió para un resultado satisfactorio. Fueron encontradas evidencias satisfactorias de confiabilidad (alfa de Cronbach, 0,76-0,87; y confiabilidad compuesta, 0,85-0,90). Conclusiones: el instrumento demostró evidencias de validez de constructo y consistencia interna y podrá ser utilizado en la práctica.

RESUMO Objetivos: avaliar as propriedades de medida do Instrumento para Avaliação de Competências do Enfermeiro de Prática Avançada - versão brasileira, no ambiente hospitalar. Métodos: estudo metodológico, realizado em um hospital, com 238 enfermeiros. Os dados foram coletados por meio de três instrumentos: ficha para caracterização da amostra; versão brasileira do Instrumento para Avaliação de Competências do Enfermeiro de Prática Avançada; e a categoria "Intervenções Terapêuticas" da Escala de Competência do Enfermeiro. A validade de construto foi verificada por meio da análise fatorial confirmatória e do coeficiente de correlação de Spearman; e a confiabilidade, por meio do alfa de Cronbach e da confiabilidade composta. Resultados: na análise fatorial, o modelo convergiu para um resultado satisfatório. Foram encontradas evidências satisfatórias de confiabilidade (alfa de Cronbach, 0,76-0,87; e confiabilidade composta, 0,85-0,90). Conclusões: o instrumento demonstrou evidências de validade de construto e consistência interna e poderá ser utilizado na prática.

The influence of nursing leadership styles on the outcomes of patients, professionals and institutions: An integrative review.

AIM: This review was conducted to map leadership styles that positively impact patients, professionals and institutions. BACKGROUND: Leadership is a topic widely studied because it is a fundamental skill in establishing favourable work environments, in addition to enabling nurses to influence their team in the search for better results. Therefore, a synthesis of the various studies produced to date is essential for nurses, managers and researchers to understand the different styles of leadership that positively influence organizational results, so they can choose the style they deem most appropriate. EVALUATION: An integrative literature review retrieved articles from five databases, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The level of evidence and its quality were assessed using the criteria of the Joanna Briggs Institute. KEY ISSUES: Thirty-five studies were included, 18 of which reported the influence of leadership styles on patients (safety), nine on professionals (burnout) and eight on institutions (turnover and absenteeism). CONCLUSION: Transformational leadership had positive results for patients, professionals, and institutions alike. IMPLICATIONS FOR NURSING MANAGEMENT: The results showed the need for nurses to improve their leadership skills, especially in the transformational style, to achieve positive results.

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

OBJECTIVE: To adapt and validate the content of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) to Brazilian culture. METHODS: This is a methodological study that followed the stages of translation, synthesis, back translation, evaluation by a committee of five specialists, pre-test with 31 nurses, and evaluation by the author of the original instrument. The Content Validity Index (minimum 0.90) and the modified Kappa (minimum 0.74) were calculated to evaluate the content. RESULT: In the first round of content evaluation, 18 items had to be altered because they did not reach the minimum values established. Three items have not reached a consensus in the second round and had to be sent to the author of the original version. In the pre-test, 13 items were returned to the specialists because they suffered content changes. CONCLUSION: The Advanced Practice Nursing Competency Assessment Instrument (APNCAI) - Brazilian version was cross-culturally adapted, and its content was validated.

Adaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument / Adaptación y validación del Inventario para Evaluación de Competencias em Enfermeras de Práctica Avanzada / Adaptação e validação do Inventario para Evaluación de Competencias en Enfermeras de Práctica Avanzada

ABSTRACT Objective: To adapt and validate the content of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) to Brazilian culture. Methods: This is a methodological study that followed the stages of translation, synthesis, back translation, evaluation by a committee of five specialists, pre-test with 31 nurses, and evaluation by the author of the original instrument. The Content Validity Index (minimum 0.90) and the modified Kappa (minimum 0.74) were calculated to evaluate the content. Result: In the first round of content evaluation, 18 items had to be altered because they did not reach the minimum values established. Three items have not reached a consensus in the second round and had to be sent to the author of the original version. In the pre-test, 13 items were returned to the specialists because they suffered content changes. Conclusion: The Advanced Practice Nursing Competency Assessment Instrument (APNCAI) - Brazilian version was cross-culturally adapted, and its content was validated.

