title: Construction and validation of an instrument for assessment of the nursing diagnosis, risk for infection, in patients following cardiac surgery.
abstract: OBJECTIVE
  To construct and validate a data collection instrument (DCI), and a corresponding instructional guide, for assessment of the nursing diagnosis, risk for infection, in patients following cardiac surgery.
  
  
  METHODS
  Construction of conceptual and operational definitions for risk factors based on literature, content validation by experts, and clinical validation by clinical nurses.
  
  
  RESULTS
  There were significant internal consistency and reproducibility in the content validation. In the clinical validation, agreement among nurses was higher than 70% for all risk factors.
  
  
  CONCLUSIONS
  The DCI was constructed and validated.
  
  
  CONCLUSIONS
  This DCI could be used for assessment of adult patients after cardiac surgeries worldwide because of its detailed cues for risk factors, which facilitate clinical reasoning and diagnostic judgment.
authors.affiliation: Paulista Nursing School, Federal University of São Paulo, São Paulo, SP, Brazil.
authors.forename: Carla Ethel Filippi
authors.initials: CE
authors.lastname: Schulz
authors.forename: Camila Takáo
authors.initials: CT
authors.lastname: Lopes
authors.forename: T Heather
authors.initials: TH
authors.lastname: Herdman
authors.forename: Juliana de Lima
authors.initials: Jde L
authors.lastname: Lopes
authors.forename: Alba Lucia Bottura Leite
authors.initials: AL
authors.lastname: de Barros
mesh_terms: D006801:Humans; D009733:Nursing Diagnosis; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000209:etiology; D019616:Thoracic Surgical Procedures / Q000009:adverse effects*
keywords: Infection; nursing diagnosis; validation studies