Abstract

LOPEZ-SANTOS, Valle et al. Assessment of the communicative/relational component in the nursing practice in primary care: The GATHA-NURSING questionnaire. Index Enferm [online]. 2008, vol.17, n.3, pp.173-177. ISSN 1699-5988.

In addition to a core skill in Nursing practice, communication is one of the most relevant variables in the satisfaction of the users with the Health Services. Objective: To create an instrument to assess the communication/relationship component in Nursing practice in Primary Care. Method: Adaptation of the GATHA-BASE by Nominal Group, Proof of Judges and pilot study. Validation through 158 video-recorded consultations. Items Sampling by Experts Judgement, Item/Total Correlation Coefficient and change in the Cronbach's alpha. Internal consistency through the Cronbach's alpha; Intra and Inter-observer reliability by graphic analysis (Bland-Altman). Results: An Observational Guide of 68 items is obtained with a level of consensus superior to 75% amongst the experts for all the items. After the validation, a tool (GATHA-ENFERMERIA) is created consisting of 35 items organised in 3 categories, with a Cronbach’s alpha of 0,843. The Inter and Intra-observer concordance are acceptable and with a pattern of random distribution. Conclusion: The outcome is wide validity of contents as well as high consensus. The tool has good internal consistency and test-retest reliability with capability to guide different aspects in clinical Nursing practice.

Keywords : Communication; Nursing practice; Primary Care; Communication/relationship component.