Lovett R B, McMillan S C
Outpatient Department, Hong Kong Adventist Hospital.
Oncol Nurs Forum. 1993 Oct;20(9):1385-92.
The purpose of this project was to develop a valid and reliable patient-acuity tool for patients undergoing bone marrow transplant (BMT) as part of an overall patient-acuity system. A survey of other cancer centers and a review of the literature revealed no acuity tools that were designed for patients undergoing BMT. A four-level, nursing-diagnosis-based tool was developed with multiple indicators in each level, and its validity and reliability were studied. Content validity indexes (CVIs) were generated for each indicator by a panel of content experts. CVIs ranged from 0.4 to 1.0 with an overall CVI of 0.93 for the tool. Interrater reliability using two raters for 79 patients was high (r = 0.94, p < 0.001). Results of the study provide sufficient evidence of validity and reliability to warrant use of the tool, but further study is needed.
本项目的目的是开发一种有效且可靠的患者 acuity 工具，用于接受骨髓移植（BMT）的患者，作为整体患者 acuity 系统的一部分。对其他癌症中心的调查和文献回顾显示，没有专门为接受 BMT 的患者设计的 acuity 工具。开发了一种基于护理诊断的四级工具，每个级别都有多个指标，并对其有效性和可靠性进行了研究。内容专家小组为每个指标生成了内容效度指数（CVI）。CVI 的范围为 0.4 至 1.0，该工具的总体 CVI 为 0.93。使用两名评估者对 79 名患者进行的评估者间信度很高（r = 0.94，p < 0.001）。研究结果提供了充分的有效性和可靠性证据，证明该工具值得使用，但仍需进一步研究。
