Author Affiliations : University of Wisconsin-Milwaukee College of Nursing (Dr Oh); and University of Iowa College of Nursing (Drs Moorhead and Chae).
Comput Inform Nurs. 2023 Sep 1;41(9):655-664. doi: 10.1097/CIN.0000000000000998.
The Nursing Outcomes Classification provides two outcomes, Knowledge: Cardiac Disease and Self-management: Cardiac Disease, to assess knowledge and self-management behaviors of adults with cardiac disease. The purpose of this study was to validate the two nursing-sensitive outcomes to establish content validity. A methodological design was used using the Delphi technique. A total of 13 nurse experts in two domains participated in this study: five in standardized nursing terminologies and eight in self-management. Descriptive statistics and the Nurse-Patient Outcome Content Validity method were used to validate four aspects: definition adequacy of each outcome, clinical usefulness of measurement scales, importance of outcome indicators, and content similarity between the two outcomes. The definition adequacy, clinical usefulness, and content similarity of both outcomes were acceptable. A total of 81 indicators from the two outcomes were validated, and 60 were designated as critical. Nurses can evaluate cardiac patient outcomes effectively and accurately using these validated outcomes. The validated Nursing Outcomes Classification outcomes will also support the clinical decision-making of nursing students when they learn about patients with cardiac disease.
护理结局分类提供了两个结局，即“心脏病知识”和“心脏病自我管理”，用于评估患有心脏病的成年人的知识和自我管理行为。本研究的目的是验证这两个护理敏感结局，以建立内容效度。采用方法学设计，使用德尔菲技术。共有 13 名在两个领域的护士专家参与了这项研究：标准化护理术语领域的 5 名，自我管理领域的 8 名。使用描述性统计和护士-患者结局内容效度方法验证了四个方面：每个结局的定义充分性、测量量表的临床有用性、结局指标的重要性以及两个结局之间的内容相似性。两个结局的定义充分性、临床有用性和内容相似性都是可以接受的。从两个结局中验证了 81 个指标，其中 60 个被指定为关键指标。护士可以使用这些经过验证的结局来有效地、准确地评估心脏病患者的结局。经过验证的护理结局分类结局也将支持护理学生在学习心脏病患者时的临床决策。
