Highlights
- •Assessment of empowering counselling in well-child visits is critical.
- •The Portuguese Empowering Speech Practices Scale version shows good initial validity and reliability.
- •The Portuguese version of ESPS is similar to original version with two components.
- •The Portuguese ESPS can give unique insight relating family and nurse perspectives.
- •The Portuguese ESPS can be adapted for use in other countries given its universal items.
Abstract
Purpose
Empowerment is a widely accepted approach to health promotion in which primary care
nurses play an important role. Despite its clinical importance, empirical knowledge
is low, mainly due to the lack of instruments to measure this construct. The Empowering
Speech Practices Scale (ESPS) is a Finnish measure used to assess the empowerment
process in counselling sessions. We designed this study to assess the psychometric
properties of a Portuguese adaptation of the ESPS for families of 5-year-old children
and nurses in well-child visits.
Design and methods
We used a cross-sectional survey design. The ESPS was translated and adapted to the
context of children and family health promotion. We administered a sociodemographic
questionnaire and the Portuguese ESPS to a sample of 82 families attending a 5-year-old
well-child visit and 25 primary care nurses in Portugal. We evaluated the Portuguese
ESPS for construct validity and internal consistency.
Results
Exploratory factor analysis supported a 44-item scale, two-component model, which
is similar to the original version, explaining 73.79% of the total variance. Each
subscale presented excellent internal consistency and distinguished consultations
conducted by nurses with academic training in empowerment patient education.
Conclusions and implications
The Portuguese ESPS is a valid and reliable instrument for assessing empowerment in
health counselling with families in well-child visits. It looks at the process from
two perspectives: the nurses' and the families' perspectives. It can be useful to
evaluate quality of care, to identify areas of improvement, and to delve deeper into
relationships between empowerment and health outcomes.
Keywords
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Article info
Publication history
Published online: May 06, 2021
Accepted:
April 26,
2021
Received in revised form:
April 26,
2021
Received:
June 18,
2020
Identification
Copyright
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