{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T22:02:08Z","timestamp":1747173728000,"version":"3.40.5"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T00:00:00Z","timestamp":1657584000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Associa\u00e7\u00e3o das Crian\u00e7as do Santa Maria","award":["1500 euros"],"award-info":[{"award-number":["1500 euros"]}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1478951522000797_sec_a1\"><jats:title>Background<\/jats:title><jats:p>This study is aimed to perform the translation and cultural adaptation of the Neonatal Palliative Care Attitude Scale (NiPCAS) and evaluation of its psychometric properties with Portuguese neonatal nurses.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951522000797_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>The research started with a scoping review that allowed the identification of the NiPCAS. It was a methodological study with a quantitative approach. The semantic equivalence of the items was adjusted with the participation of 20 neonatal nurse experts. They performed facial and quantitative content validation. Psychometric validation of the NiPCAS was performed on a nonprobability nurses sample (<jats:italic>n<\/jats:italic> = 283) in 13 level 3 neonatal units between July 2021 and February 2022. Confirmatory factor analysis using the polychoric correlation matrix was performed to estimate factor validity using the \u201clavaan\u201d package for R statistical software. Internal consistency was estimated using Cronbach's alpha coefficient, and item sensitivity was assessed using the asymmetry and kurtosis coefficients. Empirical indices were considered: chi-square over degrees of freedom; comparative fit index; normed fit index; Tucker\u2013Lewis index, and root mean square error of approximation; average extracted variance and composite reliability were used to assess convergent validity.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951522000797_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Asymmetry and kurtosis were &lt;|3| and &lt;|7|, respectively, suggesting psychometric sensitivity. The convergent validity of the factors was: F1, FCF1 = 0.90 and for F2, FCF2 = 0.80, and a lower value for F3, FCF3 = 0.40. According to the squared correlation criterion average variance extracted (AVE) between the factors, there was no discriminant validity for F1 and F2, but there was discriminant validity for F1, F3, F2, and F3.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951522000797_sec_a4\"><jats:title>Significance of results<\/jats:title><jats:p>This instrument has implications for providing end-of-life care to newborns and their families. The use of this instrument reveals several barriers and facilitating elements inherent in the organization and culture of the facility and nursing education.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1478951522000797","type":"journal-article","created":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T06:45:01Z","timestamp":1657608301000},"page":"571-576","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["The Neonatal Palliative Care Attitude Scale: Psychometric properties for Portuguese neonatal nurses"],"prefix":"10.1017","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6577-4344","authenticated-orcid":false,"given":"F\u00e1tima Pacheco","family":"Sousa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Gra\u00e7a","family":"Rold\u00e3o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Marisa","family":"Rebotim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Rita","family":"Figueira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Barbosa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Em\u00edlia","family":"Fradique","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Alice","family":"Santos Curado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,7,12]]},"reference":[{"key":"S1478951522000797_ref11","unstructured":"Ekstr\u00f6m, J (2011). A generalized definition of the polychoric correlation coefficient. In UCLA Department of Statistics Papers. Available at: https:\/\/escholarship.org\/uc\/item\/583610fv"},{"key":"S1478951522000797_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2018.08.004"},{"key":"S1478951522000797_ref24","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2019.0523"},{"key":"S1478951522000797_ref27","unstructured":"Mar\u00f4co, J (2021). An\u00e1lise de Equa\u00e7\u00f5es Estruturais. Fundamentos te\u00f3ricos, Software e Aplica\u00e7\u00f5es (Report Number (ed.), 2nd ed.). Report Number."