Development and Validation of a Meta-Instrument for Nursing Assessment in Adult Hospitalization Units (VALENF Instrument) (Part I)
2022
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 | Laura Andreu-Pejó | Rafael Martínez-Gonzálbez | Víctor M. González-Chordá
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&rsquo: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 (R2adj = 0.938), Braden (R2adj = 0.926) and Downton (R2adj = 0.921) indices. Likewise, reliability was significant (p <: 0.001) for Barthel (ICC = 0.969: &tau:-b = 0.850), Braden (ICC = 0.943: &tau:-b = 0.842) and Downton (ICC = 0.905: &kappa: = 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.
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