住院脊髓损伤康复护理评估的发展
Development of the nurse care assessment for in-hospital spinal cord injury rehabilitation.
作者信息
Skovbjerg Frederik, Bøhm Stephanie Hilsløv, Næss-Schmidt Erhard Trillingsgaard, Steensgaard Randi Kjær, Kjeldsen Simon Svanborg
机构信息
Spinal Cord Injury Centre of Western Denmark, Viborg Regional Hospital, Viborg, Denmark.
Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
出版信息
Spinal Cord Ser Cases. 2025 Mar 28;11(1):7. doi: 10.1038/s41394-025-00702-4.
STUDY DESIGN
A development and reliability study.
OBJECTIVES
To develop an assessment tool designed to categorize the care needs of inpatients with Spinal Cord Injuries.
SETTING
Spinal Cord Injury Centre of Western Denmark.
METHODS
Inspired by previous tools, NCA-SCI was refined through an iterative process with experienced clinicians. Content validity was established via consensus meetings and focus group interviews, resulting in 17 items across five categories: no/minor assistance, moderate assistance, severe nursing assistance, and unstable situations needing extensive nursing care. Face validity was ensured through iterative clinical feedback, and reliability was tested with four nurses scoring 36 patients.
RESULTS
Content validity and feedback led to a comprehensive, practical tool. Inter-rater reliability showed 81.4% agreement (Kappa = 0.69), while intra-rater reliability had 78.9% agreement (Kappa = 0.65), indicating moderate reliability.
CONCLUSION
The NCA-SCI assesses nursing care needs in SCI rehabilitation, offering a practical tool with moderate reliability. The development of the NCA-SCI led to an easily usable tool for planning and coordinating daily care at a highly specialized unit.
研究设计
一项开发与可靠性研究。
目的
开发一种评估工具，用于对脊髓损伤住院患者的护理需求进行分类。
地点
丹麦西部脊髓损伤中心。
方法
受先前工具启发，通过与经验丰富的临床医生进行迭代过程对NCA-SCI进行完善。通过共识会议和焦点小组访谈确定内容效度，最终形成涵盖五个类别的17个项目：无需/少量协助、中度协助、重度护理协助以及需要广泛护理的不稳定情况。通过迭代临床反馈确保表面效度，并由四名护士对36名患者进行评分以测试可靠性。
结果
内容效度和反馈产生了一个全面、实用的工具。评分者间信度显示一致性为81.4%（卡方=0.69），而评分者内信度一致性为78.9%（卡方=0.65），表明信度中等。
结论
NCA-SCI评估脊髓损伤康复中的护理需求，提供了一个信度中等的实用工具。NCA-SCI的开发产生了一个便于在高度专业化单位用于规划和协调日常护理的工具。
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