Development and content validity of the new version of a patient classification instrument

Abstract

The purpose of this study was to reconstruct Perroca's patient classification instrument; and to assess the content validity of the new version. A group of experts comprising ten nurses appraised the instrument, using the Delphi technique. Data collection took place from March The new version contained nine nursing care areas. Agreement levels on the instrument structure amounted to ≥ 90%, and ranged between 80 and 96% in the nursing care areas. Desarrollo y validación de contenido de la nueva versión de un instrumento para clasificación de pacientesEste estudio tuvo como propósito reconstruir el instrumento de clasificación de pacientes propuesto por Perroca y evaluar la validez de contenido de la nueva versión. La apreciación del instrumento fue realizada por un grupo de expertos constituidos por diez enfermeros mediante aplicación de la Técnica Delphi. La recolección de datos ocurrió en el período de marzo de 2008 a febrero de 2009 a través de cuestionarios estructurados enviados por correo electrónico. La nueva versión pasó a ser constituida por nueve áreas de cuidados. Hubo concordancia ≥ 90% en relación a la estructura del instrumento y de 80 a 96% en las áreas de cuidados. El refinamiento de instrumentos de clasificación es de fundamental importancia para generación de datos válidos y confiables en los cuales se puede basar la toma de decisiones de administración relativa a la planificación de la asistencia y mensuración de carga de trabajo del equipo de enfermería.

Use of patients’ classification instruments: analysis of the brazilian production of knowledge

“…Inter-rater reliability (8,10,(17)(18)(19)(20) Kappa Coefficient (8,10,(18)(19)(20) Pearson Correlation (17,20) Between nurses (17)(18) Nurses, technician and physician versus Pediatrics PCI (19) Perroca (original) (17)(18) Psychiatry (10) Pediatrics (8,19) Perroca (new version) 20 K = 0.68-0.90 (18) ; 0.17 -0.76 (10) ; 0.69-0.84 (19) ; 0.41-0.74 and ≥ 0.75 (8) r = 0.87-0.95 (17) α = 0.87; CCI= 0.89-0.90 (20) Internal reliability and users' opinions (21) Cronbach' alpha (21) Spearman Correlation (21) Perroca original (21) α= 0.94 ; rs = 0.08 to 0.87 (21) Satisfied users; tendency to underestimate the care category (21) . Content validity (2,(7)(8)(9)22) Delphi technic (2,(7)(8)(9)22) Agreement level ≥ 70% (2,(7)(8)(9)22) Neonatology …”

“…Studies describing the percentage of agreement between the raters after the training program for the use of PCI were not found. The assessment that all nurses interpreted the instrument in the same way, with levels of agreement ≥80%, ensures the reliability of the data generated (2) .…”

“…Including the use of measurement scales for performing EBP and obtaining reliable results have been increasingly frequent in Nursing. Among them, the patients classification instrument (PCI) is highlighted as a guide to decision-making process in management of care (2) .…”

“…Among them we highlight those addressed for adult patients (2,(5)(6) , that have been most used by hospitals. There are also available PCIs for use in areas such as Neonatology (7) , Pediatrics (8) and Psychiatry (9)(10) .…”

“…There are also available PCIs for use in areas such as Neonatology (7) , Pediatrics (8) and Psychiatry (9)(10) . Despite the existence of PCIs to suit different types of clients, their application in daily nursing practice is not yet a reality in many institutions (2) .…”