RESUMEN Objetivo: Adaptar y validar el contenido del Inventario para la Evaluación de Competencias en Enfermeras de Práctica Avanzada para la cultura brasileña. Métodos: Estudio metodológico que siguió las etapas de traducción, síntesis, retrotraducción, evaluación por un comité de cinco especialistas, pretest con 31 enfermeros y evaluación por el autor del instrumento original. Para evaluar el contenido, fueron calculados el Índice de Validez de Contenido (mínimo 0,90) y el Kappa modificado (mínimo 0,74). Resultado: En la primera fase de evaluación del contenido, 18 ítems fueron alterados, pues no alcanzaron los valores mínimos establecidos. En la segunda fase, tres ítems no obtuvieron consenso y fueron encaminados para el autor de la versión original. En el pretest, 13 ítems volvieron a los especialistas, pues sufrieron alteración de contenido. Conclusión: El Instrumento para Evaluación de Competencias del Enfermero de Práctica Avanzada - versión brasileña fue adaptado transculturalmente y tuvo su contenido validado.

RESUMO Objetivo: Adaptar e validar o conteúdo do Inventario para la Evaluación de Competencias en Enfermeras de Práctica Avanzada para a cultura brasileira. Métodos: Estudo metodológico que seguiu os estágios de tradução, síntese, retrotradução, avaliação por um comitê de cinco especialistas, pré-teste com 31 enfermeiros e avaliação pelo autor do instrumento original. Para avaliar o conteúdo, foram calculados o Índice de Validade de Conteúdo (mínimo 0,90) e o Kappa modificado (mínimo 0,74). Resultado: Na primeira rodada de avaliação do conteúdo, 18 itens foram alterados, pois não alcançaram os valores mínimos estabelecidos. Na segunda rodada, três itens não obtiveram consenso e foram encaminhados para o autor da versão original. No pré-teste, 13 itens retornaram aos especialistas, pois sofreram alteração de conteúdo. Conclusão: O Instrumento para Avaliação de Competências do Enfermeiro de Prática Avançada - versão brasileira foi adaptado transculturalmente e teve seu conteúdo validado.

Nursing coaching leadership and its influence on job satisfaction and patient safety. / Liderança coaching na enfermagem e sua influência na satisfação profissional e segurança do paciente.

OBJECTIVE: To compare the nursing technicians' perception with the nurses' self-perception of the exercise of nurses' coaching leadership and to check the influence of this leadership model on the safety climate and on the team's satisfaction. METHOD: This is a correlational study, carried out with 85 nurses and 85 nursing technicians, using the Questionnaire on the Nurse's Self-Perception of Leadership Exercise, the Questionnaire on Nursing Technicians' and Assistants' Perception of Leadership Exercise, and the subscales Safety climate and Satisfaction at Work. The relations among the professionals' responses were assessed using the Mann Whitney test and Spearman's coefficient. RESULTS: Nurses achieved higher means in the four dimensions of coaching Leadership, and in three, the differences were significant (p < 0.05). The dimensions of Coaching Leadership obtained positive and significant correlations with the subscales Safety Climate and Satisfaction, the majority being of moderate magnitude. CONCLUSION: Nurses' self-perception regarding the exercise of leadership was more positive than the technicians' assessment. The more the nurse exercises the dimensions of Coaching Leadership, the better the team's safety climate and satisfaction.

