Development and Validation of a Meta-Instrument for the Assessment of Functional Capacity, the Risk of Falls and Pressure Injuries in Adult Hospitalization Units (VALENF Instrument) (Part II)

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: 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, 2023, vol. 20, issue 6, 1-12

Abstract: The nursing assessment is the first step of the nursing process and fundamental to detecting patients’ care needs and at-risk situations. This article presents the psychometric properties of the VALENF Instrument, a recently developed meta-instrument with only seven items that integrates the assessment of functional capacity, risk of pressure injuries and risk of falls with a more parsimonious approach to nursing assessment in adult hospitalization units. A cross-sectional study based on recorded data in a sample of 1352 nursing assessments was conducted. Sociodemographic variables and assessments of the Barthel, Braden and Downton instruments were included at the time of admission through the electronic health history. Thus, the VALENF Instrument obtained high content validity (S-CVI = 0.961), construct validity (RMSEA = 0.072; TLI = 0.968) and internal consistency (Ω = 0.864). However, the inter-observer reliability results were not conclusive, with Kappa values ranging between 0.213 and 0.902 points. The VALENF Instrument has adequate psychometric properties (content validity, construct validity, internal consistency and inter-observer reliability) for assessing the level of functional capacity, risk of pressure injuries and risk of falls. Future studies are necessary to establish its diagnostic accuracy.

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: 2023
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