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Estudo psicométrico da Parental-Caregiver Perception Questionnaire
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Introdução: Ao longo da formação especializada em Enfermagem de Saúde Infantil e Pediátrica foram desenvolvidas competências centradas na criança e na família, com enfoque na promoção da saúde, na prevenção da doença e na qualidade dos cuidados. A saúde oral assume particular relevância pelo seu impacto no bem-estar e na qualidade de vida infantil. A sua avaliação pode ser realizada através da perceção dos pais/cuidadores, sendo o Parental-Caregiver Perceptions Questionnaire (P-CPQ) um instrumento amplamente utilizado para este fim.
Objetivo: Refletir criticamente sobre as competências desenvolvidas ao longo do percurso de estágio e avaliar as propriedades psicométricas da versão portuguesa do P-CPQ. Metodologia: Recorreu-se a uma metodologia crítico-reflexiva para analisar as competências desenvolvidas nos contextos de Urgência Pediátrica, Internamento de Pediatria e Neonatologia. Paralelamente, realizou-se um estudo metodológico, transversal e quantitativo, com uma amostra não probabilística por conveniência constituída por 250 pais/cuidadores de crianças com idades compreendidas entre os 6 e os 14 anos. Procedeu-se à análise da consistência interna, fiabilidade compósita, validade convergente e
discriminante e análise fatorial confirmatória.
Resultados: A versão portuguesa do P-CPQ apresentou elevada consistência interna para a escala global (α = 0,909; ω = 0,906), com melhores indicadores nas dimensões de Bem-estar Emocional e Bem-estar Social. A análise fatorial confirmatória sustentou globalmente a estrutura teórica do instrumento, verificando-se cargas fatoriais estatisticamente significativas para todos os itens. Os resultados evidenciaram propriedades psicométricas globalmente adequadas, embora as dimensões clínicas tenham apresentado indicadores menos robustos de validade convergente e discriminante. O percurso de estágio permitiu consolidar competências especializadas na avaliação da criança e da família, comunicação terapêutica, gestão da dor, promoção do desenvolvimento infantil, capacitação parental e prestação de cuidados centrados na família.
Conclusão: A versão portuguesa do P-CPQ demonstrou propriedades psicométricas globalmente adequadas, sustentando a sua utilização na avaliação da qualidade de vida relacionada com a saúde oral em crianças portuguesas. O percurso formativo contribuiu para o desenvolvimento de competências especializadas em Enfermagem de Saúde Infantil e Pediátrica, reforçando a integração da evidência científica na prática clínica e a prestação de cuidados centrados na criança e na família.
Palavras-chave: qualidade de vida; saúde oral; criança; cuidadores; estudos de validação.
Abstract Introduction: Throughout the specialization in Child and Pediatric Health Nursing, competencies focused on child- and family-centred care were developed, with emphasis on health promotion, disease prevention, and quality of care. Oral health plays a key role in children's overall well-being and quality of life. Its assessment may be undertaken through parental and caregiver perceptions, with the Parental-Caregiver Perceptions Questionnaire (P-CPQ) being a widely used instrument for this purpose. Objective: To critically reflect on the competencies developed throughout the clinical placement experience and to evaluate the psychometric properties of the Portuguese version of the P-CPQ. Methods: A critical-reflective approach was used to analyse the competencies developed in Pediatric Emergency Care, Pediatric Inpatient Care, and Neonatology settings. In parallel, a quantitative, cross-sectional, methodological study was conducted with a non-probabilistic convenience sample of 250 parents/caregivers of children aged between 6 and 14 years. Internal consistency, composite reliability, convergent and discriminant validity, and confirmatory factor analysis were assessed. Results: The Portuguese version of the P-CPQ demonstrated high overall internal consistency (α = 0.909; ω = 0.906), with stronger indicators in the Emotional Well-being and Social Well-being dimensions. Confirmatory factor analysis generally supported the theoretical structure of the instrument, with statistically significant factor loadings for all items. The findings indicated overall adequate psychometric properties, although the clinical dimensions showed less robust convergent and discriminant validity indicators. The clinical placement experience contributed to the development of specialized competencies in child and family assessment, therapeutic communication, pain management, child development promotion, parental empowerment, and family-centred care. Conclusion: The Portuguese version of the P-CPQ demonstrated overall adequate psychometric properties, supporting its use in assessing oral health-related quality of life among Portuguese children. The training pathway contributed to the development of specialized competencies in Child and Pediatric Health Nursing, reinforcing the integration of scientific evidence into clinical practice and the delivery of child- and family-centred care. Keywords: oral health-related quality of life; oral health; child; caregivers; validation studies
Abstract Introduction: Throughout the specialization in Child and Pediatric Health Nursing, competencies focused on child- and family-centred care were developed, with emphasis on health promotion, disease prevention, and quality of care. Oral health plays a key role in children's overall well-being and quality of life. Its assessment may be undertaken through parental and caregiver perceptions, with the Parental-Caregiver Perceptions Questionnaire (P-CPQ) being a widely used instrument for this purpose. Objective: To critically reflect on the competencies developed throughout the clinical placement experience and to evaluate the psychometric properties of the Portuguese version of the P-CPQ. Methods: A critical-reflective approach was used to analyse the competencies developed in Pediatric Emergency Care, Pediatric Inpatient Care, and Neonatology settings. In parallel, a quantitative, cross-sectional, methodological study was conducted with a non-probabilistic convenience sample of 250 parents/caregivers of children aged between 6 and 14 years. Internal consistency, composite reliability, convergent and discriminant validity, and confirmatory factor analysis were assessed. Results: The Portuguese version of the P-CPQ demonstrated high overall internal consistency (α = 0.909; ω = 0.906), with stronger indicators in the Emotional Well-being and Social Well-being dimensions. Confirmatory factor analysis generally supported the theoretical structure of the instrument, with statistically significant factor loadings for all items. The findings indicated overall adequate psychometric properties, although the clinical dimensions showed less robust convergent and discriminant validity indicators. The clinical placement experience contributed to the development of specialized competencies in child and family assessment, therapeutic communication, pain management, child development promotion, parental empowerment, and family-centred care. Conclusion: The Portuguese version of the P-CPQ demonstrated overall adequate psychometric properties, supporting its use in assessing oral health-related quality of life among Portuguese children. The training pathway contributed to the development of specialized competencies in Child and Pediatric Health Nursing, reinforcing the integration of scientific evidence into clinical practice and the delivery of child- and family-centred care. Keywords: oral health-related quality of life; oral health; child; caregivers; validation studies
Descrição
Palavras-chave
Criança Pais Prestadores de cuidados Psicometria Qualidade de vida Saúde oral Caregivers Child Oral health Parents Psychometrics Quality of life