scholarly journals VALIDITY AND RELIABILITY OF INSTRUMENT TO MEASURE CLINICAL INDICATOR OF NURSING DIAGNOSIS: FATIGUE ON PATIENT UNDERTAKING HAEMODIALYSIS

2018 ◽  
Vol 4 (3) ◽  
pp. 350-355
Author(s):  
Atika Dwi Astuti ◽  
Intansari Nurjannah ◽  
Sri Mulyani

Background: Fatigue as nursing diagnosis is a common phenomenon in patient undertaking hemodialysis. There is, however, no clear instrument to measure the clinical indicators of this nursing diagnosis.Objectives:  To measure the validity and reliability an instrument to measure clinical indicator in nursing diagnosis fatigue.Methods: Content Validity Index for Scale (S-CVI) and Point-Biserial Correlation were used to measure the validity of instrument. Cronbach Alpha Reliability was used for reliability of 72 patients undertaking haemodialysis.Results: S-CVI score was 1 on relevance, accuracy and clarity, 0.98 on simplicity and ambiguity. The Cronbach’s Alpha of the instrument was 0.675 which was considered reliable.Conclusion: The instrument to measure clinical indicators of nursing diagnoses fatigue has acceptable validity and reliability score in Indonesian, and it is recommended to be used in clinical setting.

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Daniela Couto Carvalho Barra ◽  
Gabriela Beims Gapski ◽  
Fernanda Paese ◽  
Grace Teresinha Marcon Dal Sasso ◽  
Paulino Artur Ferreira de Sousa ◽  
...  

ABSTRACT Objectives: to identify and confirm the priority nursing diagnosis of International Classification for Nursing Practice® for home nursing consultation to adults in Primary Health Care. Methods: qualitative study, of methodological and validation type. The 5-point Likert scale was used, with a minimum Content Validity Index of 80% consensus among judges., considering the answers “priority” or “very priority” for the list of nursing diagnoses presented. 23 expert judges participated in this survey. Results: a hundred and eleven nursing diagnoses of prepared statements lists have been grouped by human systems and sociodemographic characteristics. were grouped by human systems and sociodemographic characteristics. Eighty-three of them (74.77%) had a Content Validity Index equal or higher to 0.8; and 27 (32.5%) had an index of 1.0 (100%) among judges. Conclusions: nursing diagnosis validated can be used to assist clients in home nursing consultations in Primary Health Care.


2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Vinicius Lino de Souza Neto ◽  
Rayanne Teresa da Silva Costa ◽  
Wenysson Noleto dos Santos ◽  
Sâmara Fontes Fernandes ◽  
Dhyanine Morais de Lima ◽  
...  

ABSTRACT Objectives: to develop and validate conceptual and operational definitions of nursing diagnoses of the International Classification for Nursing Practice for people living with Aids. Methods: methodological study with 100 individuals with Aids, in a hospital school. In addition, 19 nurses selected from the Lattes platform acted as experts in the validation process. The research was conducted, using three moments: identification and validation of the nursing diagnoses; construction of the conceptual and operational definitions of the diagnoses, and content validation, using the content validity index. Results: a total of 35 diagnoses were identified and 18 had their conceptual and operational definitions validated, with validity index of ≥ 0.8. Conclusions: the construction of the conceptual and operational definitions enables nurses to analyze the clinical inferences and endorse the nursing diagnosis, contributing to its predictive capacity.


2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Natália Barreto de Castro ◽  
Marcos Venícios de Oliveira Lopes ◽  
Ana Ruth Macedo Monteiro

ABSTRACT Objective: to develop a literature review about low self-esteem and components of the nursing diagnoses Low Chronic Self-Esteem and Low Situational Self-Esteem in patients with depressed mood. Method: an integrative literature review carried out in the Pubmed portal and in the Scopus and Web of Science electronic bibliographic databases. Depression and self-esteem descriptors were used, resulting in 32 articles. Results: literature indicated 7 clinical indicators and 14 etiological factors for low self-esteem. Conclusion: The clinical indicators Suicidal ideation and Ineffective treatment were more prevalent in the study. The etiological factors Stressful events and Stigmatization were the most frequent, both of which were suggested as new related factors for low self-esteem. Nursing diagnosis recognition can contribute to intervention strategy elaboration by the nurse, according to the urgent diagnostic and the individual’s particularities.


