CULTURAL ADAPTATION AND VALIDATION OF THE MORAL SENSITIVITY QUESTIONNAIRE AMONG BRAZILIAN NURSES

ABSTRACT Objective: cultural adaptation and validation of the Moral Sensitivity Questionnaire to assess moral sensitivity among Brazilian nurses. Method: methodological study with 106 nurses from two hospitals located in the south of Brazil. The instrument was culturally adapted according to international guidelines, following six steps: translation, reconciliation of translated versions, back translation, expert panel, pretest, and final review. The Brazilian version was validated in the Brazilian context using factor analysis and Cronbach’s alpha. Results: after the expert panel’s assessment, pretest, and verification of face and content validity, the instrument was considered satisfactory to be applied among Brazilian nurses. Six constructs were identified: Respect for patients’ autonomy, modified autonomy, experiencing moral conflict, having confidence in medical and nursing knowledge, structuring moral meanings, and teamwork. The instrument presented satisfactory internal consistency, with a Cronbach’s alpha equal to 0.62; the Cronbach’s alpha of the six constructs ranged from 0.60 to 0.67. Conclusion: the Brazilian version of the Moral Sensitivity Questionnaire is valid and reliable to be applied among Brazilian nurses and can improve understanding of factors involving decision-making when facing ethical conflicts.

Cross-cultural adaptation and validation of the Nursing Student Satisfaction Scale for use with Brazilian nursing students

OBJECTIVE

to cross-culturally adapt and validate the Nursing Student Satisfaction Scale (NSSS) for use with nursing students in the Brazilian context.

METHOD

this was a quantitative exploratory and descriptive study using a cross-sectional design conducted with 123 undergraduate nursing students studying at a public university in the south of Brazil. The cross-cultural adaptation was performed according to international guidelines. Validation for use in a Brazilian context was performed using factor analysis and Cronbach's alpha.

RESULTS

based on the expert committee assessment and pre-test, face and content validity were considered satisfactory. Factor analysis resulted in three constructs: curriculum and teaching; professional social interaction, and learning environment. The internal consistency of the instrument was satisfactory: the value of Cronbach's alpha coefficient was 0.93 for the instrument as a whole, and between 0.88 and 0.89 for the constructs.

CONCLUSION

the Brazilian version of the Nursing Student Satisfaction Scale was shown to be reliable and validated for the evaluation of student satisfaction with undergraduate nursing programs, considering the aspects teaching activities, curriculum, professional social interaction, and learning environment.

Publication guidelines need widespread adoption

OBJECTIVE

During the past two decades teams of researchers and editors have developed a variety of publishing guidelines to improve the quality of published research reports. Journals and editorial groups have adopted many of these guidelines. Whereas some guidelines are widely used, others have yet to be generally applied, thwarting attainment of consistent reporting among published research reports. The aim of this study is to describe the development and adoption of general publication guidelines for various study designs, provide examples of guidelines adapted for specific topics, and recommend next steps.

STUDY DESIGN AND SETTING

We reviewed generic guidelines for reporting research results and surveyed their use in PubMed and Science Citation Index.

RESULTS

Existing guidelines cover a broad spectrum of research designs, but there are still gaps in topics and use. Appropriate next steps include increasing use of available guidelines and their adoption among journals, educating peer reviewers on their use, and incorporating guideline use into the curriculum of medical, nursing, and public health schools.

CONCLUSION

Wider adoption of existing guidelines should result in research that is increasingly reported in a standardized, consistent manner.

Scientific and statistical reviews of manuscripts submitted to Nursing Research: Comparison of completeness, quality, and usefulness

Sound statistical analysis is fundamental to high-quality reporting of quantitative studies. Peer review are also important in determining whether statistical procedures in submitted manuscripts are appropriate and effectively reported. However, the quality of statistical reviews of manuscripts submitted to nursing journals has not been previously evaluated. The purpose of this project was to compare the content and quality of statistical and scientific (general) reviews of manuscripts submitted to Nursing Research. The General Assessment of Reviews of Nursing Research (GARNR) and the Statistical Assessment of Reviews of Nursing Research (SARNR) were used to evaluate 105 reviews of 35 manuscripts assigned to both scientific and statistical review between August 2007 and February 2009. Scientific reviews were rated as more comprehensive, but most did not evaluate statistical aspects of a manuscript. Statistical reviews were more likely to identify fatal flaws, were generally rated higher in overall usefulness to the editor in making a decision on whether to publish, and were rated as more useful to authors for improving a manuscript. Statistical and scientific reviews are complementary and both are necessary. More thorough integration of substantive and methodological content in reviews of quantitative studies has potential for even greater leverage of effort and improved quality of nursing research reports.