在职业健康环境中，失眠护理诊断的定义特征的操作性定义的制定和验证。
Development and Validation of the Operational Definitions of the Defining Characteristics of the Nursing Diagnosis of Insomnia in the Occupational Health Setting.
机构信息
Professor in Nursing Department and Research Group PAIDI CTS-1054 "Interventions and Health Care. Red Cross," Spanish Red Cross Nursing School. Universidad de Sevilla, Seville, Spain.
Professor in Nursing Department and Research Group PAIDI CTS-1050 "Complex Care, Chronicity and Health Outcomes", Universidad de Sevilla, Seville, Spain.
出版信息
Int J Nurs Knowl. 2020 Oct;31(4):275-284. doi: 10.1111/2047-3095.12281. Epub 2020 Apr 24.
PURPOSE
To develop and validate the operational definition (ODs) for each defining characteristic (DC) contained in the Nursing Diagnosis (ND) "insomnia" (00095) in the occupational health context.
METHODS
Methodological study carried out in two stages, including a consensus of experts to develop the ODs (Stage 1) and an online Delphi panel, performed in two rounds, to validate them (Stage 2).
FINDINGS
The 15 ODs proposed in Stage 1 were narrowed down to six validated ODs in the first round (diagnostic content validity index [DCVI] = 0.80-0.89). In the second round, five ODs were validated (DCVI = 0.80-0.94). Finally, the remaining four ODs were validated by the general consensus of experts.
CONCLUSIONS
The ODs were validated, although there remains some doubt as to whether some of the DCs can be applied to the field of occupational health.
IMPLICATIONS FOR NURSING PRACTICE
The ODs developed and validated could improve the diagnostic accuracy of the ND "insomnia" (00095) in the context of occupational health.
目的
在职业健康背景下，为护理诊断（ND）“失眠”（00095）中包含的每个定义特征（DC）制定并验证操作定义（OD）。
方法
在两个阶段进行的方法学研究，包括专家共识以制定 OD（第 1 阶段）和两轮在线 Delphi 小组，以验证它们（第 2 阶段）。
发现
第 1 阶段提出的 15 个 OD 在第一轮中缩小到六个经过验证的 OD（诊断内容有效性指数 [DCVI] = 0.80-0.89）。在第二轮中，验证了五个 OD（DCVI = 0.80-0.94）。最后，通过专家的普遍共识验证了其余四个 OD。
结论
OD 得到了验证，但仍存在一些疑问，即某些 DC 是否可以应用于职业健康领域。
对护理实践的影响
制定和验证的 OD 可以提高 ND“失眠”（00095）在职业健康背景下的诊断准确性。
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