Background: There are multiple questionnaires to measure academic stress in university students, which have been used in nursing students. In Puerto Rico, a questionnaire valid in content and reliability was required to measure the variable of academic stress in nursing students. Purpose: The aim of this study was to adapt transculturally and validate the Academic Stress Questionnaire (CEA) for its use in Puerto Rico. Materials and Methods: Used for the first phase of this study consisted in the evaluation of the validity of content and appearance, whereas the second phase was the actual administering of the questionnaire to 20 (twenty) nursing students, to pilot test its internal consistency using the Cronbach’s α test. Results: Validity of content and appearance allowed for the modification of the questionnaire into one, consisting of 42 items, thus eliminating 34 premises from the original 76 items the questionnaire was composed of. Furthermore, the appearance of the questionnaire was modified by placing the measuring scales in columns, adapting social, demographic, and academic data to the required Puerto Rican reality. The sections meant to measure the academic stress variables were left intact, except for the linguistics adaptation, which was accomplished by a team of experts in the Spanish language. With an α global of 0.80 and coefficients larger than 0.7 in the multi-item sub scales, which oscillated between 0.750 and 0.860, the questionnaire provides a high reliability. Conclusion: Although the values reported in this study are somewhat lower than previous research, they were comparable the Cronbach’s Alpha coefficients reported by Cabanach, in which the numbers reported are considered high (α > 0.70) which show acceptable confiability of the subscales included in the study and a high degree of consistency and thus can be relied upon in future research. In synthesis, the Academic Stress Questionnaire (CEA) modified and adapted, thoroughly fulfills the established criteria of confiability and validity to evaluate academic stress of Puertorrican nursing students.
References
[1]
Misra, R. and Castillo, L. (2004) Academic Stress among College Students: Comparison of American and International Students. International Journal of Stress Management, 2, 132-148. https://doi.org/10.1037/1072-5245.11.2.132
[2]
Aguila Belkis, A., Calcines Castillo, M., Monteagudo de la Guardia, R. and Nieves Achon, Z. (2015) Estres Academico. Revista Edumecentro, 7, 163-178.
[3]
Berrio Garcia, N. and Mazo Zea, R. (2011) Estres Academico. Revista de Psicologia Universidad de Antioquia, 3, 65-82.
[4]
Lindop, E. (1999) A Comparative Study of Stress between Pre and Post Project 2000 Students. Journal of Advanced Nursing, 29, 967-973. https://doi.org/10.1046/j.1365-2648.1999.00974.x
[5]
Salazar, A.M. (2011) Tendencias internacionales del cuidado de Enfermeria. Investigación y Educación en Enfermería, 29, 294-304.
[6]
Soto, J. (2013) 10 retos de la profesión de enfermería. http://www.n-punto.com./10-retos-de-la-profesion-de-enfermeria/
[7]
Vega-Estrella, R. (2022) Estilo de liderazgo del director de los programas academicos de enfermeria y su relacion con el compromiso organizacional y satisfaccion laboral de la facultad en instituciones de educación superior en Puerto Rico. Disertacion Doctoral, Universidad Ana G. Mendez, Escuela de Artes Liberales, Departamento de Educacion. https://uagm.edu/es/recinto-de-gurabo
[8]
Fisher, E., Thomas, R.S., Higgins, M.K., Williams, C.J., Choi, I. and McCauley, L.A. (2021) Finding the Right Candidate: Developing Hiring Guidelines for Screening Applicants for Clinical Research Coordinator Positions. Journal ofClinicalandTranslationalScience, 6, e20. https://doi.org/10.1017/cts.2021.853
[9]
Rafati, F., Nouhi, E., Sabzevari, S. and Dehghan-Nayeri, N. (2017) Coping Strategies of Nursing Students for Dealing with Stress in Clinical Setting: A Qualitative Study. ElectronicPhysician, 9, 6120-6128. https://doi.org/10.19082/6120
[10]
Barraza Macias, A. (2007) Estres academico: Un estado de la cuestión. https://psicologiacientifica.com/estres-academico-un-estado-de-la-cuestion/
[11]
Cabanach, R.G., Valle, A., Rodriguez, S. and Piñeiro, I. (2008) Stress Response in University Contexts: Construction of a Measurement Scale. V Congreso Internacional de Psicología y Educación: Los retos de futuro, Oviedo, 23-25 April 2008, 23-25.