Psychological empowerment of health professionals / Empoderamiento psicológico de profesionales de la salud / Empoderamento psicológico dos profissionais de saúde

ABSTRACT Objective: To assess whether there are differences in psychological empowerment between different health professionals working in a teaching hospital. Method: A comparative, quantitative, and cross-sectional study carried out with 165 professionals selected at random and who worked in a teaching hospital in the inland of the state of São Paulo. The participants were divided into three groups: 1) nurses, 2) physicians, and 3) other professionals (physiotherapists, psychologists, pharmacists, speech therapists, social workers, and nutritionists). For data collection, a form was used to characterize the sample, as well as the Brazilian version of the Psychological Empowerment Instrument. To compare the scores between the three groups, the Kruskal-Wallis test was used, followed by Dunn' post-test. Results: Nurses, physicians, and other professionals scored 71.4; 69.3, and 71.1 points (p=0.5959), respectively, in the total score of the instrument Conclusion: There are no statistically significant differences in the perception of psychological empowerment of different health professionals. Conclusion: There are no statistically significant differences in the perception of psychological empowerment of different health professionals.

RESUMEN Objetivo: Evaluar si existen diferencias en el empoderamiento psicológico entre diferentes profesionales de la salud que trabajan en un hospital universitario. Método: Estudio comparativo, cuantitativo y transversal, realizado con 165 profesionales seleccionados al azar y que trabajaban en un hospital universitario en el interior de São Paulo. Los participantes se dividieron en tres grupos: 1) enfermeras, 2) médicos y 3) otros profesionales (fisioterapeutas, psicólogos, farmacéuticos, logopedas, trabajadores sociales y nutricionistas). Para la recolección de datos, se utilizó un formulario para caracterizar la muestra y la versión brasileña del Instrumento de Empoderamiento Psicológico. Para comparar las puntuaciones entre los tres grupos, se utilizó la prueba de Kruskal-Wallis, seguida de la prueba post-test de Dunn. Resultados: Enfermeras, médicos y otros profesionales obtuvieron promedios de 71,4, 69,3 y 71,1 puntos (p=0,5959), respectivamente, en la puntuación total del instrumento. Conclusión: No existen diferencias estadísticamente significativas en la percepción del empoderamiento psicológico de los diferentes profesionales de la salud.

RESUMO Objetivo: Avaliar se existem diferenças no empoderamento psicológico entre os diferentes profissionais da saúde que atuam em um hospital de ensino. Método: Estudo comparativo, quantitativo e transversal, realizado com 165 profissionais selecionados de maneira aleatória e que atuavam em um hospital de ensino do interior de São Paulo. Os participantes foram distribuídos em três grupos: 1) enfermeiros, 2) médicos e 3) outros profissionais (fisioterapeutas, psicólogos, farmacêuticos, fonoaudiólogos, assistentes sociais e nutricionistas). Para a coleta de dados foi utilizada uma ficha para caracterizar a amostra e a versão brasileira do Psychological Empowerment Instrument. Para comparação dos escores entre os três grupos foi utilizado o teste de Kruskal-Wallis, seguido pelo pós-teste de Dunn. Resultados: Os enfermeiros, médicos e outros profissionais obtiveram, respectivamente, médias de 71,4; 69,3 e 71,1 pontos (p=0,5959) no escore total do instrumento. Conclusão: Não existem diferenças estatisticamente significantes na percepção do empoderamento psicológico dos diferentes profissionais da saúde.

Liderança coaching na enfermagem e sua influência na satisfação profissional e segurança do paciente / Liderazgo coaching en la enfermería y su influencia sobre la satisfacción profesional y seguridad del paciente / Nursing coaching leadership and its influence on job satisfaction and patient safety

