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

Keenan, Gail M.; Stocker, Julia; Barkauskas, Violet H.; Johnson, Marion; Maas, Meridean; Moorhead, Sue; Reed, David C.

doi:10.1891/106137403780954886

Cited by 8 publications

(12 citation statements)

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“…The results highlight that SNL supports the delivery of daily care in various ways. Nursing interventions are more accurately described and outcomes of care defined . This study supports, albeit slightly, recently discussed technology aspects such as usability.…”

Section: Discussionsupporting

confidence: 78%

Impacts of structuring nursing records: a systematic review

Saranto

Kinnunen

Kivekäs

et al. 2013

Scandinavian Caring Sciences

100

104

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Welfare, Helsinki, Finland Scand J Caring Sci; 2014; 28; 629-647 Impacts of structuring nursing records: a systematic review Aim: The study aims to describe the impacts of different data structuring methods used in nursing records or care plans. This systematic review examines what kinds of structuring methods have been evaluated and the effects of data structures on healthcare input, processes and outcomes in previous studies. Materials and Methods: Retrieval from 15 databases yielded 143 papers. Based on Population (Participants), Intervention, Comparators, Outcomes elements and exclusion and inclusion criteria, the search produced 61 studies. A data extraction tool and analysis for empirical articles were used to classify the data referring to the study aim. Thirty-eight studies were included in the final analysis. Findings: The study design most often used was a single measurement without any control. The studies were conducted mostly in secondary or tertiary care in institutional care contexts. The standards used in documentation were nursing classifications or the nursing process model in clinical use. The use of standardised nursing language (SNL) increased descriptions of nursing interventions and outcomes supporting daily care, and improving patient safety and information reuse. Discussion: The nursing process model and classifications are used internationally as nursing data structures in nursing records and care plans. The use of SNL revealed various positive impacts. Unexpected outcomes were most often related to lack of resources. Limitations: Indexing of SNL studies has not been consistent. That might cause bias in database retrieval, and important articles may be lacking. The study design of the studies analysed varied widely. Further, the time frame of papers was quite long, causing confusion in descriptions of nursing data structures. Conclusion: The value of SNL is proven by its support of daily workflow, delivery of nursing care and data reuse. This facilitates continuity of care, thus contributing to patient safety. Nurses need more education and managerial support in order to be able to benefit from SNL.

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Section: Discussionsupporting

confidence: 78%

Impacts of structuring nursing records: a systematic review

Saranto

Kinnunen

Kivekäs

et al. 2013

Scandinavian Caring Sciences

100

104

View full text Add to dashboard Cite

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“…Cada resultado refleja, a través de sus indicadores, los estados o percepciones de los individuos, enmarcándose en un sistema lógico y estructurado conceptualmente, con un componente numérico que permite ampliar el estudio y el tratamiento analítico de la información. Diversos autores ya han usado con éxito estos indicadores para construir herramientas clinimétricas en distintos campos 9,10 .…”

Section: Introductionunclassified

Validación de un instrumento en una unidad neonatal mediante el análisis Rasch

Porras

Carvajal

Roa‐Díaz

2019

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Objetivo: Determinar la validez de constructo del resultado de enfermería “Desempeño del Rol de Padres” en madres de recién nacidos prematuros hospitalizados.Materiales y métodos: Se realizó un estudio de evaluación de tecnologías diagnósticas en madres de recién nacidos prematuros hospitalizados menores o igual a 34 semanas de gestación. Se hizo análisis descriptivo y de consistencia interna desde la teoría clásica (alfa de Cronbach) y la validez de constructo del resultado de enfermería “Desempeño del rol de padres” se hizo mediante la metodología Rasch siguiendo los postulados de Messick, bajo la estructuración de Wolfe y Smith.Resultados: Participaron 63 madres, la mediana de edad 22 años, 67% pertenecían a los estratos socioeconómicos 1 y 2, la mediana de edad gestacional fue 33 semanas. Los 6 indicadores del resultado NOC (2211) presentaron un alfa de Cronbach (0,901), valores Outfit entre 0,74 a 1,60 y explicaron el 53,8% de la varianza; en el primer contraste la varianza no explicada fue de 1,5 autovalores, estos hallazgos señalaron que este instrumento mide el constructo del desempeño del rol de padres, es unidimensional y los datos obtenidos se ajustan al modelo Rasch.Conclusión: El diseño, la validez y la confiabilidad de esta escala es un aporte importante a la práctica de enfermería neonatal, al tratarse del primer instrumento de fácil diligenciamiento en una unidad neonatal para evaluar el desempeño del rol materno previo egreso de las unidades de hospitalización.

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“…community, home care, and surgical units (da Silva et al, 2011;Head et al, 2004;Head, Maas, & Johnson, 2003;Keenan, Stocker, Barkauskas, Johnson, et al, 2003;Morilla-Herrera, Morales-Asencio, Fernandez-Gallego, Cobos, & Romero, 2011;Ralph et al, 2003;Seganfredo & Almeida Mde, 2011). The validation studies provided critical information for users of NOC to evaluate patient outcomes and to determine the effects of nursing interventions accurately.…”

Section: Background and Significancementioning

confidence: 99%

“…Since the 1 st edition, the nursing outcome taxonomy has been refined and expanded to include additional classes and outcomes (Table 2), and many NOC outcomes were validated to increase nurses' confidence in the measurement tools when evaluating patient outcomes by validated NOC outcomes (Head et al, 2004;Head et al, 2003;Keenan, Stocker, Barkauskas, Johnson, et al, 2003;Moorhead, Johnson, Maas, & Swanson, 2008). (Moorhead et al, 2013).…”

Section: Nursing Outcomes Classificationmentioning

confidence: 99%

“…At the beginning of development of NOC, several NOC outcomes were validated to provide clinical evidence of validity, reliability, sensitivity, and usefulness as a measurement tool (Head et al, 2004;Head et al, 2003;Keenan, Stocker, Barkauskas, Johnson, et al, 2003;Maas et al, 2002;Scherb, Johnson, & Maas, 1998). These studies reported that NOC outcomes had acceptable psychometric properties as a measurement tool.…”

Section: Validation Of Nocmentioning

confidence: 99%

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Validation of nursing-sensitive knowledge and self-management outcomes for adults with cardiovascular diseases and diabetes

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

Cited by 8 publications

References 0 publications

Impacts of structuring nursing records: a systematic review

Impacts of structuring nursing records: a systematic review

Validación de un instrumento en una unidad neonatal mediante el análisis Rasch

Validation of nursing-sensitive knowledge and self-management outcomes for adults with cardiovascular diseases and diabetes

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