Contenuto dell'articolo principale
Abstract
Introduzione: Il ragionamento clinico è un processo nel corso del quale gli infermieri raccolgono spunti, elaborano le informazioni arrivano a comprendere il problema o la situazione del paziente pianificando e attuando gli interventi, valutando i risultati. Disegno dello studio: Obiettivo di questo studio è effettuare la validazione linguistica e culturale per il contesto Italiano della Nurse Clinical Reasoning Scale (NCRS).
Metodi: L'adattamento transculturale per sviluppare la versione italiana del questionario è stato effettuato seguendo le linee guida proposte da Beaton e collaboratori nel 2000.
Risultati: I risultati hanno evidenziato che la versione italiana dello strumento risulta affidabile sia dimostrando una buona coerenza interna (Alpha di Cronbach = 0.90), che una buona stabilití (ICC= 0.90; CI = 0.87-0.92; p= <0.001) e può essere proposta come un interessante mezzo di valutazione degli studenti infermieri nel corso dei tirocini clinici ed infermieri nella loro pratica clinica quotidiana.
Conclusioni: Avere a disposizione strumenti in lingua italiana favorisce la realizzazione di nuovi progetti di ricerca in vari ambiti, come quello sanitario, al fine di garantire la centralití del paziente nel processo assistenziale. Parole chiave: ragionamento clinico, competenze, validazione linguistica, infermieristica, studenti infermieri
Linguistic validation and cultural adaptation of the Nurse Clinical Reasoning Scale
Introduction: The clinical reasoning is a process in which nurses collect ideas, process information, they come to understand the problem or the patient's situation by planning and implementing interventions, evaluating the results. Study design: The aim of this study is to perform linguistic and cultural validation for the Italian context of the Nurse Clinical Reasoning Scale (NCRS). Methods: Transcultural adaptation to develop the Italian version of the questionnaire was carried out following the guidelines proposed by Beaton and collaborators in 2000. Results: The results showed that the Italian version of the instrument is reliable both showing a good internal consistency (Cronbach's Alpha = 0.90), and a good stability (ICC = 0.90; CI = 0.87-0.92; p = <0.001) and can be proposed as an interesting means of evaluating nursing students in the course of clinical placements and nurses in their daily clinical practice. Conclusions: Having tools available in Italian promotes the implementation of new research projects in various areas, such as health, in order to ensure the centrality of the patient in the care process. Key words: clinical reasoning, skills, linguistic validation, nursing, nursing students
Dettagli dell'articolo
Riferimenti
- Banning, M. (2008a). Clinical reasoning and its application to nursing: concepts and research studies. Nurse Educ Pract, 8(3), 177-183. doi:10.1016/j.nepr.2007.06.004
- Banning, M. (2008b). The think aloud approach as an educational tool to develop and assess clinical reasoning in undergraduate students. Nurse Educ Today, 28(1), 8-14. doi:10.1016/j.nedt.2007.02.001
- Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976), 25(24), 3186-3191.
- Cappelletti, A., Engel, J. K., & Prentice, D. (2014). Systematic review of clinical judgment and reasoning in nursing. Journal of Nursing Education, 53(8), 453-458.
- Collins, D. (2014). Cognitive interviewing practice: Sage.
- Dello Russo, C., Di Giulio, P., Brunelli, C., Dimonte, V., Villani, D., Renga, G., & Toscani, F. (2008). Validation of the Italian version of the Discomfort Scale - Dementia of Alzheimer Type. Journal Advanced Nursing, 64(3), 298-304. doi:10.1111/j.1365-2648.2008.04810.x
- Forsberg, E., Ziegert, K., Hult, H., & Fors, U. (2014). Clinical reasoning in nursing, a think-aloud study using virtual patients - a base for an innovative assessment. Nurse Educ Today, 34(4), 538-542. doi:10.1016/j.nedt.2013.07.010
- Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol, 46(12), 1417-1432.
- Hendricks, S., DeMeester, D., Stephenson, E., & Welch, J. (2016). Stakeholder Perceptions, Learning Opportunities, and Student Outcomes in Three Clinical Learning Models. J Nurs Educ, 55(5), 271-277. doi:10.3928/01484834-20160414-06
- Hoffman, K., Dempsey, J., Levett-Jones, T., Noble, D., Hickey, N., Jeong, S., . . . Norton, C. (2011). The design and implementation of an Interactive Computerised Decision Support Framework (ICDSF) as a strategy to improve nursing students' clinical reasoning skills. Nurse Educ Today, 31(6), 587-594. doi:10.1016/j.nedt.2010.10.012
- Hunter, S., & Arthur, C. (2016). Clinical reasoning of nursing students on clinical placement: Clinical educators' perceptions. Nurse Educ Pract, 18, 73-79. doi:10.1016/j.nepr.2016.03.002
- Kuiper, R., Pesut, D., & Kautz, D. (2009). Promoting the self-regulation of clinical reasoning skills in nursing students. The Open Nursing Journal, 3, 76.
