SCHFI 6. 2 Self-Care Confidence Scale - Brazilian version: psychometric analysis using the Rasch model

Objective: to evaluate the psychometric properties of the SelfCare Confidence Scale in heart failure in the Brazilian version of the Self Care Heart Failure Index, version 6.2, using the Rasch model criteria. Method: secondary study, of psychometric analysis, using the Rasch model, of the six items of the scale. The sample consisted of 409 patients with heart failure undergoing outpatient treatment [mean age 57.9 (standard deviation = 11.6) years, 54.8% male]. Results: of the total of six items, one ("De maneira geral, você está confiante sobre estar livre dos sintomas de insuficiência cardíaca?") presented maladjustment to the model (Infit = 1.84 and Outfit = 1.99). After the exclusion of this item, the others showed a good fit, composed one dimension and explained 55% of the variance in the data; the categories of response to the items were adequate, the values of separation and reliability of person were 2.13 and 0.82, respectively, and Cronbach's alpha was 0.87. Items of extreme difficulty were identified and there is no differential functioning of the items in relation to sex. Conclusion: with the exclusion of the first item, the Self-Care Confidence Scale showed good psychometric properties, with caution in interpreting the results of the six-item scale. Descriptors: Validation Study; Surveys and Questionnaires; Self Care; Patient Education as Topic; Heart Failure; Nursing.

Processo de enfermagem: um convite à reflexäo / Nursing process: inviting for reflection

Em 1972 MAUKSCH e DAVID fizeram algumas afirmaçöes sobre os benefícios de se utilizar a prescriçäo de enfermagem. Em 1987 DONNELY avaliou essas afirmaçöes frente a evoluçäo da profissäo. Com base nessas duas publicaçöes foram elaboradas algumas reflexöes que compöem a presente publicaçäo. Partimos do entendiemnto de que a implementaçäo do processo de enfermagem em nosso meio pode trazer decepçöes se a ele for atribuído o potencial de trazer soluçöes para os sérios problemas da prática de enfermagem.