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

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 and Víctor M. González-Chordá ()
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David Luna-Aleixos: Hospital Universitario de La Plana, 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

IJERPH, 2022, vol. 19, issue 22, 1-15

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.

Keywords: nurses; nursing; nursing assessment; hospitalization; validation study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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