- Larue, C., Dubois, S., Girard, F., Goudreau, J., & Dumont, K. (2013). [The development of clinical reasoning skills and leadership: personal factors and organizational factors]. Rech Soins Infirm(112), 76-87.
- Lee, J., Lee, Y. J., Bae, J., & Seo, M. (2016). Registered nurses' clinical reasoning skills and reasoning process: A think-aloud study. Nurse Educ Today, 46, 75-80. doi:10.1016/j.nedt.2016.08.017
- Levett-Jones, T., Hoffman, K., Dempsey, J., Jeong, S. Y.-S., Noble, D., Norton, C. A., . . . Hickey, N. (2010). The "˜five rights' of clinical reasoning: An educational model to enhance nursing students' ability to identify and manage clinically "˜at risk'patients. Nurse Educ Today, 30(6), 515-520.
- Liou, S.-R., Liu, H.-C., Tsai, H.-M., Tsai, Y.-H., Lin, Y.-C., Chang, C.-H., & Cheng, C.-Y. (2016). The development and psychometric testing of a theory-based instrument to evaluate nurses' perception of clinical reasoning competence. J Adv Nurs, 72(3), 707-717. doi:10.1111/jan.12831
- Liou, S. R., Liu, H. C., Tsai, S. L., Cheng, C. Y., Yu, W. C., & Chu, T. P. (2016). Development of the Computerized Model of Performance-Based Measurement System to Measure Nurses' Clinical Competence. Comput Inform Nurs, 34(4), 159-168; quiz 191. doi:10.1097/cin.0000000000000219
- O'Neill, E. S. (1999). Strengthening clinical reasoning in graduate nursing students. Nurse Educ, 24(2), 11-15.
- Pirjo, J., & Arman, M. (2014). Translation and cultural adaptation of the Illness Invalidation Inventory for use in Sweden. BMC Psychol, 2(1), 57. doi:10.1186/s40359-014-0057-9
- Sansoni, J., Mariani, P., De Caro, W., Sorrentino, M., Marucci, A. R., Giammarco, E., . . . van de Mortel, T. (2011). Lavaggio delle mani: confronto tra comportamenti dei Professionisti e degli Studenti in un grande Ospedale universitario. Professioni Infermieristiche, 64(4).
- Sedgwick, M., Grigg, L., & Dersch, S. (2014). Deepening the quality of clinical reasoning and decision-making in rural hospital nursing practice. Rural & Remote Health, 14(3).
- Shoukri, M. M., Asyali, M., & Donner, A. (2004). Sample size requirements for the design of reliability study: review and new results. Statistical Methods in Medical Research, 13(4), 251-271.
- Simmons, B. (2010). Clinical reasoning: concept analysis. J Adv Nurs, 66(5), 1151-1158.
- Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee-Lorenz, A., & Erikson, P. (2005). Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health, 8(2), 94-104. doi:10.1111/j.1524-4733.2005.04054.x
- Zidan, A., Awaisu, A., Hasan, S., & Kheir, N. (2016). The Living with Medicines Questionnaire: Translation and Cultural Adaptation into the Arabic Context. Value Health Reg Issues, 10, 36-40. doi:10.1016/j.vhri.2016.07.001
Riferimenti
Banning, M. (2008a). Clinical reasoning and its application to nursing: concepts and research studies. Nurse Educ Pract, 8(3), 177-183. doi:10.1016/j.nepr.2007.06.004
Banning, M. (2008b). The think aloud approach as an educational tool to develop and assess clinical reasoning in undergraduate students. Nurse Educ Today, 28(1), 8-14. doi:10.1016/j.nedt.2007.02.001
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976), 25(24), 3186-3191.
Cappelletti, A., Engel, J. K., & Prentice, D. (2014). Systematic review of clinical judgment and reasoning in nursing. Journal of Nursing Education, 53(8), 453-458.
Collins, D. (2014). Cognitive interviewing practice: Sage.
