[Validation of a questionnaire that measures perceptions of the role of community nursing professionals in Peru]

Aten Primaria. 2022 Feb;54(2):102194. doi: 10.1016/j.aprim.2021.102194. Epub 2021 Nov 17.
[Article in Spanish]

Abstract
in English, Spanish

Objective: To develop a valid and reliable scale to measure the role of the nursing professional in the community (REFCO).

Design: Observational with cross-sectional and instrumental design. SITE: Populated centers and communities of the coast, highlands and jungle from Peru.

Participants: The validation phase of the questionnaire had the voluntary participation of 402 Peruvian adults (50.7% from the coast, 40.5% from the highlands and 8.8% from the jungle).

Interventions: The elaborated questionnaire that measures perceptions about the role of the nursing professional in the community was applied.

Main measurements: The psychometric properties of the REFCO scale were analyzed, such as content validation and internal consistency through the calculation of Aiken's V, exploratory factor analysis (EFA) and later confirmatory factor analysis (CFA), respectively. Finally, the reliability of the scale was calculated.

Results: Overall, all values were statistically significant when evaluated with the V-Aiken coefficient. Likewise, the skewness and kurtosis values of all the items of the instrument did not exceed the range >±1.5. The correlations between factors 1 and 2 were significant (p < .05). The reliability of the scale presents a Cronbach's α coefficient = 0.865.

Conclusions: The REFCO scale has 9 items and 2 dimensions; outreach and education; with content and construct validity that provide evidence for community nursing categories, which is useful for measuring nursing work in the community field.

Objetivo: Elaborar una escala válida y fiable para medir el rol del profesional de enfermería en la comunidad (REFCO).

Diseño: Estudio observacional con diseño transversal de tipo instrumental.

Emplazamiento: Centros poblados y comunidades de la Costa, Sierra y Selva del Perú.

Participantes: La fase de validación del cuestionario contó con la participación voluntaria de 402 adultos peruanos (50,7% de la costa, 40,5% de la sierra y 8,8% de la selva).

Intervenciones: Se aplicó el cuestionario elaborado que mide las percepciones sobre la escala REFCO.

Mediciones principales: Se analizaron las propiedades psicométricas de la escala REFCO, tales como la validación de contenido y consistencia interna a través del cálculo de V de Aiken, análisis factorial exploratorio (AFE) y posteriormente análisis factorial confirmatorio (AFC), respectivamente. Finalmente, se calculó la confiabilidad de la escala.

Resultados: Todos los valores fueron estadísticamente significativos cuando se evaluaron con el coeficiente de V-Aiken. Asimismo, los valores de asimetría y curtosis de todos los ítems del instrumento no exceden el rango > ± 1,5. Las correlaciones entre el factor 1 y 2 fueron significativas (p <,05). La confiabilidad de la escala presenta un coeficiente α de Cronbach = 0,865.

Conclusiones: La escala REFCO posee nueve ítems y dos dimensiones, salida al campo y educación, con validez de contenido y constructo que proporcionan evidencia para categorías de enfermería comunitaria, siendo útil para medir la labor de la misma en el campo comunitario.

Keywords: Atención primaria de salud (DeCS); Community health nursing; Educación; Education; Enfermería en salud comunitaria; House calls; Public health (MeSH); Visita domiciliaria.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Humans
  • Peru
  • Psychometrics
  • Reproducibility of Results*
  • Surveys and Questionnaires