Construcción y validación de la Escala de Comunicación Interprofesional en Salud

Brás, Cláudia Patrícia da Costa; Ferreira, Manuela Maria Conceição; Figueiredo, Maria do Céu Aguiar Barbieri de

doi:10.1590/0034-7167-2022-0483

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 76 (3) • 2023 • https://doi.org/10.1590/0034-7167-2022-0483 linkcopiar

Construcción y validación de la Escala de Comunicación Interprofesional en Salud

Autoría SCIMAGO INSTITUTIONS RANKINGS

Objetivos: construir y validar la Escala de Comunicación Interprofesional en Salud.

Métodos: el estudio psicométrico se realizó sobre una muestra de 360 enfermeras de un centro hospitalario y universitario del centro de Portugal. La confiabilidad se evaluó a través de la consistencia interna y la validez de constructo mediante análisis factorial exploratorio y confirmatorio.

Resultados: la Escala de Comunicación Interprofesional en Salud, compuesta por 27 ítems, se organiza en 3 factores: “Trabajo en equipo”, “Gestión de conflictos” y “Liderazgo”, con una varianza total del 51,1%. Se obtuvo una buena consistencia interna, con un alfa de Cronbach de 0,842, y adecuados índices de bondad de ajuste del modelo.

Conclusiones: la Escala de Comunicación Interprofesional en Salud presenta una estructura factorial con resultados adecuados de validez y confiabilidad, pudiendo constituir un instrumento de autoinforme útil en la evaluación de la comunicación interprofesional en salud.

Descriptores:
Comunicación; Grupo de Atención al Paciente; Enfermería; Estudio de Validación; Psicometría.

Items		M(±SD*)	Total r/item	α*** without item 1^st assessment	α *** without item 2^nd assessment	Ω **** MacDonald
1	I have an attitude of affection and solicitude towards team members	4.07 (±0.61)	0.512	0.837	0.871	0.929
2	I demonstrate a positive attitude to motivate others	4.04 (±0.61)	0.597	0.835	0.869	0.929
3	I relate to team members in a delicate and caring way	4.14 (±0.60)	0.582	0.835	0.870	0.929
4	I show empathy and concern in the relationship	4.14 (±0.60)	0.642	0.835	0.869	0.928
5	I establish cooperative relationships. assertiveness and trust with team members	4.15 (±0.54)	0.630	0.835	0.870	0.928
6	I develop and maintain relationships based on truth	4.48 (±0.58)	0.479	0.837	0.871	0.930
7	I develop my thinking about other team members	4.18 (±2.22)	0.137	0.856	----	----
8	I understand and respect the individuality and roles of each team member	4.29 (±0.62)	0.485	0.837	0.872	0.930
9	I consider the needs and interests of team members	4.06 (±0.61)	0.459	0.837	0.870	0.930
10	I understand the diversity of teams, skills and professional knowledge, and I take advantage of this for the benefit of all	4.00 (±0.62)	0.546	0.836	0.876	0.929
11	I provide opportunities for interaction and opinion formation within the group	3.83 (±1.24)	0.296	0.840	0.871	0.932
12	I accept criticism and listen to divergent ideas/perspectives as stimulators of creativity and innovation	4.03 (±0.60)	0.522	0.836	0.869	0.929
13	I create conditions for the divergence of perspectives to be channeled towards improving the quality of care	3.79 (±0.68)	0.611	0.834	0.882	0.929
14	I allow team members opportunities to mobilize their skills in the development of care	3.94 (±1.66)	0.226	0.845	0.873	0.933
15	I express my own interests in a simple and direct way, distinguishing them from the team goals	3.38 (±0.92)	0.345	0.838	0.869	0.932
16	I have the ability to negotiate within the healthcare team based on compromise (mutual interests)	3.58 (±0.78)	0.563	0.834	0.870	0.929
17	I can effectively manage conflict by channeling it towards improving the quality of care	3.66 (±0.69)	0.567	0.835	0.893	0.929
18	I value my skills in problem-solving	3.92 (±2.27)	0.214	0.852	0.869	0.933
19	I reveal effective participation in the decision, planning and coordination of care	3.83 (±0.67)	0.605	0.834	0.870	0.929
20	I share knowledge and skills	4.07 (±0.56)	0.606	0.835	0.892	0.929
21	I help foster team spirit to achieve better results	4.17 (±2.24)	0.216	0.852	0.869	0.933
22	I have the ability to integrate team members	4.08 (±0.64)	0.580	0.835	0.869	0.929
23	I facilitate consensus building	3.87 (±0.65)	0.602	0.835	0.870	0.929
24	I recognize the commitment and continued commitment of the team members	3.92 (±0.61)	0.571	0.836	0.870	0.929
25	I obtain elements that allow me to understand the impact of my actions and the way in which they are being received and interpreted by others	3.64 (±0.65)	0.539	0.836	0.869	0.930
26	I review carefully and in detail all the information I convey to team members	3.72 (±0.72)	0.598	0.834	0.869	0.929
27	I provide team members with indications of how they are or are not succeeding in delivering care	3.46 (±0.81)	0.565	0.834	0.870	0.929
28	I inform the team about my perceptions, thoughts and needs	3.59 (±0.77)	0.528	0.835	0.870	0.930
29	I am clear and concise in sharing messages with the healthcare team	3.92 (±0.63)	0.570	0.835	0.871	0.929
30	I provide relevant information to guide team members	3.97 (±1.72)	0.209	0.846	---	---
31	I transmit to the other team members the relevant information that users transmit to me	4.34 (±2.17)	0.157	0.854	----	----
32	I have scientific knowledge to present data about patients and their clinical details to team members	4.00 (±0.61)	0.498	0.837	0.871	0.930
33	I keep clear and adequate records (written or electronic) of meetings	3.99 (±0.73)	0.401	0.838	0.869	0.931
34	I refer people/institutions to help solve problems	3.65 (±0.80)	0.401	0.837	0.870	0.931

Items		Factors
Items	1	2	3	Initial *h²
5	0.81			0.73
3	0.79			0.69
4	0.78			0.72
1	0.71			0.60
2	0.69			0.66
8	0.67			0.66
6	0.60			0.56
9	0.59			0.57
10	0.51			0.52
12	0.46			0.43
16		0.72		0.62
15		0.71		0.56
28		0.66		0.66
27		0.66		0.60
25		0.63		0.64
17		0.55		0.52
13		0.52		0.53
24		0.46		0.59
23		0.46		0.55
33			0.70	0.60
32			0.66	0.51
34			0.53	0.61
22			0.52	0.64
20			0.50	0.60
19			0.49	0.58
26			0.45	0.55
29			0.42	0.47

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[TFN1] ^*
M - mean;

[TFN2] ^**
SD - standard deviation;

[TFN3] ^***
α - Cronbach’s alpha; Ω^**** - McDonald’s omega.