Spanish version of the modified Advanced Practice Role Delineation tool, adaptation and psychometric properties

• Published in: International journal of nursing practice Vol. 24; no. 3; pp. e12635 - n/a
• Main Authors: Sevilla Guerra, Sonia, Risco Vilarasau, Ester, Galisteo Giménez, Maria, Zabalegui, Adelaida
• Format: Journal Article
• Language: English
• Published: Australia Wiley Subscription Services, Inc 01.06.2018
• Subjects: advanced practice; Advanced practice nurses; Cronbach's alpha; Debriefing; Delineation; Leadership; Nurse practitioners; Nursing; Professional practice; psychometrics; Quantitative psychology; questionnaire design; Questionnaires; Reliability; Role ambiguity; Role clarity; Roles; Spanish language; standard of care; surveys and questionnaires; Translation; Spain; psychometrics; standard of care; nursing; advanced practice; questionnaire design; surveys and questionnaires
• ISSN: 1322-7114; 1440-172X
• DOI: 10.1111/ijn.12635

SUMMARY STATEMENT What is already known about this topic? Professional nursing practice has been expanded to adapt to new health and social requirements. Internationally, there are instruments that describe and measure specific nursing activities and domains covered by advanced practice nurses. The modified Advanced Practice Role Delineation tool has been shown to be a valid, reliable instrument for predicting the extent of advanced practices across different organizations in contemporary society. At a time when advanced practice nursing roles are emerging in Spain, clarification of roles and delineation of functions is required using well‐adapted, precise tools to avoid confusion and role ambiguity. What this paper adds? Results of this study support the adaptation, validity, and reliability of the Spanish version of the modified Advanced Practice Role Delineation tool. Results confirm the reliability of the tool, which was estimated through internal consistency and test‐retest stability. The tool showed evidence of acceptable psychometric properties for use in a nursing and midwifery population in the Spanish context. The results provide a framework for delineating and measuring the extent of advanced nursing domains and activities in the study context. The implications of this paper: The findings should be used to explore and develop emerging advanced nursing practices in Spain. The tool will be useful to measure the extent of advanced nursing practice and activities within the study population and to influence role delineation. The tool could help to overcome role ambiguity and false expectations that could benefit future practice, professional development, and policy regarding advanced nursing practice. It will also allow comparison of advanced practice roles with those in other international contexts. Background Role clarity is vital to avoid confusion and role ambiguity within nursing. There is a need for valid, reliable tools that can delineate the profile of advanced nursing practice to measure the extent of advanced practices in Spain. Aim The main purpose of this study was to translate, cross‐culturally adapt, and psychometrically test the Spanish version of the modified Advanced Practice Role Delineation tool. Design The study was designed to follow symmetrical translation and cognitive debriefing to determine conceptual equivalence. A cross‐sectional survey was conducted to examine content validity and psychometric tests. Methods Data were collected over 6 months in 2015 and 2016. The study had a purposive sample of specialist nurses and nurses with an extended practice profile beyond that of a general nurse. Results The study achieved conceptual, semantic, and content equivalence of the items. The results provided support for the instrument's validity and reliability in advanced practice nursing in a tertiary and community hospital. The tool showed internal consistency, with a Cronbach's alpha coefficient of 0.86 and stability over time. Conclusion The findings should influence future nursing practice, research, and leadership while allowing assessment of Spanish advanced practice roles in an international context.