Study of the Reliability and Validity of the Community Health Intensity Rating Scale (CHIRS) in the Turkish Community

Abstract

The purpose of this study was to examine the reliability and validity of the Community Health Intensity Rating Scale (CHIRS) that was translated into the Turkish language and applied in the Turkish community. The CHIRS is a tool that assesses the intensity of need for care of persons/families in the community. The original version of the tool was translated into Turkish, examined for face validity and language appropriateness by the Turkish experts, and then applied to 372 families living in Odemis, Turkey. Significant correlations were found between total scale score (TSS) and total number of household members, and between the TSS and the total number of visits to any health institution within the previous month. In addition, the self-health care needs evaluation scores supported predictive validity. For reliability, min-max values, standard errors and deviations, skewness, and kurtosis coefficients of parameter scores, domain scores, and TSS were examined. The mean TSS was 26.7 (+/- 5.32) and the mean age of the participants was 35.0 years. For internal consistency, Cronbach's alpha (.525) and Guttman split-half coefficient (.629) values were established for the TSS. In conclusion, the reliability and validity of the Turkish version of CHIRS have been established.

Nurses’ experiences of measuring nursing intensity in home healthcare: A qualitative study

“…They also mentioned technical problems, including faulty passwords, not enough computers and that personal digital assistants (PDAs) were not used. Technical solutions were found to be important in a study of the CHIRS instrument, 48 and in another study staff using the CIT instrument were required to record results on an Excel spreadsheet but found this difficult. 20 It is important that staff are knowledgeable and comfortable with the technological solutions provided.…”

Reliability and validity of the CCNCS: a dependency workload measurement system

“…Efforts to predict nursing resources according to client need using other workload measurement systems have been attempted with varying degrees of success, for example, the Community Health Intensity Scale (CHIRS) has been correlated with hours of direct nursing care and number of nursing visits (Peters 1988, Hayes 1992, 1995, Çelebioğlu et al. 2007).…”

Patient classification systems used to classify nursing intensity and assess nursing staffing resources in home health care: A scoping review

“…The most common types of validity testing seen in the papers included here were face-, content-and predictive validity. Only five instruments were or had been tested for validity (Brady et al, 2008, Çelebioğlu et al, 2007, Collister et al, 2014, Hawes et al, 2007, Poss et al, 2008 (Table 2).…”

“…Five instruments were or had been tested for reliability (Brady et al, 2008, Çelebioğlu et al, 2007, Collister et al, 2014, Hawes et al, 2007, Kottner et al, 2010 (Table 2). The CCNCS was reliability tested for stability and consistency (Brady et al, 2008), and two scenarios developed: a pre-and post-testing scenario with one child case and one older patient case, rated by public health nurses.…”

“…Of the patient classification instruments seen in this scoping review, seven were developed prior to being investigated in the studies included here (Brady et al, 2008, Çelebioğlu et al, 2007, Hawes et al, 2007, Kane, 2014, Kottner et al, 2010, Poss et al, 2008, Storfjell et al, 2017. Five were developed and tested in pilot projects (Bowers and Durrant, 2014, Chapman et al, 2017, Collister et al, 2014, Grafen and Mackenzie, 2015, yet no information was given regarding whether these five were then actually implemented or in continuous use.…”