Zulkowski K
Montana State University-Bozeman, College of Nursing 59101, USA.
Ostomy Wound Manage. 1998 Oct;44(10):36-40, 42-4, 46-7.
The Minimum Data Set Plus (MDS+) is used by all federally-funded long-term care facilities to assess residents and plan their care. Eighteen conditions, known as Resident Assessment Protocols (RAPs) including a pressure ulcer RAP, require a written care plan by staff. Consequently, it is important to determine if the operational definitions from the MDS+ are consistent with theoretical constructs from a conceptual schema representative of pressure ulcer risk. Examination of construct validity shows that not all of the variables in the Braden Conceptual Schema are adequately operationalized by the MDS+ or the pressure ulcer RAP. Physiologic markers of nutritional status and friction/shear are not included in the MDS+. Sensory perception is included in the MDS+ but not the pressure ulcer RAP. If the MDS+ pressure ulcer RAP is to be used to plan care and assess risk, then all items should be included. The purpose of this article is to examine the construct validity between the operational definitions of risk factors from the MDS+ and pressure ulcer RAP with theoretical constructs from the Braden Conceptual Schema.
所有由联邦政府资助的长期护理机构都使用最低数据集升级版（MDS+）来评估居民状况并制定护理计划。18种情况，即居民评估方案（RAPs），包括压疮RAP，要求工作人员制定书面护理计划。因此，确定MDS+的操作定义是否与代表压疮风险的概念模式中的理论结构一致非常重要。对结构效度的检验表明，并非Braden概念模式中的所有变量都能通过MDS+或压疮RAP得到充分的操作化。营养状况和摩擦/剪切力的生理指标未包含在MDS+中。感觉知觉包含在MDS+中，但不包含在压疮RAP中。如果要使用MDS+压疮RAP来规划护理和评估风险，那么所有项目都应包含在内。本文的目的是检验MDS+和压疮RAP中风险因素的操作定义与Braden概念模式中的理论结构之间的结构效度。