2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
I Gede Purnawinadi

A valid nursing diagnosis is very important in nursing care. Clinical indicators are required to validate nursing diagnoses to reduce the risk of misdiagnosis. The accuracy of clinical indicators is determined by the limitation of characteristics and related factors. The purpose of this study was to describe the characteristics nursing diagnosis of impaired physical mobility. This research was a descriptive study conducted by assessment through observation in clinical practice. There were 20 records of stroke patient documentation used in this study. The results showed that the limitations of the main characteristics that emerged in stroke patients were dyspnea after activity (90%), gait disorder (100%), slow motion (100%), spastic movements (100%), uncoordinated movements (100%), posture instability (100%), difficulty flipping position (100%), limited range of motion (100%), discomfort (100 %), decreased fine motoric skills (90%), decreased gross motoric skills (100%), and moving tremor (90%). Nurses are expected to focus on main characteristics that arise during the assessment of stroke patients with nursing diagnoses of impaired physical mobility in order to plan effective nursing actions. For further investigators it is recommended to use valid instruments in conducting the assessment so that these characteristics can be a more accurate indicator in nursing diagnosis.


2020 ◽  
Vol 19 (3) ◽  
pp. 269-274 ◽  
Author(s):  
İsmail Toygar ◽  
Sadık Hançerlioğlu ◽  
Selden Gül ◽  
Tülün Utku ◽  
Ilgın Yıldırım Şimşir ◽  
...  

The purpose of this study was to evaluate the validity and reliability of the Turkish version of the Diabetic Foot Scale–Short Form (DFS-SF). The study was cross-sectional and conducted between January and October 2019 in a diabetic foot council of a university hospital. A total of 194 diabetic foot patients participated in the study. A Patient Identification Form and DFS-SF were used for data collection. Forward and backward translations were used in language validity. Expert opinions were obtained to determine the Content Validity Index. To determine construct validity, exploratory factor analysis and confirmatory factor analysis were used. Cronbach’s α internal consistency coefficient, item-scale correlation, and test-retest reliability were used to evaluate reliability. It was found that Content Validity Index was 0.97 (0.86-1.00), the factor loading of scale varied from 0.378 to 0.982, Cronbach’s α value varied from 0.81 to 0.94, and item-total correlations were between 0.30 and 0.75. The Turkish version of the DFS-SF was found valid and reliable to measure the quality of life of diabetic foot patients.


Author(s):  
Euzeli da Silva Brandão ◽  
Iraci dos Santos ◽  
Regina Serrão Lanzillotti ◽  
Adriano Menis Ferreira ◽  
Mônica Antar Gamba ◽  
...  

ABSTRACT Objective: identify nursing diagnoses in patients with immune-bullous dermatosis. Method: a quantitative and descriptive research, carried out in three institutions located in Rio de Janeiro and Mato Grosso do Sul, Brazil, using the Client Assessment Protocol in Dermatology during a nursing consultation. Simple descriptive statistics was used for data analysis. Results: 14 subjects participated in the study, nine with a diagnosis of pemphigus vulgaris, pemphigus two and three of bullous pemphigoid. The age ranged between 27 and 82 years, predominantly females (11). 14 nursing diagnoses were discussed and identified from a clinical rationale in all study participants, representing the most common human responses in this sample. The application of the Assessment Protocol in Dermatology facilitated the comprehensive assessment, in addition to providing the identification of diagnostics according to the North American Nursing Diagnosis Association International. Conclusion: the nursing diagnoses presented confirm the necessity of interdisciplinary work during the care for this clientele. For better description of the phenomena related to the client in question, it is suggested the inclusion of two risk factors related in three diagnoses of this taxonomy. It is worth noting the contribution of the findings for the care, education and research in nursing in dermatology.


2018 ◽  
Vol 31 (8) ◽  
pp. 988-999 ◽  
Author(s):  
Mahdi Nouri ◽  
Saeideh Ghaffarifar ◽  
Homayoun Sadeghi-Bazargani

