McIntyre审计工具测量血液透析护士敏感指标的验证

IF 1.5 4区 医学 Q3 NURSING Journal of renal care Pub Date : 2022-08-16 DOI:10.1111/jorc.12441
David McIntyre MN, NP, Ann Bonner PhD, RN, Amanda McGuire PhD, RN
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引用次数: 1

摘要

护理敏感指标是衡量护理质量的指标。虽然有一些血液透析护士敏感指标,但目前没有有效的审计工具可用于测量这些指标。目的检验麦金太尔审计工具的有效性。设计本研究采用描述性观察设计,分两个阶段评估面部和内容效度。参与者:血液透析护士专家小组(n = 13)。方法采用面孔效度(第一阶段)对两个焦点组的13名护士进行评估,并对所产生的定性数据进行分析,以确定共同的主题。阶段2使用一个修改版本的审计工具来测试每个项目的内容效度,然后通过组合所有项目得分来计算量表水平的内容效度。10名护士使用4分李克特量表对审计工具中的26项指标进行评分,以评估每个项目的清晰度、相关性、适当性和模糊性。结果26项血液透析护理敏感指标项目内容效度指数均达到0.825 ~ 1.00,量表内容效度指数平均值为0.910。但是,根据第2阶段的反馈,从审计工具中删除了6个结果指标,以减轻工作人员的负担,并协助简化使用。最终审核工具的平均量表内容效度指数为0.924,表现优异。结论McIntyre审计工具测量20项血液透析护理敏感指标的有效性得到验证。在审核血液透析护理质量之前,需要进行可行性和可靠性测试。
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Validation of the McIntyre Audit Tool to measure haemodialysis nurse sensitive indicators

Background

Nurse sensitive indicators measure the quality of nursing care. Although there are some haemodialysis nurse sensitive indicators, there are currently no validated audit tools available to measure the indicators.

Objectives

To test the validity of the McIntyre Audit Tool.

Design

This study used a descriptive observation design conducted over two phases to assess face and content validity.

Participants

An expert panel of haemodialysis nurses (n = 13).

Methods

Face validity (phase 1) involved 13 nurses in two focus groups who reviewed the audit tool with qualitative data generated analysed to identify common themes. Phase 2 used a modified version of the audit tool to test for content validity for each item and then scale level content validity was calculated by combining all item scores.

Measurements

Ten nurses rated 26 indicators in the audit tool using a 4-point Likert scale to assess each item for clarity, relevance, appropriateness, and ambiguity.

Results

All 26-haemodialysis nurse sensitive indicators achieved item content validity indices ranging from 0.825 to 1.00 with a scale content validity index average of 0.910. However, based on feedback from phase 2, 6 outcome indicators were removed from the audit tool to reduce staff burden and assist with ease of use. The final audit tool had an excellent average scale content validity index of 0.924.

Conclusions

The McIntyre Audit Tool to measure 20 haemodialysis nurse sensitive indicators has been validated. It now requires feasibility and reliability testing before auditing the quality of haemodialysis nursing care.

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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
期刊介绍: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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