[Validation of nursing care sensitive outcomes related to knowledge].
OBJECTIVE
The purpose of this study was to assess the importance and sensitivity to nursing interventions of four nursing sensitive nursing outcomes selected from the Nursing Outcomes Classification (NOC). Outcomes for this study were "Knowledge: Diet", "Knowledge: Disease Process", "Knowledge: Energy Conservation", and "Knowledge: Health Behaviors".


METHODS
Data were collected from 183 nurses working in 2 university hospitals. Fehring method was used to estimate outcome and indicators' content and sensitivity validity. Multiple and stepwise regression were used to evaluate relationships between each outcome and its indicators.


RESULTS
Results confirmed the importance and nursing sensitivity of outcomes and their indicators. Key indicators of each outcomes were found by multiple regression. "Knowledge: Diet" was suggested for adding new indicators because the variance explained by indicators was relatively low. Not all of the indicators selected for stepwise regression model were rated for highly in Fehring method. The R2 statistics of the stepwise regression models were between 18 and 63% in importance by selected indicators and between 34 and 68% in contribution by selected indicators.


CONCLUSIONS
This study refined what outcomes and indicators will be useful in clinical practice. Further research will be required for the revision of outcome and indicators of NOC. However, this study refined what outcomes and indicators will be useful in clinical practice.
Lee
Eun-Joo
EJ
Department of Nursing, Kyungpook National University, Daegu, Korea. jewelee@knu.ac.kr