title: Testing the Q-DIO as an instrument to measure the documented quality of nursing diagnoses, interventions, and outcomes.
abstract: 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.
authors.affiliation: Pflege PBS, Bern, Switzerland. muellerstaub@bluewin.ch
authors.forename: Maria
authors.initials: M
authors.lastname: Müller-Staub
authors.forename: Margaret
authors.initials: M
authors.lastname: Lunney
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Lavin
authors.forename: Ian
authors.initials: I
authors.lastname: Needham
authors.forename: Matthias
authors.initials: M
authors.lastname: Odenbreit
authors.forename: Theo
authors.initials: T
authors.lastname: van Achterberg
mesh_terms: 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