Alameda-Cuesta Almudena, Oter-Quintana Cristina, Lizcano-Álvarez Ángel, Brito-Brito Pedro Ruymán, Talavera-Sáez Ana, Cid-Expósito María Gema
Faculty of Health Sciences, Rey Juan Carlos University, Alcorcón, Spain.
Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain.
Issues Ment Health Nurs. 2024 Dec;45(12):1268-1277. doi: 10.1080/01612840.2024.2400512. Epub 2024 Oct 4.
The aim of this study was to validate the diagnostic content and the NANDA-I and NOC linkages for six psychosocial nursing diagnoses. This multicentre, descriptive, cross-sectional validation study followed Fehring's model. Expert nurses in nursing methodology and standardised nursing languages in Spain participated, with expertise criteria based on academic level and clinical, teaching, and research experience in the fields of nursing methodology and standardised nursing languages. This study adhered to the STROBE guidelines for cross-sectional studies. Eighty-seven professionals participated in the diagnostic content validation phase, and 57 in the NANDA-I and NOC linkages validation phase. The content validity indices of the six diagnoses ranged from 0.74 to 0.84, all considered valid. All 84 proposed defining characteristics were valid, with 42 scoring ≥0.8. Thirty-two linkages between diagnoses and NOC outcomes were proposed, all valid, with mean scores between 0.73 and 0.98. Each diagnosis was linked to 5-6 NOC outcomes, comprising 26 main outcomes and 6 supplementary outcomes. Overall coverage rates for each diagnosis ranged from 68.42% to 100%. All linkages between defining characteristics and NOC outcome indicators were validated. The six selected psychosocial diagnoses, their defining characteristics, and the proposed linkages between diagnoses and outcomes have been validated. The validation of linkages between NOC indicators and nearly all major defining characteristics of these six psychosocial diagnoses will make it possible to enhance diagnostic accuracy and enable continuous assessment of the effects of nursing interventions on the clinical progression of these diagnoses.
本研究的目的是验证六项心理社会护理诊断的诊断内容以及护理诊断分类系统（NANDA-I）与护理结局分类系统（NOC）之间的联系。这项多中心、描述性横断面验证研究遵循费林模型。西班牙护理方法学和标准化护理语言方面的专家护士参与其中，专业标准基于学术水平以及在护理方法学和标准化护理语言领域的临床、教学和研究经验。本研究遵循了横断面研究的加强观察性研究报告规范（STROBE）指南。87名专业人员参与了诊断内容验证阶段，57名参与了护理诊断分类系统（NANDA-I）与护理结局分类系统（NOC）联系的验证阶段。六项诊断的内容效度指数在0.74至0.84之间，均被认为有效。所有84条提出的定义性特征均有效，其中42条得分≥0.8。提出了32条诊断与护理结局分类系统（NOC）结果之间的联系，均有效，平均得分在0.73至0.98之间。每个诊断与5 - 6个护理结局分类系统（NOC）结果相关联，包括26个主要结果和6个补充结果。每个诊断的总体覆盖率在68.42%至100%之间。定义性特征与护理结局分类系统（NOC）结果指标之间的所有联系均得到验证。所选的六项心理社会诊断、其定义性特征以及诊断与结果之间的拟议联系均已得到验证。护理结局分类系统（NOC）指标与这六项心理社会诊断的几乎所有主要定义性特征之间联系的验证，将有可能提高诊断准确性，并能够持续评估护理干预对这些诊断临床进展的影响。
