IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i22p14622-d966076.html
   My bibliography  Save this article

Development and Validation of a Meta-Instrument for Nursing Assessment in Adult Hospitalization Units (VALENF Instrument) (Part I)

Author

Listed:
  • David Luna-Aleixos

    (Hospital Universitario de La Plana, Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain
    Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Irene Llagostera-Reverter

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Ximo Castelló-Benavent

    (Mathematics Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Marta Aquilué-Ballarín

    (Hospital Comarcal Universitario de Vinarós, Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Gema Mecho-Montoliu

    (Hospital Universitario de La Plana, 12540 Villarreal, Spain)

  • Águeda Cervera-Gasch

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • María Jesús Valero-Chillerón

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Desirée Mena-Tudela

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Laura Andreu-Pejó

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain)

  • Rafael Martínez-Gonzálbez

    (Hospital Universitario de La Plana, 12540 Villarreal, Spain)

  • Víctor M. González-Chordá

    (Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain
    Nursing and Healthcare Research Unit (INVESTÉN-ISCIII), Institute of Health Carlos III, 28029 Madrid, Spain)

Abstract

Nursing assessment is the basis for performing interventions that match patient needs, but nurses perceive it as an administrative load. This research aims to develop and validate a meta-instrument that integrates the assessment of functional capacity, risk of pressure ulcers and risk of falling with a more parsimonious approach to nursing assessment in adult hospitalization units. Specifically, this manuscript presents the results of the development of this meta-instrument (VALENF instrument). A cross-sectional study based on recorded data was carried out in a sample of 1352 nursing assessments. Socio-demographic variables and assessments of Barthel, Braden and Downton indices at the time of admission were included. The meta-instrument’s development process includes: (i) nominal group; (ii) correlation analysis; (iii) multiple linear regressions models; (iv) reliability analysis. A seven-item solution showed a high predictive capacity with Barthel (R 2 adj = 0.938), Braden (R 2 adj = 0.926) and Downton (R 2 adj = 0.921) indices. Likewise, reliability was significant ( p < 0.001) for Barthel (ICC = 0.969; τ-b = 0.850), Braden (ICC = 0.943; τ-b = 0.842) and Downton (ICC = 0.905; κ = 7.17) indices. VALENF instrument has an adequate predictive capacity and reliability to assess the level of functional capacity, risk of pressure injuries and risk of falls.

Suggested Citation

  • David Luna-Aleixos & Irene Llagostera-Reverter & Ximo Castelló-Benavent & Marta Aquilué-Ballarín & Gema Mecho-Montoliu & Águeda Cervera-Gasch & María Jesús Valero-Chillerón & Desirée Mena-Tudela & Lau, 2022. "Development and Validation of a Meta-Instrument for Nursing Assessment in Adult Hospitalization Units (VALENF Instrument) (Part I)," IJERPH, MDPI, vol. 19(22), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14622-:d:966076
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/22/14622/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/22/14622/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Clint Douglas & Catriona Booker & Robyn Fox & Carol Windsor & Sonya Osborne & Glenn Gardner, 2016. "Nursing physical assessment for patient safety in general wards: reaching consensus on core skills," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1890-1900, July.
    2. Sigrun Aasen Frigstad & Torunn Hatlen Nøst & Beate André, 2015. "Implementation of Free Text Format Nursing Diagnoses at a University Hospital’s Medical Department. Exploring Nurses’ and Nursing Students’ Experiences on Use and Usefulness. A Qualitative Study," Nursing Research and Practice, Hindawi, vol. 2015, pages 1-11, May.
    3. Belinda Munroe & Kate Curtis & Julie Considine & Thomas Buckley, 2013. "The impact structured patient assessment frameworks have on patient care: an integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(21-22), pages 2991-3005, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Clint Douglas & Catriona Booker & Robyn Fox & Carol Windsor & Sonya Osborne & Glenn Gardner, 2016. "Nursing physical assessment for patient safety in general wards: reaching consensus on core skills," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1890-1900, July.
    2. Oboshie Anim-Boamah & Christmal Dela Christmals & Susan Jennifer Armstrong, 2022. "The Clinical Nursing Competency Assessment System of Ghana: Perspectives of Key Informants," SAGE Open, , vol. 12(2), pages 21582440221, April.
    3. Margaret H. Sandham & Emma Hedgecock & Mevhibe Hocaoglu & Celia Palmer & Rebecca J. Jarden & Ajit Narayanan & Richard J. Siegert, 2022. "Strengthening Community End-of-Life Care through Implementing Measurement-Based Palliative Care," IJERPH, MDPI, vol. 19(13), pages 1-12, June.
    4. Katherine Lambe & Judy Currey & Julie Considine, 2017. "Emergency nurses’ decisions regarding frequency and nature of vital sign assessment," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(13-14), pages 1949-1959, July.
    5. Marion Tower & Bernadette Watson & Alison Bourke & Emma Tyers & Anne Tin, 2019. "Situation awareness and the decision‐making processes of final‐year nursing students," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(21-22), pages 3923-3934, November.
    6. Belinda Munroe & Kate Curtis & Thomas Buckley & Melinda Lewis & Lou Atkins, 2018. "Optimising implementation of a patient‐assessment framework for emergency nurses: A mixed‐method study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 269-286, January.
    7. Belinda Munroe & Kate Curtis & Margaret Murphy & Luke Strachan & Julie Considine & Jennifer Hardy & Mark Wilson & Kate Ruperto & Judith Fethney & Thomas Buckley, 2016. "A structured framework improves clinical patient assessment and nontechnical skills of early career emergency nurses: a pre–post study using full immersion simulation," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(15-16), pages 2262-2274, August.
    8. Jan Neugebauer & Valérie Tóthová & Jitka Doležalová, 2021. "Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
    9. Beate André & Torunn H Nøst & Sigrun A Frigstad & Endre Sjøvold, 2017. "Differences in communication within the nursing group and with members of other professions at a hospital unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(7-8), pages 956-963, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14622-:d:966076. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.