VALIDATION OF COMPETENCIES ASSESSMENT SCALE IN A UNIVERSITY HOSPITAL NURSING TEAM

Tamada, Rosane Cristina Piedade; Cunha, Isabel Cristina Kowal Olm; Balsanelli, Alexandre Pazetto

doi:10.1590/1980-265X-TCE-2021-0219

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Original Article • Texto contexto - enferm. 31 • 2022 • https://doi.org/10.1590/1980-265X-TCE-2021-0219 copy

VALIDATION OF COMPETENCIES ASSESSMENT SCALE IN A UNIVERSITY HOSPITAL NURSING TEAM

VALIDACIÓN DE LA ESCALA DE EVALUACIÓN DE COMPETENCIAS EN UN EQUIPO DE ENFERMERÍA DE UN HOSPITAL UNIVERSITARIO

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to analyze the evidence of validity of an instrument for the evaluation of competencies in a nursing team of a university hospital.

Method:

methodological study to investigate evidence of validity of the scale, with previously validated content, was sent to 978 technical-administrative employees in education who worked in the nursing team in a university hospital, and the non-parametric sample consisted of 143 employees. The scale consisted of 10 competencies and 25 measurable actions in four levels of competencies. The internal consistency of the instrument was analyzed by calculating Cronbach's alpha coefficient and construct validity by confirmatory factor analysis.

Results:

53 nurses, 30 nursing technicians and 60 nursing assistants participated, totaling 143 professionals working in the hospital of a federal university in the state of São Paulo, Brazil. The confirmatory factor analysis of the instrument, based on the structure of 10 competencies, presented good adjustment indexes with χ²/GL=1.706, SRMR=0.071, RMSEA=0.070 and CFI=0.906, conferring construct validity. Cronbach's alpha was 0.924.

Conclusion:

through the statistical procedures adopted, it was concluded that the instrument has evidence of validity based on both the internal structure - construct, and internal consistency.

DESCRIPTORS:
Nursing; Nursing human resources; Public administration; Professional competence; Psychometry; Reproducibility of tests

Expected Action/Performance	Minimal	Maximum	Average	Standard deviation	Median	Third quartile	First quartile
Troubleshooting
1.1 I act immediately in problem solving in the work sector.	1	4	3.566	0.612	4	3	4
1.2 I contribute to activities that are beyond my direct attributions in problem solving, as long as they are within the scope of my position.	1	4	3.385	0.711	4	3	4
Teamwork
2.1 I relate cordially with colleagues/subordinates/superiors/users, in order to keep the work environment pleasant and productive, respecting differences.	1	4	3.657	0.629	4	3	4
2.2 I collaborate with colleagues of the work team in performing joint tasks, seeking alternatives and contributing to the achievement of institutional objectives.	1	4	3.678	0.577	4	3	4
Self-development
3.1 I set goals for the self-development of work skills necessary through different learning strategies.	1	4	3.266	0.702	3	3	4
3.2 I participate in internal and external professional training actions of the institution with a focus on meeting institutional needs.	1	4	3.105	0.820	3	3	4
3.3 I use feedback from performance reviews to improve my own development.	1	4	3.210	0.863	3	3	4
Productivity and quality at work
4.1 I develop the activities with the expected quality, aiming at achieving established goals.	1	4	3.615	0.616	4	3	4
4.2 I correctly use methods and techniques related to the activities I perform.	1	4	3.699	0.582	4	3,5	4
4.3 I rationalize the use of resources to carry out the work.	1	4	3.594	0.631	4	3	4
Creativity and innovation
5.1 I propose new ideas/solutions in the development of activities to face and overcome adversities and pressures at work.	1	4	3.280	0.764	3	3	4
5.2 I participate in the implementation of changes and innovations proposed in the labor sector.	1	4	3.350	0.771	4	3	4
Communication
6.1 I express ideas with clarity and objectivity.	1	4	3.524	0.670	4	3	4
6.2 I actively listen to the various opinions of the work team.	1	4	3.545	0.636	4	3	4
6.3 I share knowledge and information that may be relevant to the improvement of team activities.	1	4	3.615	0.604	4	3	4
Decision making
7.1 I set possible alternatives for certain situations, from the analysis of the context in which I am inserted.	1	4	3.524	0.579	4	3	4
7.2 I choose the most appropriate alternative to face the problem.	1	4	3.517	0.637	4	3	4
7.3 I follow the effectiveness of my decision.	1	4	3.448	0.678	4	3	4
Leadership
8.1 Promote the union of the work team around common goals, supporting and stimulating the development of people.	1	4	3.350	0.744	3	3	4
8.2 I encourage the team to carry out work, highlighting the importance of each one's contribution to achieving institutional objectives.	1	4	3.287	0.766	3	3	4
Systemic vision
9.1 I have a global view of the institution and identify how my work, directly or indirectly, impacts the development of the work of the other areas/sectors of the university.	1	4	3.371	0.678	3	3	4
9.2 I dialogue with other areas/sectors/organs of the university, identifying opportunities for the development of integrated actions.	1	4	2.930	0.917	3	2	4
User focus
10.1 I meet the needs of users, linked to my professional performance, with promptness and cordiality.	1	4	3.748	0.537	4	4	4
10.2 I anticipate users' needs, linked to my professional performance, developing solutions and respecting current standards.	1	4	3.650	0.608	4	3	4
10.3 I continuously seek to improve the quality of the services provided.	1	4	3.748	0.550	4	4	4

