Erdogan Semra, Esin Nihal M
Department of Community Health Nursing, Istanbul University Florence Nightingale School of Nursing, 34387 Caglayan-Sisli/Istanbul, Turkey.
Nurse Educ Today. 2006 Jul;26(5):396-402. doi: 10.1016/j.nedt.2005.11.009. Epub 2006 Jan 9.
The aims of this manuscript are to examine the validity and reliability of the Turkish version of the Omaha System, and to demonstrate its effectiveness as a tool for nursing education. In this methodological and descriptive study, seventy students attending a training program used the Omaha System in clinical practice settings for assessing health problems of 157 clients and for nursing interventions during 378 home visits. After the system's adaptation to the Turkish language, its content validity was reconfirmed through feedback from the students and interrater reliability was tested on six independent students with kappa statistics. The reliability scores were at a statistically significant level when coding the records using the Omaha System. Clinical practice was explained with 332 problems and 1783 nursing intervention terms. Study findings indicate several strengths, including high reliability - except in target terms, coding of problems and interventions, improved understanding of the course, as well as some limitations: the need for new terms and more time required for manual documentation. The findings of the study supported the usefulness of the Omaha System in describing the practice of community health nursing.
本手稿的目的是检验土耳其语版奥马哈系统的有效性和可靠性,并证明其作为护理教育工具的有效性。在这项方法学和描述性研究中,70名参加培训项目的学生在临床实践环境中使用奥马哈系统,对157名客户的健康问题进行评估,并在378次家访中进行护理干预。在该系统适应土耳其语后,通过学生的反馈重新确认了其内容效度,并使用kappa统计量对6名独立学生进行了评分者间信度测试。使用奥马哈系统对记录进行编码时,信度得分具有统计学意义。临床实践用332个问题和1783个护理干预术语进行了解释。研究结果表明了几个优点,包括高信度——目标术语除外、问题和干预措施的编码、对课程理解的提高,以及一些局限性:需要新术语和手动记录所需的更多时间。该研究结果支持了奥马哈系统在描述社区健康护理实践方面的有用性。