},{"volume-title":"Neonatal Nurses \u2018 Perceptions Of Providing Palliative","year":"2020","author":"Di","key":"S1478951522000797_ref10"},{"key":"S1478951522000797_ref19","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.25.6.387"},{"key":"S1478951522000797_ref35","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-devpsych-121318-084804"},{"key":"S1478951522000797_ref23","first-page":"534 p","volume-title":"Methodology in the Social Sciences","author":"Kline","year":"2016"},{"key":"S1478951522000797_ref17","doi-asserted-by":"publisher","DOI":"10.14445\/24547484\/IJNHS-V6I1P103"},{"key":"S1478951522000797_ref31","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000354"},{"key":"S1478951522000797_ref26","unstructured":"Mar\u00f4co, J (2018). An\u00e1lise estat\u00edstica com o SPSS statistics (Pero Pinheiro: Jo\u00e3o Mar\u00f4co (ed.); 7a). Report Number."},{"key":"S1478951522000797_ref9","doi-asserted-by":"publisher","DOI":"10.12707\/RIV16070"},{"key":"S1478951522000797_ref32","doi-asserted-by":"publisher","DOI":"10.5812\/msnj.120664"},{"key":"S1478951522000797_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/002224378101800104"},{"key":"S1478951522000797_ref25","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6570.1975.tb01393.x"},{"key":"S1478951522000797_ref28","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2013.19.5.251"},{"key":"S1478951522000797_ref34","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2018-0842"},{"key":"S1478951522000797_ref21","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2774"},{"key":"S1478951522000797_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12600"},{"key":"S1478951522000797_ref1","doi-asserted-by":"publisher","DOI":"10.5152\/FNJN.2021.20041"},{"key":"S1478951522000797_ref16","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2006.9.163"},{"key":"S1478951522000797_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/1049909115616597"},{"key":"S1478951522000797_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(93)90142-N"},{"key":"S1478951522000797_ref29","doi-asserted-by":"publisher","DOI":"10.47263\/JASEM.4(2)01"},{"key":"S1478951522000797_ref15","first-page":"377p","volume-title":"Investiga\u00e7\u00e3o por Question\u00e1rio","author":"Hill","year":"2008"},{"key":"S1478951522000797_ref2","article-title":"Factors influencing the integration of a palliative approach in intensive care units: A systematic mixed-methods review","volume":"19","author":"Alshehri","year":"2020","journal-title":"BMC Palliative Care"},{"key":"S1478951522000797_ref6","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7210687"},{"key":"S1478951522000797_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/1744987113490713"},{"key":"S1478951522000797_ref22","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-017-0202-3"},{"key":"S1478951522000797_ref5","first-page":"91","article-title":"End of life in neonatology: Experiences of health professionals in neonatal palliative care","volume":"2","author":"Carvalhais","year":"2019","journal-title":"Millenium \u2014 Journal of Education, Technologies, and Health"},{"key":"S1478951522000797_ref18","doi-asserted-by":"publisher","DOI":"10.32725\/kont.2021.036"},{"key":"S1478951522000797_ref30","doi-asserted-by":"publisher","DOI":"10.1097\/JPN.0000000000000361"},{"key":"S1478951522000797_ref33","unstructured":"Sataloff, RT , Johns, MM and Kost, KM (2018). Integrating palliative care and symptom relief into paediatrics: A WHO guide for health care planners, implementers and managers. World Health Organization. Available at: https:\/\/www.who.int\/health-topics\/palliative-care"},{"key":"S1478951522000797_ref4","doi-asserted-by":"publisher","DOI":"10.3928\/0090-4481-20041101-12"},{"key":"S1478951522000797_ref7","unstructured":"Cavinder, C (2014). Influence of a Palliative Care Protocol on Nurses\u2019 Perceived Barriers to Palliative care and Moral Distress. Evidence-Based Practice Project Reports. Paper 55. https:\/\/scholar.valpo.edu\/cgi\/viewcontent.cgi?article=1055&context=ebpr"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951522000797","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T02:09:55Z","timestamp":1716343795000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951522000797\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,12]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["S1478951522000797"],"URL":"https:\/\/doi.org\/10.1017\/s1478951522000797","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"type":"print","value":"1478-9515"},{"type":"electronic","value":"1478-9523"}],"subject":[],"published":{"date-parts":[[2022,7,12]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}