Performance benchmarks (item)	Cronbach's Alpha without the item
1.1 I act immediately on problem solving in the work sector.	0.922
1.2 I contribute to activities that are beyond my direct attributions in troubleshooting, as long as aligned with the scope of my position.	0.921
2.1 I relate cordially with colleagues/subordinates/superiors/users, in order to keep the work environment pleasant and productive, respecting the differences.	0.922
2.2 I collaborate with work colleagues in performing joint tasks, seeking alternatives and contributing to the achievement of institutional objectives.	0.921
3.2 I participate in internal and external professional training actions to the institution with a focus on meeting institutional needs.	0.923
3.3 I use feedback from performance reviews to improve my own development.	0.925
4.1 I develop the activities with the expected quality, aiming at achieving established goals.	0.919
4.2 I correctly use methods and techniques related to the activities I perform.	0.920
4.3 I rationalize the use of resources to carry out the work.	0.921
5.1 I propose new ideas/solutions in the development of activities to face and overcome adversities and pressures at work.	0.923
5.2 I participate in the implementation of changes and innovations proposed in the labor sector.	0.921
6.1 I express ideas with clarity and objectivity.	0.921
6.2 I actively listen to the various opinions of the work team.	0.919
6.3 I share knowledge and information that may be relevant to the improvement of team activities.	0.919
7.1 I set possible alternatives for certain situations, from the analysis of the context in which I am inserted.	0.921
7.2 I choose the most appropriate alternative to face the problem.	0.919
7.3 I follow the effectiveness of my decision.	0.919
8.1 Promote the union of the work team around common goals, supporting and stimulating the development of people.	0.922
8.2 I encourage the team to carry out the work, highlighting the importance of each one's contribution to achieving institutional objectives.	0.921
9.1 I have a global view of the institution and identify how my work, directly or indirectly, impacts the development of the work of the other areas/sectors of the university.	0.922
9.2 I dialogue with other areas/sectors/organs of the university, identifying opportunities for the development of integrated actions.	0.925
10.1 I meet the needs of users, linked to my professional performance, with promptness and cordiality.	0.919
10.2 I anticipate users' needs, linked to my professional performance, developing solutions and respecting current standards.	0.919
10.3 I continuously seek to improve the quality of the services provided.	0.920

