Publication: Validation of a nursing workload measurement scale, based on the Classification of Nursing Interventions, for adult hospitalization units
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Date
2022-11-23
Authors
Hellín Gil, M. F ; Roldán Valcarcel, M. D ; Seva Llor, Ana Myriam ; Ibáñez-López, F. J ; Mikla, Marzena ; López Montesinos, M. J.
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Publisher
MDPI
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DOI
https://doi.org/10.3390/ijerph192315528
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info:eu-repo/semantics/article
Description
© 2022 by the authors. This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by/4.0/
This document is the Published version of a Published Work that appeared in final form in International Journal of Environmental Research and Public Health. To access the final edited and published work see https://doi.org/10.3390/ijerph192315528
Abstract
Abstract: We conducted validation of a scale to measure nursing workloads, previously designed
using NIC interventions within the four nursing functions (patient care, teaching, management, and
research). Methods: This is an analytical, descriptive, prospective, and observational study using
qualitative methodology (focus groups and in-depth interviews) with a quantitative and qualitative
section (committee of experts and real application of the scale through a validation pilot and with
multicentric application, including hospitalization units of internal medicine and surgery of four
hospitals). Qualitative analysis was performed with Atlas.ti8 and quantitative analysis with R.
Results: Qualitatively, all the participants agreed on the need to measure workloads in all nursing
functions with standardized terminology. The expert committee found greater relevance (91.67%)
in “prevention” and “health education” as well as consistency with the construct and adequate
wording in 99% of the selected items. In the pilot test and multicenter application, the nurses spent
more time on the caring dimension, in the morning shift, and on the items “self-care”, “medication”,
“health education”, “care of invasive procedures”, “wounds care”, “comfort”, and “fluid therapy”.
Cronbach’s alpha 0.727, composite reliability 0.685, AVE 0.099, and omega coefficient 0.704 were all
acceptable. Construct validity: KMO 0.5 and Bartlett’s test were significant. Conclusions: The scale
can be considered valid to measure nursing workloads, both qualitatively in obtaining the consensus
of experts and health personnel and quantitatively, with acceptable reliability and validity superior
to other similar scales.
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Citation
International Journal of Environmental Research and Public Health, 2022, Vol. 19 : 15528
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Este ítem está sujeto a una licencia Creative Commons. http://creativecommons.org/licenses/by/4.0/