School of Nursing, Griffith University, Brisbane, Australia.
Kidney Health Service, Townsville University Hospital, Townsville, Australia.
J Ren Care. 2023 Sep;49(3):191-197. doi: 10.1111/jorc.12441. Epub 2022 Aug 16.
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.
To test the validity of the McIntyre Audit Tool.
This study used a descriptive observation design conducted over two phases to assess face and content validity.
An expert panel of haemodialysis nurses (n = 13).
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.
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.
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.
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.
护士敏感指标衡量护理质量。虽然有一些血液透析护士敏感指标，但目前尚无经过验证的审核工具来衡量这些指标。
测试 McIntyre 审核工具的有效性。
本研究采用描述性观察设计，分两个阶段进行，以评估表面效度和内容效度。
血液透析护士专家小组（n=13）。
表面效度（第 1 阶段）涉及两组 13 名护士的焦点小组，他们使用定性数据分析来审查审核工具，以确定共同主题。第 2 阶段使用修改后的审核工具测试每个项目的内容效度，然后通过合并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 分李克特量表对审核工具中的 26 个指标进行评分，以评估每个项目的清晰度、相关性、适当性和模糊性。
所有 26 个血液透析护士敏感指标的项目内容效度指数均在 0.825 到 1.00 之间，量表内容效度指数平均为 0.910。然而，根据第 2 阶段的反馈，从审核工具中删除了 6 个结果指标，以减轻员工负担并提高易用性。最终审核工具的平均量表内容效度指数为 0.924，非常好。
已验证用于衡量 20 个血液透析护士敏感指标的 McIntyre 审核工具。现在需要对血液透析护理质量进行可行性和可靠性测试，然后才能进行审核。
