Testing the Q-DIO as an instrument to measure the documented quality of nursing diagnoses, interventions, and outcomes.
OBJECTIVE
To describe pilot testing of Quality of Diagnoses, Interventions and Outcomes (Q-DIO), an instrument to measure quality of nursing documentation.


METHODS
Instrument testing was performed using a random, stratified sample of 60 nursing documentations representing hospital nursing with and without implementation of standardized nursing language (30 for both strata) in a Swiss General Acute Hospital.


METHODS
Internal consistency and intrarater and interrater reliabilities were tested. Through item analyses, the grades of difficulty and the discrimination validity of items were evaluated.


RESULTS
Internal consistency of nursing diagnoses as process produced Cronbach's alpha .83; nursing diagnoses as product .98; nursing interventions .90; and nursing-sensitive patient outcomes .99. With Kappas of .95, the intrarater and interrater reliabilities were good. Criteria for the grades of difficulty of items and discrimination validity were well met. The results of this study suggest that Q-DIO is a reliable instrument to measure the documentation quality of nursing diagnoses, interventions, and outcomes. Further testing of Q-DIO in other settings is recommended.
Müller-Staub
Maria
M
Pflege PBS, Bern, Switzerland. muellerstaub@bluewin.ch
Lunney
Margaret
M
Lavin
Mary Ann
MA
Needham
Ian
I
Odenbreit
Matthias
M
van Achterberg
Theo
T
D004282:Documentation / Q000592:standards; D006801:Humans; D009731:Nursing Audit; D009733:Nursing Diagnosis / Q000458:organization & administration; D015403:Nursing Evaluation Research; D009736:Nursing Process / Q000458:organization & administration; D009737:Nursing Records / Q000592:standards; D009741:Nursing Staff, Hospital / Q000458:organization & administration; D015588:Observer Variation; D017063:Outcome Assessment, Health Care; D010347:Patient Care Planning / Q000458:organization & administration; D010865:Pilot Projects; D011594:Psychometrics; D019984:Quality Indicators, Health Care / Q000592:standards*; D012680:Sensitivity and Specificity; D013557:Switzerland; D018875:Vocabulary, Controlled