Assessing the Reliability, Validity, and Sensitivity of Nursing Outcomes Classification in Home Care Settings

Abstract

The purpose of this study is to provide evidence of the validity, inter-rater reliability, and sensitivity of 36 clinically useful of Nursing Outcomes Classification (NOC) results for Home Care (HC) settings. The results of inter-rater reliability, criterion-related validity, and sensitivity evaluations of 36 NOC outcomes were compiled from a 10-site regional evaluation of the NOC. Findings of HC and all sites data were contrasted. More than 90% of the inter-rater reliability scores on the 36 NOC outcome label ratings were within one point, with a substantial number of absolute agreements. All but six of the criterion measures were significantly associated with the corresponding NOC outcomes, and most mean change scores were zero or positive. This was impressive evidence of the adequacy of these measures for reliable and valid use in practice.

Prevalence and Related Factors of Ineffective Self‐Health Management in Polymedicated Patients Over the Age of 65 Years

“…One of the objectives of the present study was to identify factors associated with ISHM in polymedicated patients. To identify patients with ineffective management of their medication regimens, we selected the NANDA‐I criteria that best defined the ISHM diagnosis and the NOC indicators that related most directly to the management of medication therapy, a formula already used successfully by other authors (Keenan et al., ; Morilla‐Herrera et al., ; Rojas‐Sánchez et al., ; Torres‐Pérez et al., ).…”

Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting

“…The NOC was chosen for the system because, as a fundamental reference for measuring nursing outcomes, it has established high interrater reliability and validity for its outcomes and indicators. [72][73][74][75][76] However, in communication with clinical experts in the hospital, we identified that there was still doubt concerning the interrater reliability in evaluating patient outcomes. Therefore, rather than simply requiring nurses to use the NOC, guidelines were developed so that different nurses would rate the nursing outcomes in consistent ways.…”

Data Mining Nursing Care Plans of End‐of‐Life Patients: A Study to Improve Healthcare Decision Making

“…A value of 5 reflects the score that a healthy person of the same age, sex, and cognitive ability would score on the specified outcome. The reliability and validity of NOC outcomes were established in previous studies (Keenan et al., in press; Keenan, Barkauskas, et al., 2003; Keenan, Stocker, et al., 2003).…”