Mattia Bozzetti, Ilaria Marcomini, Maddalena Parma, Elisa Dordoni, Elisa Magna, Maria Müller Staub, Roberta Pendoni
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Abstract
Aim: The aim of this study was to evaluate the psychometric properties of the revised quality of nursing diagnosis, interventions, and outcomes (Q-DIO R) instrument, designed to measure the quality of nursing documentation, in an Italian healthcare setting.
Methods: The study followed a multi-phase validation process that included translation and cultural adaptation of the tool, expert evaluations to assess content and face validity, and a cross-sectional study to test reliability. Data were collected from nursing documentation in two hospitals in northern Italy, with 389 patient plans analyzed.
Results: The Q-DIO R demonstrated strong content validity, with experts agreeing on the importance of all items. The tool showed high reliability in assessing the quality of nursing diagnosis, interventions, and outcomes. Regression analyses between these components revealed that accurate nursing diagnoses were associated with improved care interventions and patient outcomes.
Conclusion: The revised Q-DIO R proved to be a valid and reliable tool for assessing the quality of nursing documentation in Italy. Its use can help improve nursing practices by supporting more accurate diagnosis and better care planning, ultimately leading to enhanced patient outcomes. Further research is recommended to explore other factors that may influence the quality of nursing care planning.
期刊介绍：
The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge.
The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages.
The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy.
The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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