[Quality of nursing diagnoses, interventions and outcomes: criteria and operationalization of the measurement instrument Q-DIO].
Financial, legal and professional demands require the nursing profession to render its contribution to patient care transparent. Due to the lack of research-based tools, the instrument Quality of Nursing Diagnoses, Interventions and Outcomes (Q-DIO) was developed. The aims of this article are to describe the criteria and the operationalisation of an instrument to measure the quality of documented nursing diagnoses, nursing interventions, and nursing outcomes; and to present the instrument. The criteria for the instrument were developed on the basis of a theoretical framework and systematic literature reviews and operationalised into items. Eight experts were involved in face validity and content validity testing. Preliminary testing of inter-rater reliability was also conducted. Development of this instrument results in operationalisation and findings of pretesting. Literature-based criteria were developed into 29 items. All items utilise a scale of 3 to 5 points. The experts corroborated content validity and inter-rater agreement of 88.25% on the 29 items. The measurement instrument Q-DIO provides the result of this study. The strength of the Q-DIO lies in its capacity to measure the quality of documented nursing diagnoses in conjunction with corresponding interventions and nursing-sensitive outcomes. Further testing of the validity and reliability of the Q-DIO is recommended.
Müller-Staub
Maria
M
Pflege PBS (Projekte, Beratung, Schulung), Bern, Schweiz. muellerstaub@bluewin.ch
Needham
Ian
I
Lunney
Margaret
M
Odenbreit
Matthias
M
Lavin
Marie Ann
MA
van Achterberg
Theo
T
D006801:Humans; D016347:Medical Records Systems, Computerized; D009732:Nursing Care / Q000592:standards*; D009733:Nursing Diagnosis / Q000592:standards*; D017063:Outcome Assessment, Health Care / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards*; D013557:Switzerland
Qualität von Pflegediagnosen, -interventionen und -ergebnissen: Kriterien und Operationalisierung des Messinstruments Q-DIO.