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Validation of a Nursing Workload Measurement Scale, Based on the Classification of Nursing Interventions, for Adult Hospitalization Units

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 metho...

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Autores principales: Hellín Gil, María Fuensanta, Roldán Valcárcel, María Dolores, Seva Llor, Ana Myriam, Ibáñez-López, Francisco Javier, Mikla, Marzena, López Montesinos, María José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9737816/
https://www.ncbi.nlm.nih.gov/pubmed/36497604
http://dx.doi.org/10.3390/ijerph192315528
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author Hellín Gil, María Fuensanta
Roldán Valcárcel, María Dolores
Seva Llor, Ana Myriam
Ibáñez-López, Francisco Javier
Mikla, Marzena
López Montesinos, María José
author_facet Hellín Gil, María Fuensanta
Roldán Valcárcel, María Dolores
Seva Llor, Ana Myriam
Ibáñez-López, Francisco Javier
Mikla, Marzena
López Montesinos, María José
author_sort Hellín Gil, María Fuensanta
collection PubMed
description 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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spelling pubmed-97378162022-12-11 Validation of a Nursing Workload Measurement Scale, Based on the Classification of Nursing Interventions, for Adult Hospitalization Units Hellín Gil, María Fuensanta Roldán Valcárcel, María Dolores Seva Llor, Ana Myriam Ibáñez-López, Francisco Javier Mikla, Marzena López Montesinos, María José Int J Environ Res Public Health Article 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. MDPI 2022-11-23 /pmc/articles/PMC9737816/ /pubmed/36497604 http://dx.doi.org/10.3390/ijerph192315528 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hellín Gil, María Fuensanta
Roldán Valcárcel, María Dolores
Seva Llor, Ana Myriam
Ibáñez-López, Francisco Javier
Mikla, Marzena
López Montesinos, María José
Validation of a Nursing Workload Measurement Scale, Based on the Classification of Nursing Interventions, for Adult Hospitalization Units
title Validation of a Nursing Workload Measurement Scale, Based on the Classification of Nursing Interventions, for Adult Hospitalization Units
title_full Validation of a Nursing Workload Measurement Scale, Based on the Classification of Nursing Interventions, for Adult Hospitalization Units
title_fullStr Validation of a Nursing Workload Measurement Scale, Based on the Classification of Nursing Interventions, for Adult Hospitalization Units
title_full_unstemmed Validation of a Nursing Workload Measurement Scale, Based on the Classification of Nursing Interventions, for Adult Hospitalization Units
title_short Validation of a Nursing Workload Measurement Scale, Based on the Classification of Nursing Interventions, for Adult Hospitalization Units
title_sort validation of a nursing workload measurement scale, based on the classification of nursing interventions, for adult hospitalization units
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9737816/
https://www.ncbi.nlm.nih.gov/pubmed/36497604
http://dx.doi.org/10.3390/ijerph192315528
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