Feldman Liliane Bauer, Cunha Isabel Cristina Kowal Olm, D'Innocenzo Maria
Escola Paulista de Enfermagem, Universidade Federal de São Paulo, SP, Brazil.
Rev Lat Am Enfermagem. 2013 Jul-Aug;21(4):841-50. doi: 10.1590/S0104-11692013000400003.
to validate an instrument containing process criteria for assessment of a hospital nursing service based on the National Accreditation Organization program.
a descriptive, quantitative methodological study performed in stages. An instrument constructed with 69 process criteria was assessed by 49 nurses from accredited hospitals in 2009, according to a Likert scale, and validated by 16 judges through Delphi rounds in 2010.
the original instrument assessed by nurses with 69 process criteria was judged by the degree of importance, and changed to 39 criteria. In the first Delphi round, the 39 criteria reached consensus among the 19 judges, with a medium reliability by Cronbach's alpha. In the second round, 40 converging criteria were validated by 16 judges, with high reliability. The criteria addressed management, costs, teaching, education, indicators, protocols, human resources, communication, among others.
the 40 process criteria formed a validated instrument to assess the hospital nursing service which, when measured, can better direct interventions by nurses in reaching and strengthening outcomes.
基于国家认证组织项目，验证一份包含医院护理服务评估流程标准的工具。
分阶段进行描述性定量方法研究。2009年，由来自经认证医院的49名护士根据李克特量表对一份由69个流程标准构建的工具进行评估，并于2010年通过德尔菲轮次由16名评委进行验证。
护士评估的包含69个流程标准的原始工具按重要程度进行评判，变为39个标准。在第一轮德尔菲轮次中，19名评委就39个标准达成共识，克朗巴哈系数显示信度中等。在第二轮中，16名评委验证了40个趋同标准，信度较高。这些标准涉及管理、成本、教学、教育、指标、规程、人力资源、沟通等方面。
40个流程标准构成了一个经过验证的用于评估医院护理服务的工具，在进行测量时，该工具能够更好地指导护士进行干预以实现并强化护理效果。
