Correro-Bermejo Alba, Bas-Sarmiento Pilar, Romero-Sánchez José Manuel, Paloma-Castro Olga, Poza-Méndez Miriam, Fernández-Gutiérrez Martina
West Sanitary Management Area, Andalusian Public Health System, Cádiz, Spain.
Department of Nursing and Physiotherapy, University of Cadiz, Cádiz, Spain.
Int J Nurs Knowl. 2025 Jul;36(3):264-274. doi: 10.1111/2047-3095.12482. Epub 2024 Jul 14.
To validate the content of the "Health Literacy Behaviour" nursing outcome (NO).
A content validation study was conducted during 2022. Each indicator was included in the NO, and its response levels were operationally defined. The initial version of each indicator and its response levels were refined and validated through the Delphi method. A panel of health literacy (HL) and nursing taxonomies experts evaluated the content through two content validity indicators. The content validity of the NO and each index was determined by calculating the content validity index (CVI). A qualitative analysis of the recommendations provided by the experts was carried out to improve the understanding of the indicators and their levels.
A total of 108 experts participated in this study. Mostly females with more than 10 years of professional experience. The results demonstrated a high CVI of the indicators and the NO "Health Literacy Behaviour." All indicators achieved excellent (CVI ≥ 0.80) relevance and clarity. The CVI universal average method (CVI-p) of the NO achieved an excellent result of 0.90.
The indicators included in the NO "Health Literacy Behaviour" have content validity.
These findings provide evidence-based indicators to measure the patient's actions to obtain, process, and understand information about health and disease, interact with the health system, and make informed health decisions. The validation of this NO would identify populations with low HL, allowing the health of this community to be promoted. Health literacy should be a priority objective of health management and policies.
验证“健康素养行为”护理结局（NO）的内容。
于2022年开展了一项内容效度研究。每个指标均纳入该护理结局中，并对其反应水平进行操作性定义。通过德尔菲法对每个指标及其反应水平的初始版本进行完善和验证。由健康素养（HL）和护理分类法专家组成的小组通过两个内容效度指标对内容进行评估。通过计算内容效度指数（CVI）来确定该护理结局及每个指标的内容效度。对专家提出的建议进行定性分析，以增进对指标及其水平的理解。
共有108名专家参与了本研究。大多数为女性，拥有超过10年的专业经验。结果显示各指标及“健康素养行为”护理结局的CVI较高。所有指标在相关性和清晰度方面均达到优秀（CVI≥0.80）。该护理结局的CVI通用平均法（CVI-p）达到了0.90的优异结果。
“健康素养行为”护理结局中包含的指标具有内容效度。
这些研究结果提供了基于证据的指标，用以衡量患者获取、处理和理解有关健康与疾病信息、与卫生系统互动以及做出明智健康决策的行为。该护理结局的验证将识别出健康素养较低的人群，从而促进这一群体的健康。健康素养应成为健康管理和政策的首要目标。
