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ORIGINAL RESEARCH article

Front. Public Health
Sec. Public Health Education and Promotion
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1473677
This article is part of the Research Topic The Role of Nursing in Public Health Promotion and Education View all 26 articles

Cross-Cultural Adaptation and Content Validation of the Nurses' Professionalism Inventory to the Portuguese Context: A Methodological Study

Provisionally accepted
Marlene Patrícia Ribeiro Marlene Patrícia Ribeiro 1,2*Renata Cristina Gasparino Renata Cristina Gasparino 3Olga Ribeiro Olga Ribeiro 4,5
  • 1 Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
  • 2 Tâmega and Sousa Local Health Unit, Penafiel, Portugal
  • 3 School of Nursing, State University of Campinas, Campinas, Brazil
  • 4 Nursing School of Porto, Porto, Portugal
  • 5 Center for Health Technology and Services Research (CINTESIS@RISE), Porto, Portugal

The final, formatted version of the article will be published soon.

    Nurses' professionalism is linked to the profession's principles and plays a crucial role in the quality and safety of care in the current context of complexity in healthcare systems. In the Portuguese context, no instrument allows evaluation of the nurses' professionalism, which led to the objective of crossculturally adapting and validating the content of the Nurses' Professionalism Inventory for the Portuguese context. A methodological study was carried out and comprised six stages: translation, synthesis, back-translation, committee of experts, pre-test, and approval of the process by the original author developer of the instrument. The first three stages were completed without difficulty. Nine experts were part of the committee to validate the instrument content. They evaluated items' semantic, idiomatic, cultural, and conceptual equivalences, clarity, and relevance. Modified Kappa and Content Validity Index were calculated for all assessments. Seven items were submitted in two rounds to achieve consensus in the assessments. The usability of the instrument was tested in the fifth stage. Forty nurses performed the pre-test and agreed that the instructions, items, and response options of the Portuguese version of the Nurses' Professionalism Inventory were easy to understand at 95.00%, 97.50%, and 92.50%, respectively. The author who developed the original instrument analyzed and approved the entire process carried out. The cross-cultural adaptation of the Nurses' Professionalism Inventory to the Portuguese context was carried out according to international recommendations, and the conclusion of this study will provide an instrument to assess the nurses' professionalism in Portugal.

    Keywords: Nurses, Professionalism, Translating, Validation study, Professional Practice

    Received: 31 Jul 2024; Accepted: 03 Feb 2025.

    Copyright: © 2025 Ribeiro, Gasparino and Ribeiro. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Marlene Patrícia Ribeiro, Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.