[12]
Casuso Holgado, M.J. (2011) Estudio del estres, engagement y rendimiento academico en estudiantes universitarios de ciencias de la salud. Tesis Doctoral, Universidad de Malaga Facultad de Enfermeria, Fisioterapia, Podologia y Terapia Ocupacional.
[13]
Polit, B.P. and Hungler, D. (2000) Investigacion cientifica en ciencias de la salud. McGraw-Hill, Mexico.
[14]
Ruiz Morales, A. and Morillo Zarate, L.E. (2004) Epidemiologia Clinica: Investigacion clinica aplicada. Editorial Medica Panamericana, Bogota-Colombia.
[15]
Soria Moncada, J.M., Carrasco Lozano, J.G., Loza Munarriz, C., Ruiz Figueroa, E. and Payet Meza, E. (2015) Adaptacion cultural y validacion psicometrica del cuestionario de calidad de vida EORTC QLQ STO-22 para los pacientes con cancer gastrico en el Peru. Revista de Gastroenterología del Perú, 35, 127-136.
[16]
Guillemin, F. (1995) Cross-Cultural Adaptation and Validation of Health Status Measures. ScandinavianJournalofRheumatology, 24, 61-63. https://doi.org/10.3109/03009749509099285
[17]
Spilker, B. (1995) Quality of Life and Pharmacoeconomics in Clinical Trials. Lippincott-Raven Publishers, Philadelphia.
[18]
Reichenheim, M.E. and Moraes, C.L. (2007) Operacionalização de adaptação transcultural de instrumentos de aferição usados em epidemiologia. Revista de Saúde Pública, 41, 665-673. https://doi.org/10.1590/S0034-89102006005000035
[19]
Lauffera, A., Soléb, L., Bernsteinb, S., Lopesa, M.H. and Francisconia, C.F. (2013) Como minimizar errores al realizar la adaptacion transcultural y la validacion de los cuestionarios sobre calidad de vida: Aspectos practicos. RevistadeGastroenterologiadeMexico, 78, 159-176. https://doi.org/10.1016/j.rgmx.2013.01.008
[20]
Panayides, P. (2013) Coefficient Alpha: Interpret with Caution. Europe’sJournalofPsychology, 9, 11-29. https://doi.org/10.5964/ejop.v9i4.653
[21]
Cronbach, L.J. (1951) Coefficient Alpha and the Internal Structure of Tests. Psychometrika, 16, 297-334. https://doi.org/10.1007/bf02310555
[22]
Ramada-Rodilla, J.M., Serra-Pujadas, C. and Delclos-Clanchet, G.L. (2013) Adaptacion cultural y validacion de cuestionarios de salud: Revisión y recomendaciones metodológicas. RevistadeSaludPublicadeMexico, 55, 57-66. https://doi.org/10.1590/S0036-36342013000100009
[23]
Nunnally, J.C. (1978) Psychometric Theory. 2nd Edition, McGraw-Hill, New York.
[24]
Morales Vallejo, P. (2000) Medicion de actitudes en psicologia y educacion. Universidad Pontificia de Comillas, Madrid.
[25]
Lang Da Silveira, F., Moreira, M.A. and Axt, T. (1993) Instrumento de pesquisa emensino y aprendizagem. (EDIPUCERS-Porto Alegre-Brasil).
[26]
Martin Arribas, M.C. (2004) Diseño y validacion de cuestionarios. Federacion de Asociaciones de Matronas de España. MatronasProfesion, 5, 23-29.
[27]
Cruces Ramírez, G.A. (2014) Adaptacion transcultural y validacion del Cuestionario de Creencias en Salud Oral de Nakazono para cuidadores de preescolares chilenos. Trabajo De Investigacion Requisito para Optar al Titulo de Cirujano-Dentista. Universidad de Chile Facultad de Odontologia Instituto de Investigación en Ciencias Odontologicas Area de Salud Publica.