Purpose The purpose of this paper is to explore the validity and reliability of the Persian version of the patient satisfaction questionnaire (PVPSQ). The study addressed the communication skills section of the PSQ specifically. Design/methodology/approach This cross-sectional study was conducted in 2015 to determine the validity and reliability of the Persian version of the patient satisfaction questionnaire (PSQ). In total, 538 patients (ten in pilot, 488 in tests, 40 in retest), 14 experts and 198 residents participated. The items’ impact score, content validity index, and content validity ratio were calculated. Construct validity and reliability of the scale were examined with exploratory factor analysis, Cronbach’s α, and the Intraclass correlation coefficient (ICC), respectively. Findings The questionnaire demonstrated a content validity index=0.94, content validity ratio=0.84, impact score=4.61, Cronbach’s α=0.93 and ICC=0.513 (p<0.00). A single factor was found in the eigenvalue distribution of the PSQ that predicted approximately 93 percent of the variance. Practical implications The results of this study will permit researchers in all Persian-speaking countries to use a valid and reliable Persian version of the PSQ to evaluate patients’ satisfaction with residents’ communication skills. Originality/value There were a few Persian questionnaires to assess patient satisfaction with physicians’ communication skills, but their psychometric properties had not been reported until the time of this study. By using the PVPSQ, both researchers at Iranian universities of medical sciences and researchers in other Persian-speaking countries can assess residents’ communication skills from the patient’s perspective more reliably.


Author(s):  
Ebru EZBERCI-CEVIK ◽  
Mehmet Altan KURNAZ

The aim of this study is to develop a concept test on the subject of stars that is suitable for model analysis and to evaluate the conformity of this model. The study was performed using a screening model, which is a type of quantitative research method. The study also tried to fill the gap in the existing literature regarding the use of quantitative methods. To develop the test, existing studies on stars were first examined; interviews with candidates who were teachers were conducted; and finally, necessary amendments to test items were made after referring to experts’ opinions. To assure its validity and reliability, the test was applied to a total of 175 candidates who were studying at schools of education in the departments of science teaching of three different universities to become teachers; all candidates took astronomy courses and were educated on the subject matter. The final form of the test comprised of 26 multiple-choice questions, each with 5 possible answers. The Cronbach’s alpha reliability coefficient of the test was calculated to be 0.735. In addition, the mean strength of the test was found to be 0.370 and the distinctiveness was found to be 0.390. Statistical analyses revealed that the concept test developed in this study is a valid and reliable test that conforms to the model analysis.


2020 ◽  
Vol 29 ◽  
Author(s):  
Paula Cristina Pereira da Costa ◽  
Elaine Ribeiro ◽  
Juliana Prado Biani Manzoli ◽  
Raisa Camilo Ferreira ◽  
Micnéias Tatiana de Souza Lacerda Botelho ◽  
...  

ABSTRACT Objective: to determine the accuracy measures of clinical indicators of nursing diagnoses contained in the Terminological Subset "Community Nursing" for hypertensive and/or diabetic users. Method: methodological diagnostic accuracy study. The study population consisted of 363 hypertensive and/or diabetic users under follow-up care in three Health Centers in the city of Campinas, from August 2017 to February 2018. Data were collected through anamnesis. Data analysis consisted of the characterization of the population through descriptive statistics, and the analysis of clinical indicators and their respective Nursing Diagnoses was performed through accuracy measures. Results: 25 Nursing diagnoses were listed, related to 37 clinical indicators, which could be used in the hypertensive and/or diabetic population. It is emphasized that three were not contained in the Terminological Subset "Community Nursing", and it is recommended that they be introduced in the International Council of Nurses. Conclusion: through the evaluation of accuracy measures, the Terminological Subset "Community Nursing" can and should be used in Brazil in the hypertensive and/or diabetic population.


2020 ◽  
Vol 7 (1) ◽  
pp. 51-55
Author(s):  
Moch bahrudin Bahrudin

ABSTRACT One of the nursing processes is determining nursing diagnoses. The determination of nursing diagnoses is based on the theory used, one of which is Carpenito's theory, which is based on patient responses as a guide in determining nursing diagnoses. This theory is not in line with the current situation. So this theory cannot answer the needs of patients because patients who are hospitalized cannot always respond or complain. Based on these problems, the authors provide instructions for determining nursing diagnoses based on the Abdella Faya theory, which is based on body physiological disorders. The service targets are nurses in the Bangil Hospital treatment room. The problem is resolved in two stages of activity, namely preparation and implementation. Preparation is carried out by conducting research in 2017 to see conditions in the field regarding nurses' procedures for determining nursing diagnoses. Implementation is carried out by the lecture method, namely the technique of determining nursing diagnoses and case exercises as a form of nursing diagnosis determination workshop activities. The results of the training activities show the level of success with an indication of the suitability of the material with the needs of nurses in determining nursing diagnoses, a positive response from the participants and the majority (90% of participants have understood the concept and how to determine nursing diagnoses.   Key words: determination, nursing diagnosis, Patient Centered, Bangil  general Hospital


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