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AIMS AND OBJECTIVES: To validate clinically the nursing outcome "Swallowing status". METHODS: The adjustment of the nursing outcome was investigated according to the Classical and Item Response Theories. The models were compared regarding information loss, goodness‐of‐fit, and differential item functioning. Stability and internal consistency were examined. RESULTS: The nursing outcome has the best fit in the generalized partial credit model with different discrimination parameters. Strong correlations among the scores of each indicator were observed. There was no differential item functioning of the outcome indicators. The scale presented high internal consistency (Cronbach's α =.954) and stability (and >.800). CONCLUSIONS: This study presents a valid nursing outcome. RELEVANCE TO CLINICAL PRACTICE: Most accurate monitoring of sensitivity to an intervention. OBJETIVO: Validar clinicamente o resultado de enefermagem "Estado da Deglutição". MÉTODOS: O ajustamento do resultado foi investigado de acordo com as teorias Clássica e de Resposta ao Item. Os modelos foram comparados assumindo parâmetros de itens cruzados de igual discriminação. Investigaram‐se as propriedades de bondade do ajuste, funcionamento diferencial dos itens, estabilidade e consistência interna. RESULTADOS: O resultado se ajustou melhor a partir do Modelo de crédito parcial generalizado, o qual demonstrou unidimensionalidade do resultado e forte correlação entre os escores de cada indicador. Não houve funcionamento diferencial dos indicadores. A consistência interna para a escala global (Cronbach's α =.954) e a estabilidade (>.800) mantiveram‐se elevadas. CONCLUSÃO: O estudo apresenta um resultado de enfermagem válido. RELEVÂNCIA PARA A PRÁTICA CLÍNICA: Maior acurácia para monitorar a sensibilidade da intervenção. [ABSTRACT FROM AUTHOR]

Abstract: Background: Assessing children's motor skills is important for identifying children with delays, measuring learning, and determining teaching effectiveness. One popular assessment for measuring fundamental motor skills in children is the Test of Gross Motor Development‐2 (TGMD‐2). Although the TGMD‐2 long form is widely known, a short form of the TGMD‐2 has not been yet proposed and investigated. The aim of this study was to develop a short form of the TGMD‐2 and to examine its validity, interrater reliability and test–retest reliability. Method: Data from 2,463 Brazilian children were analyzed. Exploratory and confirmatory factor analysis was used to investigate the validity of reducing the number of TGMD‐2 skills. Results: The short‐form version of the TGMD‐2 with six skills has appropriate indices of confirmatory factorial validity (root mean square error of approximation: 0.06, 90% confidence interval [0.06, 0.07]; comparative fit index: 0.94; normed fit index: 0.94: Tucker–Lewis index: 0.83; goodness‐of‐fit index: 0.98; adjusted goodness‐of‐fit index: 0.95), internal consistency (α = 0.70 for the overall test), interrater and intrarater reliability (intraclass correlation coefficients values from 0.81 to 0.96) and test–retest reliability (r values from 0.55 to 0.95). Conclusions: From these findings, practitioners now have a valid and reliable, short form of the TGMD‐2 for use in assessing children's motor skill competence; promoting wider use of the test for screening and pedagogical purposes. [ABSTRACT FROM AUTHOR]

Aim To translate, adapt and evaluate psychometric properties of the complete (15 items) and reduced (three items) versions of the Care Transitions Measure into Brazilian Portuguese. Introduction The Care Transitions Measure assesses the quality of care transitions, from the perspective of patients. As accomplishing effective transitions is a challenge to healthcare systems, the instrument provides an opportunity to assess care transitions and improve quality initiatives. Methods A three-phased design was used for cross-cultural adaptation, pre-testing and evaluation of psychometric properties of the measurement in a Brazilian hospital. After forward translation, back translation and expert committee review, patients evaluated the instrument in a pre-test. Psychometric testing included face and content validity, reliability, stability and factorial analysis. Results Cross-cultural adaptation was completed successfully with a high clarity rate. Internal consistency was good in the 15-item version and was moderate in the three-item version. Test-retest reliability showed good stability of the two versions over time. The three-item version had satisfactory criterion validity. Four factors were extracted for the 15-item measure. Limitations Samples were restricted to a group of patients from one hospital in southern Brazil. Future studies should test the measurement's construct and predictive validity. Conclusions The translated version of the Care Transitions Measure has good face and content validity, reliability and stability. It has shown to be a valid measurement for evaluating the quality of care transitions in Brazil. Implications for nursing and health policy Results are beneficial for nurses, managers and policy makers for evaluating care transitions and support the need for changes in policies and practices. [ABSTRACT FROM AUTHOR]

Fear of movement (kinesiophobia) seems to play an important role in the development of chronic pain. However, for temporomandibular disorders ( TMD), there is a scarcity of studies about this topic. The Tampa Scale for Kinesiophobia for TMD ( TSK/ TMD) is the most widely used instrument to measure fear of movement and it is not available in Brazilian Portuguese. The purpose of this study was to culturally adapt the TSK/ TMD to Brazilian Portuguese and to assess its psychometric properties regarding internal consistency, reliability, and construct and structural validity. A total of 100 female patients with chronic TMD participated in the validation process of the TSK/ TMD-Br. The intraclass correlation coefficient ( ICC) was used for statistical analysis of reliability (test-retest), Cronbach's alpha for internal consistency, Spearman's rank correlation for construct validity and confirmatory factor analysis ( CFA) for structural validity. CFA endorsed the pre-specified model with two domains and 12-items (Activity Avoidance - AA/Somatic Focus - SF) and all items obtained a loading factor greater than 0·4. Acceptable levels of reliability were found (ICC > 0·75) for all questions and domains of the TSK/ TMD-Br. For internal consistency, Cronbach's α of 0·78 for both domains were found. Moderate correlations (0·40 < r < 0.60) were observed for 84% of the analyses conducted between TSK/ TMD-Br scores versus catastrophising, depression and jaw functional limitation. TSK/ TMD-Br 12 items and two-factor demonstrated sound psychometric properties (transcultural validity, reliability, internal consistency and structural validity). In such a way, the instrument can be used in clinical settings and for research purposes. [ABSTRACT FROM AUTHOR]