Experts for Validation Studies in Nursing: New Proposal and Selection Criteria

PURPOSE To clinically validate indicators of the nursing outcomes “Breastfeeding establishment: Infant (1000)” and “Breastfeeding establishment: maternal (1001)”, and their conceptual and operational definitions in infants admitted to a neonatal unit and their mothers. METHOD This study utilized several methods in a stepwise approach including an integrative review of the literature, content validation, and clinical validation. The content validity index was performed by eight experts, who evaluated revised content of the studied nursing outcomes. In the clinical validation, 61 mother–infant dyads were evaluated by two pairs of nurses: one pair used an instrument with developed definitions, whereas the other used an instrument without definitions. The evaluations were compared using Fleiss’ kappa and weighted kappa. RESULTS The agreement between all evaluators was considered excellent for almost all nursing outcome indicators related to the mothers. The pair of evaluators using the definitions had an agreement greater than 0.80 for most indicators. For the pair that did not use the definitions, agreement was poor. CONCLUSION There was an increase in uniformity and accuracy between the assessments when using the conceptual and operational definitions for the nursing outcome indicators related to Breastfeeding establishment. IMPLICATIONS FOR NURSING PRACTICE This study contributed to the development of terms within the Nursing Outcomes Classification, and enriched the body of nursing knowledge.

Section: Discussionmentioning

confidence: 99%

Validation of Nursing Outcomes Related to Breastfeeding Establishment

Emídio¹,

Moorhead

Oliveira

et al. 2019

“…On the other hand, due to the wide diversity of the level of professional development and research capacity of nursing professionals in Spain, especially in occupational nursing, attributes such as experience and recent practice, a willingness to take part in research and academic level have also been considered positive requirements when selecting the group of experts (Hung, Altschuld, & Lee, 2008;López-Gómez, 2018). Similarly, for validation studies in nursing and, in particular, for similar research presenting validations of ODs, specialized nursing qualifications, a degree in medicine, years of experience, and the use of the nursing taxonomy were considered a plus (Avena et al, 2014;Quatrini Carvalho Passos Guimarães, Pena, Lopes, Lopes, & Bottura Leite de Barros, 2016). Apart from these essential requirements, other criteria considered in this study included the use of computer systems containing nursing terminology and scientific production, as measured in scientific papers, talks and articles published in recent years, which at the research group's discretion, could help to define a more suitable profile for an expert able to assess the ODs as defined by the aims of the study.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of the Operational Definitions of the Defining Characteristics of the Nursing Diagnosis of Insomnia in the Occupational Health Setting

Vega‐Escaño

Barrientos‐Trigo

Romero‐Sánchez

et al. 2020

To develop and validate the operational definition (ODs) for each defining characteristic (DC) contained in the Nursing Diagnosis (ND) "insomnia" (00095) in the occupational health context. METHODS: Methodological study carried out in two stages, including a consensus of experts to develop the ODs (Stage 1) and an online Delphi panel, performed in two rounds, to validate them (Stage 2). FINDINGS: The 15 ODs proposed in Stage 1 were narrowed down to six validated ODs in the first round (diagnostic content validity index [DCVI] = 0.80-0.89). In the second round, five ODs were validated (DCVI = 0.80-0.94). Finally, the remaining four ODs were validated by the general consensus of experts. CONCLUSIONS: The ODs were validated, although there remains some doubt as to whether some of the DCs can be applied to the field of occupational health. IMPLICATIONS FOR NURSING PRACTICE: The ODs developed and validated could improve the diagnostic accuracy of the ND "insomnia" (00095) in the context of occupational health.

“…Fehring's criteria for expert status are difficult to meet, not only in the context in which the study was conducted, but also in other countries where there are few nurses with doctoral degrees (Levin & Wilkinson, ). Therefore, as proposed by Quatrini Carvalho Passos Guimarães, Pena, Lopes, Lopes, and Bottura Leite de Barros (), other criteria were selected, such as professional experience or academic training, in order to achieve a better response from nurses and guarantee the diversity of perspectives in the assessments obtained.…”

Section: Discussionmentioning

confidence: 99%

The Nursing Diagnosis of “Death Anxiety”: Content Validation by Experts

Fernández-Donaire

Romero‐Sánchez

Paloma‐Castro

et al. 2018

PURPOSE To validate the content of the NANDA‐I diagnosis “death anxiety” (00147). METHODS Descriptive study using the Fehring model with 202 Spanish nurses who were expert in end‐of‐life care to explore the adequacy of the components of the NANDA‐I diagnosis “death anxiety” (00147) in the Spanish edition. FINDINGS None of the diagnosis definitions were considered as representative. Furthermore, 5 of the 56 defining characteristics and 5 of the 26 related factors were validated as major. CONCLUSIONS In general, the components of the diagnosis “death anxiety” (00147) in the Spanish edition are not representative according to experts. IMPLICATIONS FOR NURSING PRACTICE The results support the need to either exclude the diagnosis from the taxonomy or adjust its content.