[28]
Carvajal, A., Centeno, C., Watson, R., Martínez, M. and Sanz Rubiales, A. (2011) ¿Como validar un instrumento de medida de la salud? Anales del Sistema Sanitario de Navarra, 34, 63-72. https://doi.org/10.4321/S1137-66272011000100007
[29]
Berra, S, Bustingorry, V., Henze, C., Díaz, M.P., Rajmil, L. and Butinof, M. (2009) Adaptacion transcultural del cuestionario KIDSCREEN para medir calidad de vida relacionada con la salud en población argentina de 8 a 18 años. Archivos Argentinos de Pediatría, 107, 307-314.
[30]
Garcia-Bellido, R., Gonzalez Such, J. and Jornet Melia, J.M. (2010) SPSS: Análisis de fiabilidad-Alfa de Cronbach. Material elaborado por el Grupo de Innovación Educativa, Universitat de València, España. https://www.academia.edu/44862462/SPSS_An%C3%A1lisis_de_fiabilidad_Alfa_de_Cronbach
[31]
Cabanach, R.G., Arias, A.V., Martínez, S.R., Aguín, I.P. and Millán, P.G. (2010) Las creencias motivacionales como factor protector del estrés en estudiantes universitarios. EuropeanJournalofEducationandPsychology, 3, 75-87. https://doi.org/10.30552/ejep.v3i1.49
[32]
Gonzalez Cabanach, R., Souto-Gestal, A., González-Doniz, L. and Franco Taboada, V. (2018) Perfiles de afrontamiento y estrés academico en estudiantes universitarios. RevistadeInvestigacionEducativa, 36, 421-433. https://doi.org/10.6018/rie.36.2.290901
[33]
Chafloque Mejia, S.W. (2022) Resiliencia y estrés académico en estudiante de I, III y V de enfermería de un instituto tecnológico de Lima. https://repositorio.ucv.edu.pe/
[34]
Anwer, S., Manzar, M.D., Alghadir, A.H., Salahuddin, M. and Abdul Hameed, U. (2020) Psychometric Analysis of the Perceived Stress Scale among Healthy University Students. Neuropsychiatric Disease and Treatment, 16, 2389-2396. https://doi.org/10.2147/ndt.s268582
[35]
Corado Urizar, A.J. (2013) Estres academico en estudiantes del primer semestre seccion a de la Facultad de Ciencias Medicas y de la Salud de la Universidad Mariano Galvez de Guatemala. Tesis Doctoral, Universidad Mariano Galvez de Guatemala, Facultad de Ciencias Medicas y de la Salud, Guatemala.
[36]
Escobar-Perez, J. and Cuervo Martinez, A. (2008) Validez de contenido y juicio de expertos: Una Aproximacion a su utilización. AvancesenMedicion, 6, 27-36.
[37]
Ciconelli, R.M., Ferraz, M.B., Santos, W., Meinão, I. and Quaresma, M.R. (1999) Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36. Revista Brasileira de Reumatologia, 39, 143-150.
[38]
Gaite, L., Ramirez, N., Herrera, S. and Vazquez-Barquero, J.L. (1997) Traduccion y adaptacion transcultural de instrumentos de evaluacion en psiquiatria: Aspectos metodologicos. Archivos de Neurobiologia, 60, 91-111.
[39]
Ospina Garcia, M.B. (2000) Adaptacion transcultural de instrumentos de medicion. RevistaColombianadeNeumologia, 12, 104-107.
[40]
Hernández Sampieri, R., Fernández Collado, C. and Baptista Lucio, P. (2018) Metodologia de la investigacion. McGraw-Hill Interamericanal, Mexico.
[41]
Cabanach, R.G., Gestal, A.S., Rodríguez, C.F. and Canedo, M.D. (2014) Relaciones entre autoestima y estresores percibidos en estudiantes universitarios. EuropeanJournalofEducationandPsychology, 7, 43-57. https://doi.org/10.30552/ejep.v7i1.100
