Validity and reliability of a bone marrow transplant acuity tool.
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.
Lovett
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RB
Outpatient Department, Hong Kong Adventist Hospital.
McMillan
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SC
D016026:Bone Marrow Transplantation / Q000451:nursing*; D003697:Delphi Technique; D017598:Efficiency, Organizational; D006801:Humans; D009733:Nursing Diagnosis; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000191:economics / Q000458:organization & administration / Q000600:supply & distribution*; D015588:Observer Variation; D010361:Patients / Q000145:classification*; D010561:Personnel Staffing and Scheduling; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D016526:Workload