Dello Russo, C., Di Giulio, P., Brunelli, C., Dimonte, V., Villani, D., Renga, G., & Toscani, F. (2008). Validation of the Italian version of the Discomfort Scale - Dementia of Alzheimer Type. Journal Advanced Nursing, 64(3), 298-304. doi:10.1111/j.1365-2648.2008.04810.x
Forsberg, E., Ziegert, K., Hult, H., & Fors, U. (2014). Clinical reasoning in nursing, a think-aloud study using virtual patients - a base for an innovative assessment. Nurse Educ Today, 34(4), 538-542. doi:10.1016/j.nedt.2013.07.010
Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol, 46(12), 1417-1432.
Hendricks, S., DeMeester, D., Stephenson, E., & Welch, J. (2016). Stakeholder Perceptions, Learning Opportunities, and Student Outcomes in Three Clinical Learning Models. J Nurs Educ, 55(5), 271-277. doi:10.3928/01484834-20160414-06
Hoffman, K., Dempsey, J., Levett-Jones, T., Noble, D., Hickey, N., Jeong, S., . . . Norton, C. (2011). The design and implementation of an Interactive Computerised Decision Support Framework (ICDSF) as a strategy to improve nursing students' clinical reasoning skills. Nurse Educ Today, 31(6), 587-594. doi:10.1016/j.nedt.2010.10.012
Hunter, S., & Arthur, C. (2016). Clinical reasoning of nursing students on clinical placement: Clinical educators' perceptions. Nurse Educ Pract, 18, 73-79. doi:10.1016/j.nepr.2016.03.002
Kuiper, R., Pesut, D., & Kautz, D. (2009). Promoting the self-regulation of clinical reasoning skills in nursing students. The Open Nursing Journal, 3, 76.
Larue, C., Dubois, S., Girard, F., Goudreau, J., & Dumont, K. (2013). [The development of clinical reasoning skills and leadership: personal factors and organizational factors]. Rech Soins Infirm(112), 76-87.
Lee, J., Lee, Y. J., Bae, J., & Seo, M. (2016). Registered nurses' clinical reasoning skills and reasoning process: A think-aloud study. Nurse Educ Today, 46, 75-80. doi:10.1016/j.nedt.2016.08.017
Levett-Jones, T., Hoffman, K., Dempsey, J., Jeong, S. Y.-S., Noble, D., Norton, C. A., . . . Hickey, N. (2010). The "˜five rights' of clinical reasoning: An educational model to enhance nursing students' ability to identify and manage clinically "˜at risk'patients. Nurse Educ Today, 30(6), 515-520.
Liou, S.-R., Liu, H.-C., Tsai, H.-M., Tsai, Y.-H., Lin, Y.-C., Chang, C.-H., & Cheng, C.-Y. (2016). The development and psychometric testing of a theory-based instrument to evaluate nurses' perception of clinical reasoning competence. J Adv Nurs, 72(3), 707-717. doi:10.1111/jan.12831
Liou, S. R., Liu, H. C., Tsai, S. L., Cheng, C. Y., Yu, W. C., & Chu, T. P. (2016). Development of the Computerized Model of Performance-Based Measurement System to Measure Nurses' Clinical Competence. Comput Inform Nurs, 34(4), 159-168; quiz 191. doi:10.1097/cin.0000000000000219
O'Neill, E. S. (1999). Strengthening clinical reasoning in graduate nursing students. Nurse Educ, 24(2), 11-15.
Pirjo, J., & Arman, M. (2014). Translation and cultural adaptation of the Illness Invalidation Inventory for use in Sweden. BMC Psychol, 2(1), 57. doi:10.1186/s40359-014-0057-9
Sansoni, J., Mariani, P., De Caro, W., Sorrentino, M., Marucci, A. R., Giammarco, E., . . . van de Mortel, T. (2011). Lavaggio delle mani: confronto tra comportamenti dei Professionisti e degli Studenti in un grande Ospedale universitario. Professioni Infermieristiche, 64(4).
Sedgwick, M., Grigg, L., & Dersch, S. (2014). Deepening the quality of clinical reasoning and decision-making in rural hospital nursing practice. Rural & Remote Health, 14(3).
Shoukri, M. M., Asyali, M., & Donner, A. (2004). Sample size requirements for the design of reliability study: review and new results. Statistical Methods in Medical Research, 13(4), 251-271.
Simmons, B. (2010). Clinical reasoning: concept analysis. J Adv Nurs, 66(5), 1151-1158.
Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee-Lorenz, A., & Erikson, P. (2005). Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health, 8(2), 94-104. doi:10.1111/j.1524-4733.2005.04054.x
Zidan, A., Awaisu, A., Hasan, S., & Kheir, N. (2016). The Living with Medicines Questionnaire: Translation and Cultural Adaptation into the Arabic Context. Value Health Reg Issues, 10, 36-40. doi:10.1016/j.vhri.2016.07.001