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基于戈登的十一类健康功能模式而开发的综合护理评估工具的综合评价

An integrative review of comprehensive nursing assessment tools developed based on Gordon's Eleven Functional Health Patterns.

机构信息

Postdoctoral Scholar, The Marjory Gordon Program for Clinical Reasoning and Knowledge Development at Boston College, William F. Connell School of Nursing, MA, USA.

Faculty (courtesy), Graduate Program in Adult Health Nursing (PROESA), School of Nursing, University of São Paulo, São Paulo, Brazil.

出版信息

Int J Nurs Knowl. 2021 Oct;32(4):294-307. doi: 10.1111/2047-3095.12321. Epub 2021 Feb 23.

Abstract

PURPOSE

To evaluate the content and psychometric properties of comprehensive nursing assessment tools developed based on The Eleven Functional Health Patterns Assessment Framework.

METHODS

An integrative literature review following Whittemore and Knafl's method and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Searches on PubMed, Cinahl, and Virtual Health Library were conducted between September and December 2018.

FINDINGS

Six out of 146 records were included for review. Four articles were methodological studies and two were descriptive reports of the development of the tools. Tools were heterogenous in terms of their purpose, development, characteristics, and testing. Only one study provided data about construct validity. However, there were commonalities regarding the data that should be assessed in each tool.

CONCLUSIONS

Few comprehensive nursing assessment tools using The Eleven Functional Health Patterns Assessment Framework are available. Purpose, process of development, characteristics, and testing varied among the tools, and most lack robust psychometric testing.

IMPLICATIONS FOR NURSING PRACTICE

This review provided a synthesis of the literature regarding the use of a discipline-specific framework to guide comprehensive nursing assessment. The differences across the tools and the lack of psychometric testing compromise the visibility of nursing and make it difficult to emphasize the contribution of nursing knowledge to patient care.

摘要

目的

评估基于十一功能健康模式评估框架开发的综合护理评估工具的内容和心理测量学特性。

方法

采用 Whittemore 和 Knafl 的方法以及系统评价和荟萃分析的首选报告项目进行综合文献回顾。2018 年 9 月至 12 月在 PubMed、Cinahl 和虚拟健康图书馆进行了检索。

结果

在 146 条记录中,有 6 条符合审查要求。4 篇文章为方法学研究,2 篇为工具开发的描述性报告。这些工具在目的、开发、特点和测试方面存在差异。只有一项研究提供了关于构念效度的数据。然而,每个工具都应该评估的数据存在共同之处。

结论

基于十一功能健康模式评估框架的综合护理评估工具很少。这些工具的目的、开发过程、特点和测试各不相同,大多数工具都缺乏可靠的心理测量学测试。

对护理实践的影响

本综述综合了关于使用特定学科框架指导综合护理评估的文献。工具之间的差异以及缺乏心理测量学测试,损害了护理的可见性,使得难以强调护理知识对患者护理的贡献。

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