RESUMO Objetivo Comparar a percepção dos técnicos de enfermagem com a autopercepção do enfermeiro sobre o exercício da sua Liderança coaching e verificar a influência desse modelo de liderança no clima de segurança e na satisfação da equipe. Método Estudo correlacional, realizado com 85 enfermeiros e 85 técnicos de enfermagem, utilizando o Questionário de Autopercepção do Enfermeiro no Exercício da Liderança, o Questionário de Percepção do Técnico e Auxiliar de Enfermagem no Exercício da Liderança e as subescalas Clima de segurança e Satisfação no trabalho. As relações entre as respostas dos profissionais foram avaliadas pelo teste de Mann Whitney e coeficiente de Spearman. Resultados Os enfermeiros alcançaram maiores médias nas quatro dimensões da Liderança coaching, sendo que, em três, as diferenças foram significantes (p < 0,05). As dimensões da Liderança coaching obtiveram correlações positivas e significantes com as subescalas Clima de segurança e Satisfação, sendo a maioria de moderada magnitude. Conclusão A autopercepção dos enfermeiros, com relação ao exercício da liderança, foi mais positiva do que a avaliação dos técnicos. Quanto mais o enfermeiro exercer as dimensões da Liderança coaching, melhores serão o clima de segurança e a satisfação da equipe.

RESUMEN Objetivo Comparar la percepción de los técnicos de enfermería con la autopercepción del enfermero sobre la práctica de su Liderazgo coaching y verificar la influencia de ese modelo de liderazgo en el clima de seguridad y en la satisfacción del equipo. Método Estudio correlacional, realizado con 85 enfermeros y 85 técnicos de enfermería que utilizaron el Cuestionario de Autopercepción del Enfermero en la Práctica del Liderazgo, el Cuestionario de Percepción del Técnico y Auxiliar de Enfermería en la Práctica del Liderazgo y las subescalas clima de seguridad y Satisfacción en el trabajo. Las relaciones entre las respuestas de los profesionales fueron evaluadas por el test de Mann Whitney y coeficiente de Spearman. Resultados Los enfermeros alcanzaron mejores medias en las cuatro dimensiones del Liderazgo coaching, siendo que, en tres, las diferencias fueron significativas (p < 0,05). Las dimensiones del Liderazgo coaching obtuvieron correlaciones positivas y significativas con las subescalas Clima de seguridad y satisfacción, siendo la mayoría de moderada magnitud. Conclusión La autopercepción de los enfermeros, con relación a la práctica del liderazgo, fue más positiva que la evaluación de los técnicos. A la medida que el enfermero ejerce más las dimensiones de Liderazgo coaching, mejores serán el clima de seguridad y la satisfacción del equipo.

ABSTRACT Objective To compare the nursing technicians' perception with the nurses' self-perception of the exercise of nurses' coaching leadership and to check the influence of this leadership model on the safety climate and on the team's satisfaction. Method This is a correlational study, carried out with 85 nurses and 85 nursing technicians, using the Questionnaire on the Nurse's Self-Perception of Leadership Exercise, the Questionnaire on Nursing Technicians' and Assistants' Perception of Leadership Exercise, and the subscales Safety climate and Satisfaction at Work. The relations among the professionals' responses were assessed using the Mann Whitney test and Spearman's coefficient. Results Nurses achieved higher means in the four dimensions of coaching Leadership, and in three, the differences were significant (p < 0.05). The dimensions of Coaching Leadership obtained positive and significant correlations with the subscales Safety Climate and Satisfaction, the majority being of moderate magnitude. Conclusion Nurses' self-perception regarding the exercise of leadership was more positive than the technicians' assessment. The more the nurse exercises the dimensions of Coaching Leadership, the better the team's safety climate and satisfaction.

Psychological empowerment of health professionals.

OBJECTIVE: To assess whether there are differences in psychological empowerment between different health professionals working in a teaching hospital. METHOD: A comparative, quantitative, and cross-sectional study carried out with 165 professionals selected at random and who worked in a teaching hospital in the inland of the state of São Paulo. The participants were divided into three groups: 1) nurses, 2) physicians, and 3) other professionals (physiotherapists, psychologists, pharmacists, speech therapists, social workers, and nutritionists). For data collection, a form was used to characterize the sample, as well as the Brazilian version of the Psychological Empowerment Instrument. To compare the scores between the three groups, the Kruskal-Wallis test was used, followed by Dunn' post-test. RESULTS: Nurses, physicians, and other professionals scored 71.4; 69.3, and 71.1 points (p=0.5959), respectively, in the total score of the instrument. CONCLUSION: There are no statistically significant differences in the perception of psychological empowerment of different health professionals. CONCLUSION: There are no statistically significant differences in the perception of psychological empowerment of different health professionals.

