title: Validation of the Quality of Diagnoses, Interventions, and Outcomes (Q-DIO) instrument for use in Brazil and the United States.
abstract: OBJECTIVE
  To assess the reliability and validity of Quality of Diagnoses, Interventions, and Outcomes (Q-DIO) in Brazil and in the United States.
  
  
  METHODS
  The sample comprised 180 records: centers 1 (electronic records and standardized language) and 2 (paper-based records without standardized language in Brazil, and center 3 (electronic records without standardized language) in the United States. Reliability and discriminant construct validity was analyzed.
  
  
  RESULTS
  Cronbach's alpha for all 29 Q-DIO items were greater than or equal to 0.70 for all centers; construct validity was significantly different between the three study centers.
  
  
  CONCLUSIONS
  These results indicate that Q-DIO is valid and reliable for assessing the quality of nursing records.
  
  
  CONCLUSIONS
  The Q-DIO may be useful to assess the quality and accuracy of nursing records.
authors.affiliation: Federal University of Health Sciences, Porto Alegre, RS, Brazil.
authors.forename: Graciele Fernanda da Costa
authors.initials: GF
authors.lastname: Linch
authors.forename: Eneida Rejane
authors.initials: ER
authors.lastname: Rabelo-Silva
authors.forename: Gail Maria
authors.initials: GM
authors.lastname: Keenan
authors.forename: Maria Antonieta
authors.initials: MA
authors.lastname: Moraes
authors.forename: Janet
authors.initials: J
authors.lastname: Stifter
authors.forename: Maria
authors.initials: M
authors.lastname: Müller-Staub
mesh_terms: D001938:Brazil; D003933:Diagnosis; D017063:Outcome Assessment, Health Care; D011785:Quality Assurance, Health Care; D014481:United States
keywords: Electronic health record; nursing diagnosis; nursing record; terminology as topic; validation study