Bresolin Paula, Olaussen Camilla, Martini Jussara Gue, Lazzari Daniele Delacanal, Nes Andréa Aparecida Gonçalves
Federal University of Santa Catarina, Brazil.
Lovisenberg Diaconal University College, Norway.
Nurse Educ Pract. 2025 Aug;87:104471. doi: 10.1016/j.nepr.2025.104471. Epub 2025 Jul 9.
To translate the Self-Efficacy in Clinical Performance scale into Brazilian Portuguese and evaluate its psychometric properties.
Self-efficacy is key to academic performance, supporting the growth of clinical and personal skills. Promoting self-efficacy in nursing students requires educational strategies that enhance both confidence and competence, along with effective tools to measure and deepen understanding of self-efficacy.
This research used a cross-sectional study design, collecting data from undergraduate nursing students at public and private universities in Brazil during 2022 and 2023. Data from 375 students with clinical practice experience were used for psychometric testing. Of these participants, 45 completed a test-retest.
The Self-Efficacy in Clinical Performance scale was translated and evaluated in six steps: forward translation, forward translation synthesis, backward translation, backward translation synthesis, cognitive debriefing and psychometric testing. The psychometric properties of the translated instrument were investigated using confirmatory factor analysis, Cronbach's alpha, McDonald's omega, composite reliability and test-retest analyses.
The translated instrument proved acceptable. In the confirmatory factor analysis, fit indices demonstrated an excellent model fit. The Cronbach's alpha, McDonald's omega and composite reliability values at the latent factor levels ranged from .93 to.98, indicating good internal consistency. Test-retest analyses indicated good to excellent test-retest reliability in all the latent factors, with intraclass correlation coefficients ranging from 0.852 to 0.924.
The Brazilian Portuguese version of the Self-Efficacy in Clinical Performance scale offers potential as a useful instrument to assess the self-efficacy of nursing students in clinical practice in nursing education.
将临床实践自我效能感量表翻译成巴西葡萄牙语，并评估其心理测量学特性。
自我效能感是学业成绩的关键，有助于临床技能和个人技能的提升。在护理专业学生中提升自我效能感需要教育策略来增强信心和能力，以及有效的工具来测量和深化对自我效能感的理解。
本研究采用横断面研究设计，于2022年和2023年收集巴西公立和私立大学本科护理专业学生的数据。来自375名有临床实践经验的学生的数据用于心理测量学测试。其中45名参与者完成了重测。
临床实践自我效能感量表的翻译和评估分六个步骤进行：正向翻译、正向翻译综合、反向翻译、反向翻译综合、认知反馈和心理测量学测试。使用验证性因素分析、克朗巴赫α系数、麦克唐纳ω系数、组合信度和重测分析来研究翻译后工具的心理测量学特性。
翻译后的工具被证明是可接受的。在验证性因素分析中，拟合指数显示模型拟合良好。潜在因素水平下的克朗巴赫α系数、麦克唐纳ω系数和组合信度值在0.93至0.98之间，表明内部一致性良好。重测分析表明，所有潜在因素的重测信度良好至优秀，组内相关系数在0.852至0.924之间。
临床实践自我效能感量表的巴西葡萄牙语版本有潜力作为一种有用的工具，用于评估护理教育中护理专业学生在临床实践中的自我效能感。
