title: Assessing Nursing Care Needs of Children With Complex Medical Conditions: The Nursing-Kids Intensity of Care Survey (N-KICS).
abstract: Recent medical advances have resulted in increased survival of children with complex medical conditions (CMC), but there are no validated methods to measure their care needs.
  
  
  OBJECTIVE
  To design and test the Nursing-Kids Intensity of Care Survey (N-KICS) tool and describe intensity of nursing care for children with CMC.
  
  
  RESULTS
  The psychometric evaluation confirmed an acceptable standard for reliability and validity and feasibility. Intensity scores were highest for nursing care related to infection control, medication administration, nutrition, diaper changes, hygiene, neurological and respiratory support, and standing program.
  
  
  CONCLUSIONS
  Development of a psychometrically sound measure of nursing intensity will help evaluate and plan nursing care for children with CMC.
authors.affiliation: New York University College of Nursing, New York, NY. Electronic address: amd363@nyu.edu.
authors.forename: Ann-Margaret
authors.initials: AM
authors.lastname: Navarra
authors.affiliation: ArchCare at Terence Cardinal Cooke Health Care Center, New York, NY. Electronic address: rschlau@archcare.org.
authors.forename: Rona
authors.initials: R
authors.lastname: Schlau
authors.affiliation: Columbia University School of Nursing, New York, NY. Electronic address: mtm2164@cumc.columbia.edu.
authors.forename: Meghan
authors.initials: M
authors.lastname: Murray
authors.affiliation: Sunshine Children's Home and Rehabilitative Center, Ossining, NY. Electronic address: lmosiello@sunshinechildrenshome.org.
authors.forename: Linda
authors.initials: L
authors.lastname: Mosiello
authors.affiliation: Sunshine Children's Home and Rehabilitative Center, Ossining, NY. Electronic address: lschneider@sunshinechildrenshome.org.
authors.forename: Laura
authors.initials: L
authors.lastname: Schneider
authors.affiliation: Elizabeth Seton Pediatric Center, Yonkers, NY. Electronic address: OJackson@setonpediatric.org.
authors.forename: Olivia
authors.initials: O
authors.lastname: Jackson
authors.affiliation: Center for Interdisciplinary Research to Prevent Infections (CIRI), Columbia University School of Nursing, New York, NY. Electronic address: bac2116@cumc.columbia.edu.
authors.forename: Bevin
authors.initials: B
authors.lastname: Cohen
authors.affiliation: Columbia University Medical Center, Division of Pediatric Infectious Diseases, New York, NY. Electronic address: ls5@cumc.columbia.edu.
authors.forename: Lisa
authors.initials: L
authors.lastname: Saiman
authors.affiliation: Columbia University School of Nursing, New York, NY. Electronic address: ell23@columbia.edu.
authors.forename: Elaine L
authors.initials: EL
authors.lastname: Larson
mesh_terms: D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D002675:Child, Preschool; D019988:Children with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008134:Long-Term Care; D008297:Male; D020380:Needs Assessment; D024802:Nurse's Role; D010371:Pediatric Nursing / Q000458:organization & administration*; D010865:Pilot Projects; D011594:Psychometrics; D011785:Quality Assurance, Health Care; D015203:Reproducibility of Results; D014481:United States; D035862:Vulnerable Populations / Q000706:statistics & numerical data*
keywords: Complex medical conditions; Instrument development: Nursing intensity; Long-term care; Pediatrics