ValidaciĆ³n del nursing activities score en unidades de cuidados intensivos chilenas
Cargando...
Archivos
Fecha
2018
Profesor/a GuĆa
Facultad/escuela
Idioma
es
TĆtulo de la revista
ISSN de la revista
TĆtulo del volumen
Editor
Universidad de Concepcion
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Objetivo: Analizar el grado de preservaciĆ³n de las propiedades psicomĆ©tricas del Nursing Activities Score (NAS), segĆŗn anĆ”lisis de confiabilidad y validez del instrumento. Material y mĆ©todo: Estudio instrumental para la adaptaciĆ³n y validaciĆ³n de un instrumento que mide la carga de trabajo de enfermerĆa en Unidades de Cuidados Intensivos y que abarca mĆ”s del 80% de las actividades de enfermerĆa, estimando la asignaciĆ³n diaria de pacientes al personal de enfermerĆa, segĆŗn las necesidades de cuidados de los mismos. La validaciĆ³n se realizĆ³ en seis unidades de cuidados intensivos de dos hospitales de Santiago de Chile. Resultados: La media NAS fue de 70,86%. Para el anĆ”lisis factorial exploratorio se excluyeron los Ćtems que no presentaron variabilidad (2, 3, 15, 16 y 18). Se utilizĆ³ el mĆ©todo de extracciĆ³n de factores de mĆnimos cuadrados en el programa Factor y se decidiĆ³ la soluciĆ³n de 1 factor que explicĆ³ el 12,8 % de la varianza total del instrumento. La estructura factorial propuesta agrupĆ³ a los Ćtems en 1 factor y los Ćtems 1, 5, 6, 7, 8, 13, 14, 19, 20, 22 y 23 no presentaron una comunalidad adecuada. El estadĆstico de Kuder-Richardson fue de 0,886. La validez de criterio externo presentĆ³ una correlaciĆ³n alta y positiva (r= 0,601). ConclusiĆ³n: Debido a la relevancia teĆ³rica y prĆ”ctica y atingencia conceptual de los Ćtems reportada en el proceso de validaciĆ³n de contenido, se ha decidido no recomendar la eliminaciĆ³n de estos Ćtems y seguir haciendo estudios de validaciĆ³n en otras poblaciones.
Objective: Analyse the degree to which psychometric properties are preserved in the Nursing Activities Score through assessments of instrument reliability and validity. Method: Assessments of instrument adaptation and validation that measures the workload of nursing in Intensive Care Units and that covers more than 80% of nursing activities, estimating the daily allocation of patients to the nursing staff according to the patientsā care needs. The instrumentās reliability was assessed in six intensive care units located in two hospitals in Santiago, Chile. Results: The mean nursing activities score was 70.86%. For exploratory factor analysis, items without variability were excluded (2, 3, 15, 16 and 18). The least squares factor extraction method was used, executed in the Factor software, and it resulted in one factor explaining 12.8% of total instrument variance. The proposed factor structure grouped items in one factor; however, items 1, 5, 6, 7, 8, 13, 14, 19, 20, 22 and 23 did not present adequate communality. The calculated value for the Kuder-Richardson formula was 0.886. The Nursing Activities Score instrument was highly and positively correlated with the Therapeutic Intervention Scoring System (r = 0.601), used as an external validation criterion. Conclusion: Due to theoretical and practical relevancy, as well as conceptual connections of the items selected during the content validation process, we recommend that these items are not eliminated from the Nursing Activities Score instrument. Additional validation studies should be conducted in other populations.
Objective: Analyse the degree to which psychometric properties are preserved in the Nursing Activities Score through assessments of instrument reliability and validity. Method: Assessments of instrument adaptation and validation that measures the workload of nursing in Intensive Care Units and that covers more than 80% of nursing activities, estimating the daily allocation of patients to the nursing staff according to the patientsā care needs. The instrumentās reliability was assessed in six intensive care units located in two hospitals in Santiago, Chile. Results: The mean nursing activities score was 70.86%. For exploratory factor analysis, items without variability were excluded (2, 3, 15, 16 and 18). The least squares factor extraction method was used, executed in the Factor software, and it resulted in one factor explaining 12.8% of total instrument variance. The proposed factor structure grouped items in one factor; however, items 1, 5, 6, 7, 8, 13, 14, 19, 20, 22 and 23 did not present adequate communality. The calculated value for the Kuder-Richardson formula was 0.886. The Nursing Activities Score instrument was highly and positively correlated with the Therapeutic Intervention Scoring System (r = 0.601), used as an external validation criterion. Conclusion: Due to theoretical and practical relevancy, as well as conceptual connections of the items selected during the content validation process, we recommend that these items are not eliminated from the Nursing Activities Score instrument. Additional validation studies should be conducted in other populations.
Notas
IndexaciĆ³n Scopus
Palabras clave
Carga de trabajo, EnfermerĆa, Unidades de cuidados intensivos, Estudios de validaciĆ³n, Carga de trabajo
CitaciĆ³n
Ciencia y Enfermeria Volume 24 2018 Article number 13
DOI
10.4067/s0717-95532018000100213