Translation, Adaptation, and Validation of the Self-Efficacy Scale for Clinical Nurse Leaders for the Portuguese Culture

Abstract

Studies related to the competencies of clinical nurse leaders as an advanced practice demonstrate that they are an asset to health organizations. However, it is pertinent to use an instrument to measure the self-efficacy of clinical nurse leaders in Portugal to facilitate managers’ decision-making. In this study, we aimed to translate, adapt, and validate the Clinical Nurse Leader Self-Efficacy Scale for the Portuguese cultural context. This is a quantitative, observational, and descriptive cross-sectional study. The sample of this study was non-probabilistic and intentional, consisting of 329 nurses responsible for shift and specialist nurses. The translation and validation process followed the internationally recognized guidelines on the psychometric properties of measurement instruments. The factor analysis explained 62.1% of the variance and had a seven-dimensional structure. The seven factors were: Patient-Centred Care; Unit Management; Clinical Leadership; Strategic Leadership; Team Management; Cost Reduction; and Care Planning. The confirmatory analysis showed that the seven-factor model achieved a suitable adjustment in the Portuguese context. The self-efficacy scale for clinical nurse leaders can be considered a valid and reliable instrument for application in Portugal in any care context. This scale allows the assessment of the nurse’s perception of their ability to intervene effectively as a clinical leader in their care team.

Translation, Cross-Cultural Adaptation, and Validation of Measurement Instruments: A Practical Guideline for Novice Researchers

“…8 Measurement instruments can include questionnaires, tests, rating scales and self-reports, 9 the latter being also known as Patient-Reported Outcomes Measures (PROMs). 10 In recent years we have conducted several cross-cultural validation studies of different measuring instruments, [11][12][13][14][15][16][17][18][19] which constitute a significant contribution to the development of experimental designs in the field of nursing and health services research. Several studies across different scientific areas are characterized by the use of specific terminology and by seeking to archive various equivalences across cultures.…”

Translation and psychometric evaluation of the persian version of the “Nursing Profession Self-Efficacy Scale”

“…Among the key missions of nurses is to understand the needs and interests of community and to promote a safe and effective environment in the administration and promotion of health policies. Recorded information indicates that if nurses do not play an active role as members or coordinators of the treatment team, provision of medical care will face some difficulties [ 2 ]. Nurses are required to provide quality and satisfactory services for patients.…”

Psychometric Properties of the Albanian Version of the Nursing Self-Efficacy Scale

“…SE is therefore a fundamental aspect of the nursing profession, as it is closely linked to decisions taken in clinical nursing care [ 13 ]. SE is relevant to nursing activities because it reflects nurses’ ability to verify nursing practices in different clinical contexts and influences nurses’ performance [ 14 , 15 , 16 ].…”