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Development and Validation of a Meta-Instrument for Nursing Assessment in Adult Hospitalization Units (VALENF Instrument) (Part I)

Author

Listed:
  • David Luna-Aleixos

    (Hospital Universitario de La Plana, Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain
    Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Irene Llagostera-Reverter

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Ximo Castelló-Benavent

    (Mathematics Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Marta Aquilué-Ballarín

    (Hospital Comarcal Universitario de Vinarós, Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Gema Mecho-Montoliu

    (Hospital Universitario de La Plana, 12540 Villarreal, Spain)

  • Águeda Cervera-Gasch

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • María Jesús Valero-Chillerón

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Desirée Mena-Tudela

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Laura Andreu-Pejó

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Rafael Martínez-Gonzálbez

    (Hospital Universitario de La Plana, 12540 Villarreal, Spain)

  • Víctor M. González-Chordá

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain
    Nursing and Healthcare Research Unit (INVESTÉN-ISCIII), Institute of Health Carlos III, 28029 Madrid, Spain)

Abstract

Nursing assessment is the basis for performing interventions that match patient needs, but nurses perceive it as an administrative load. This research aims to develop and validate a meta-instrument that integrates the assessment of functional capacity, risk of pressure ulcers and risk of falling with a more parsimonious approach to nursing assessment in adult hospitalization units. Specifically, this manuscript presents the results of the development of this meta-instrument (VALENF instrument). A cross-sectional study based on recorded data was carried out in a sample of 1352 nursing assessments. Socio-demographic variables and assessments of Barthel, Braden and Downton indices at the time of admission were included. The meta-instrument’s development process includes: (i) nominal group; (ii) correlation analysis; (iii) multiple linear regressions models; (iv) reliability analysis. A seven-item solution showed a high predictive capacity with Barthel (R 2 adj = 0.938), Braden (R 2 adj = 0.926) and Downton (R 2 adj = 0.921) indices. Likewise, reliability was significant ( p < 0.001) for Barthel (ICC = 0.969; τ-b = 0.850), Braden (ICC = 0.943; τ-b = 0.842) and Downton (ICC = 0.905; κ = 7.17) indices. VALENF instrument has an adequate predictive capacity and reliability to assess the level of functional capacity, risk of pressure injuries and risk of falls.

Suggested Citation

  • David Luna-Aleixos & Irene Llagostera-Reverter & Ximo Castelló-Benavent & Marta Aquilué-Ballarín & Gema Mecho-Montoliu & Águeda Cervera-Gasch & María Jesús Valero-Chillerón & Desirée Mena-Tudela & Lau, 2022. "Development and Validation of a Meta-Instrument for Nursing Assessment in Adult Hospitalization Units (VALENF Instrument) (Part I)," IJERPH, MDPI, vol. 19(22), pages 1-15, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14622-:d:966076
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    References listed on IDEAS

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    1. Clint Douglas & Catriona Booker & Robyn Fox & Carol Windsor & Sonya Osborne & Glenn Gardner, 2016. "Nursing physical assessment for patient safety in general wards: reaching consensus on core skills," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1890-1900, July.
    2. Sigrun Aasen Frigstad & Torunn Hatlen Nøst & Beate André, 2015. "Implementation of Free Text Format Nursing Diagnoses at a University Hospital’s Medical Department. Exploring Nurses’ and Nursing Students’ Experiences on Use and Usefulness. A Qualitative Study," Nursing Research and Practice, Hindawi, vol. 2015, pages 1-11, May.
    3. Belinda Munroe & Kate Curtis & Julie Considine & Thomas Buckley, 2013. "The impact structured patient assessment frameworks have on patient care: an integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(21-22), pages 2991-3005, November.
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