Interventions related to activity and movement.
Ten nursing interventions related to human activity phenomena with definitions and a combined total of 246 defining activities were developed from literature reviews and concept synthesis. A two-round Delphi survey of highly experienced master's-prepared rehabilitation nurses confirmed the content validity of the interventions. Round 1 responses resulted in major revisions of several interventions that were questioned and viewed as being outside the domain of nursing practice. Respondents also indicated that some of the activities listed were "idealistic" and that factors such as limited staffing, institutional policy, and physical characteristics of the unit would limit implementation. None of the activities rated in round 2 were deleted for means less than 0.50. The interventions with the highest ICV scores were Swallowing Therapy (0.86), Exercise Therapy: Ambulation (0.85), and Exercise Therapy: Mobility (0.84). Although all of the interventions were conceptualized for nursing across settings, these are modest levels of agreement and may reflect the practice of nursing in more structured institutional settings where exercise and activity therapies are performed by specialty rehabilitation professionals. On the other hand, the 72% round 2 response rate and the volume of written feedback received attests to the level of commitment and attention given to the task by the nurse experts. This affirms the value of seeking systematically to identify, verify, and build nursing science.
Glick
O J
OJ
College of Nursing, University of Iowa, Iowa City.
D000203:Activities of Daily Living; D005081:Exercise Therapy / Q000145:classification; D006801:Humans; D009068:Movement; D009732:Nursing Care / Q000145:classification*; D015399:Nursing Research; D012046:Rehabilitation / Q000145:classification / Q000451:nursing*; D013041:Specialties, Nursing / Q000145:classification; D009626:Terminology as Topic; D014481:United States