Theoretical and methodological aspects for the cultural adaptation and validation of instruments in nursing

Abstract

Objective: to identify in the literature references about methodology used in studies of cultural adaptation and validation of instruments in Nursing. Method: it is aintegrative review of the literature based on a bibliographic survey in the LILACS, BDENF, IBECS, SciELO and PubMed databases, in August and September of 2016. Results: a total of 28 articles were analyzed. The reference that has been used for the cultural adaptation of instruments with more frequency (22-78.57%) is the one proposed by Beaton, Bombardier, Guillemin and Ferraz (2007); Beaton, Bombardier, Guillemin e Ferraz (2000) and Guillemin, Bombardier, Beaton (1993). These authors propose five steps: translation, synthesis, back-translation, committee of judges and pre-test. The validation is classified into three categories: content, criterion, and constructvalidities. This study has shown that the most used criteria for the validation of instruments have been the validation of content (18-64, 28%), construct (13-46, 43%) and face validation (9-32, 14%). Conclusion: it has been valued the judicious following of method with the use of reliable and valid instruments in the researchers developed in nursing. In this sense, the present study dealt with references used for the cultural adaptation and validation of measurement instruments. The most used references were about the types of validation applied. It was concluded that methods should be stimulated to guarantee the reliability and validity of the instruments were identified in the study.