Psychological empowerment of health professionals / Empoderamiento psicológico de profesionales de la salud / Empoderamento psicológico dos profissionais de saúde

Objective: To assess whether there are differences in psychological empowerment betweendifferent health professionals working in a teaching hospital.Method: A comparative, quantitative, and cross-sectional study carried out with165 professionals selected at random and who worked in a teaching hospital in the inland of thestate of São Paulo. The participants were divided into three groups: 1) nurses, 2) physicians,and 3) other professionals (physiotherapists, psychologists, pharmacists, speech therapists,social workers, and nutritionists). For data collection, a form was used to characterize thesample, as well as the Brazilian version of the Psychological Empowerment Instrument. Tocompare the scores between the three groups, the Kruskal-Wallis test was used, followed byDunn' post-test.Results: Nurses, physicians, and other professionals scored 71.4; 69.3, and71.1 points (p=0.5959), respectively, in the total score of the instrumentConclusion: There are no statistically significant differences in the perception of psychologicalempowerment of different health professionals.Conclusion: There are no statistically significant differences in the perception of psychologicalempowerment of different health professionals.Keywords: Power, psychological. Health personnel. Clinical competence. Nursing.

Objetivo: Evaluar si existen diferencias en el empoderamiento psicológico entre diferentesprofesionales de la salud que trabajan en un hospital universitario.Método: Estudio comparativo, cuantitativo y transversal, realizado con 165 profesionalesseleccionados al azar y que trabajaban en un hospital universitario en el interior de São Paulo.Los participantes se dividieron en tres grupos: 1) enfermeras, 2) médicos y 3) otrosprofesionales (fisioterapeutas, psicólogos, farmacéuticos, logopedas, trabajadores sociales ynutricionistas). Para la recolección de datos, se utilizó un formulario para caracterizar la muestray la versión brasileña del Instrumento de Empoderamiento Psicológico. Para comparar laspuntuaciones entre los tres grupos, se utilizó la prueba de Kruskal-Wallis, seguida de la pruebapost-test de Dunn.Resultados: Enfermeras, médicos y otros profesionales obtuvieron promedios de 71,4, 69,3 y71,1 puntos (p=0,5959), respectivamente, en la puntuación total del instrumento.Conclusión: No existen diferencias estadísticamente significativas en la percepción delempoderamiento psicológico de los diferentes profesionales de la salud.Palabras clave: Poder, psicológico. Personal de salud. Competencia clínica. Enfermería.

Objetivo: Avaliar se existem diferenças no empoderamento psicológico entre os diferentes profissionais da saúde que atuam em um hospital de ensino.Método: Estudo comparativo, quantitativo e transversal, realizado com 165 profissionais selecionados de maneira aleatória e que atuavam em um hospital de ensino do interior de São Paulo. Os participantes foram distribuídos em três grupos: 1) enfermeiros, 2) médicos e 3) outros profissionais (fisioterapeutas, psicólogos, farmacêuticos, fonoaudiólogos, assistentes sociais e nutricionistas). Para a coleta de dados foi utilizada uma ficha para caracterizar a amostra e a versão brasileira do Psychological Empowerment Instrument. Para comparação dos escores entre os três grupos foi utilizado o teste de Kruskal-Wallis, seguido pelo pós-teste de Dunn.Resultados: Os enfermeiros, médicos e outros profissionais obtiveram, respectivamente, médias de 71,4; 69,3 e 71,1 pontos (p=0,5959) no escore total do instrumento.Conclusão: Não existem diferenças estatisticamente significantes na percepção do empoderamento psicológico dos diferentes profissionais da saúde.Palavras-chave: Poder psicológico. Pessoal de saúde. Competência clínica. Enfermagem.