Development and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitals
Abstract
:1. Introduction
2. Methods
2.1. Study Design and Participants
2.2. Sampling and Sample
2.2.1. Sample 1
2.2.2. Sample 2
2.2.3. Sample 3
2.3. Data Collection Procedures
2.3.1. Recruitment
2.3.2. Training
2.3.3. Registration
2.4. Study Variables and Measures
2.4.1. Participant Characteristics
2.4.2. Hospital Characteristics
2.4.3. Instruments: INICIARE Scale and Care Dependency Scale (CDS)
2.5. Ethical Approvals
2.6. Data Analysis
Psychometric Testing
3. Results
3.1. Participant Characteristics
3.2. Psychometric Testing
3.2.1. Sample 1 (Initial 60-Item Scale to 46-Item Version Scale)
3.2.2. Sample 2 (46-Item Version Scale to 40-Item Scale)
3.2.3. Sample 3 (40-Item Version Scale to 26-Item Scale)
3.2.4. Large form Version (40-Item Scale) vs. Short Form Version (26-Item Scale)
3.2.5. Concurrent Criterion Validity
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Variables | Patients | Clinical Nurses | ||
---|---|---|---|---|
Sample 1 | Sample 2 | Sample 3 | Sample | |
n = 1901 | n = 821 | n = 883 | n = 157 | |
n (%) or Mean (SD) | n (%) or Mean (SD) | n (%) or Mean (SD) | n (%) or Mean (SD) | |
Age | 64.7 (17.0) | 64.5 (17.0) | 64.5 (16.9) | |
Gender | ||||
Male | 1022 (53.8) | 471 (57.4) | 489 (55.4) | |
Female | 879 (46.2) | 350 (42.6) | 394 (44.6) | |
Unit | ||||
Medical | 1191 (62.7) | 497 (60.5) | 536 (60.7) | |
Surgical | 710 (37.3) | 324 (39.5) | 347 (39.3) | |
Functional and cognitive status | ||||
Barthel Index | 54.3 (35.7) | 58.5 (36.8) | 55.9 (35.9) | |
Pfeiffer | 1.1 (0.3) | 1.1 (0.3) | 1.1 (0.3) | |
Hospital | ||||
Primary | 845 (44.4) | 404 (49.2) | 412 (46.6) | 68 (43.3) |
Specialties | 622 (32.7) | 306 (37.3) | 309 (34.9) | 65 (41.4) |
Tertiary | 434 (22.8) | 111 (13.5) | 162 (18.3) | 24 (15.3) |
No. | Factor | ||||||||
---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | ||
1 | 160007 Provides rationale for adopting a health behaviour | 0.880 | |||||||
2 | 182402 Description of specific disease process | 0.874 | |||||||
3 | 160601 Claims decision-making responsibility | 0.873 | |||||||
4 | 182408 Description of treatment regimen | 0.870 | |||||||
5 | 182308 Behaviors to promote health | 0.858 | |||||||
6 | 160001 Asks health-related questions | 0.852 | |||||||
7 | 170202 Requested involvement in health decisions | 0.823 | |||||||
8 | 130501 Sets realistic goals | 0.816 | |||||||
9 | 130208 Adapts to life change | 0.794 | |||||||
10 | 170411 Perceived impact on future lifestyle | 0.777 | |||||||
11 | 130502 Maintains self-esteem | 0.774 | |||||||
12 | 170404 Concern regarding illness or injury | 0.768 | |||||||
13 | 190201 Acknowledges risk factors | 0.731 | |||||||
14 | 170401 Perceived threat to health | 0.713 | |||||||
15 | 040302 Respiratory rhythm | 0.883 | |||||||
16 | 041004 Respiratory rate | 0.871 | |||||||
17 | 040309 Accessory muscle use | 0.857 | |||||||
18 | 040310 Adventitious breath sounds | 0.844 | |||||||
19 | 040203 Dyspnea at rest | 0.829 | |||||||
20 | 040204 Dyspnea with mild exertion | 0.794 | |||||||
21 | 040206 Cyanosis | 0.750 | |||||||
22 | 030012 Positions self | 0.816 | |||||||
23 | 020814 Moves with ease | 0.814 | |||||||
24 | 020002 Walks with effective gait | 0.804 | |||||||
25 | 030002 Dressing | 0.802 | |||||||
26 | 030211 Removes clothes from upper body | 0.793 | |||||||
27 | 020802 Body positioning performance | 0.723 | |||||||
28 | 101406 Food Intake | 0.857 | |||||||
29 | 100801 Oral food intake | 0.837 | |||||||
30 | 101016 Food acceptance | 0.678 | |||||||
31 | 060107 24-h intake and output balance | 0.549 | |||||||
32 | 050301 Elimination pattern (urinary) | 0.728 | |||||||
33 | 050312 Urinary incontinence | 0.688 | |||||||
34 | 031001 Responds to full bladder in timely manner | 0.684 | |||||||
35 | 060211 Urine output | 0.640 | |||||||
36 | 050002 Maintains control of stool passage | 0.415 | |||||||
37 | 000404 Sleep quality | 0.842 | |||||||
38 | 000303 Rest quality | 0.819 | |||||||
39 | 000403 Sleep pattern | 0.814 | |||||||
40 | 110102 Sensation | 0.753 | |||||||
41 | 110111 Tissue perfusion | 0.722 | |||||||
42 | 110113 Skin integrity | 0.640 | |||||||
43 | 090703 Verbalizes a coherent message | 0.655 | |||||||
44 | 090014 Communication clear for age | 0.643 | |||||||
45 | 090003 Attentiveness | 0.608 | |||||||
46 | 090210 Accurate interpretation of messages received | 0.601 |
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Porcel-Gálvez, A.M.; Barrientos-Trigo, S.; Fernández-García, E.; Allande-Cussó, R.; Quiñoz-Gallardo, M.D.; Morales-Asencio, J.M. Development and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitals. Int. J. Environ. Res. Public Health 2020, 17, 8511. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17228511
Porcel-Gálvez AM, Barrientos-Trigo S, Fernández-García E, Allande-Cussó R, Quiñoz-Gallardo MD, Morales-Asencio JM. Development and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitals. International Journal of Environmental Research and Public Health. 2020; 17(22):8511. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17228511
Chicago/Turabian StylePorcel-Gálvez, Ana María, Sergio Barrientos-Trigo, Elena Fernández-García, Regina Allande-Cussó, María Dolores Quiñoz-Gallardo, and José Miguel Morales-Asencio. 2020. "Development and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitals" International Journal of Environmental Research and Public Health 17, no. 22: 8511. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17228511