Indexes	Calculated values	Reference values	Authors' references
χ2/GL	1.706	Between 1 and 3	Kline1616. Kline RB. Principles and Practice of Structural Equation Modeling [Internet]. New York, NY(US): The Guilford Press; 2016 [cited 2021 Mar 02]. Available from: Available from: https://www.semanticscholar.org/paper/Principles-and-Practice-of-Structural-Equation-Kline-Little/13ad6c2d86679ca7d6f5ad3aa69615afdde33d93 https://www.semanticscholar.org/paper/Pr...
GFI	0.813	0.85	Kline;1616. Kline RB. Principles and Practice of Structural Equation Modeling [Internet]. New York, NY(US): The Guilford Press; 2016 [cited 2021 Mar 02]. Available from: Available from: https://www.semanticscholar.org/paper/Principles-and-Practice-of-Structural-Equation-Kline-Little/13ad6c2d86679ca7d6f5ad3aa69615afdde33d93 https://www.semanticscholar.org/paper/Pr... O’Rourke e Hatcher1717 O’Rourke N, Hatcher L. A step-by-step approach to using SAS system for Factor Analysis and Structural Equation Modeling [Internet]. 2nd ed. Cary, NC(US): SAS Institute Inc.; 2013 [cited 2021 Mar 02]. Available from: Available from: https://support.sas.com/publishing/pubcat/chaps/61314.pdf https://support.sas.com/publishing/pubca...
AGFI	0.736	0.80	Kline;1616. Kline RB. Principles and Practice of Structural Equation Modeling [Internet]. New York, NY(US): The Guilford Press; 2016 [cited 2021 Mar 02]. Available from: Available from: https://www.semanticscholar.org/paper/Principles-and-Practice-of-Structural-Equation-Kline-Little/13ad6c2d86679ca7d6f5ad3aa69615afdde33d93 https://www.semanticscholar.org/paper/Pr... O’Rourke e Hatcher1717 O’Rourke N, Hatcher L. A step-by-step approach to using SAS system for Factor Analysis and Structural Equation Modeling [Internet]. 2nd ed. Cary, NC(US): SAS Institute Inc.; 2013 [cited 2021 Mar 02]. Available from: Available from: https://support.sas.com/publishing/pubcat/chaps/61314.pdf https://support.sas.com/publishing/pubca...
SRMR	0.071	Less than 0.10	Hair Junior et al.;1414. Hair JF Jr, William B, Babin B, Anderson RE. Análise multivariada de dados. 6th ed. Porto Alegre, RS(BR): Bookman; 2009. Kline1616. Kline RB. Principles and Practice of Structural Equation Modeling [Internet]. New York, NY(US): The Guilford Press; 2016 [cited 2021 Mar 02]. Available from: Available from: https://www.semanticscholar.org/paper/Principles-and-Practice-of-Structural-Equation-Kline-Little/13ad6c2d86679ca7d6f5ad3aa69615afdde33d93 https://www.semanticscholar.org/paper/Pr...
RMSEA	0.070	acceptable up to 0.08	Browne e Cudeck1818. Browne MW, Cudeck R. Alternative ways of assessing model fit. Sociol Methods Res [Internet]. 1992 [cited 2021 Mar 02];21(2):230-58. Available from: Available from: https://doi.org/10.1177/0049124192021002005 https://doi.org/10.1177/0049124192021002...
CFI	0.906	>= 0,90	Bentler;1919. Bentler PM. Comparative Fit Indexes in Structural Models. Psychol Bull [Internet]. 1990 Mar [cited 2021 Feb 20];107(2):238-46. Available from: Available from: http://doi.org/10.1037/0033-2909.107.2.238 http://doi.org/10.1037/0033-2909.107.2.2... Hu e Bentler2020. Hu L-T, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model [Internet]. 1999 [cited 2021 Feb 20];6(1):1-55. Available from: Available from: http://doi.org/10.1080/10705519909540118 http://doi.org/10.1080/10705519909540118...

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
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[1] CORRESPONDING AUTHOR
Rosane Cristina Piedade Tamada rosanetamada@gmail.com