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, Víctor M González-Chordá
Author Information
David Luna-Aleixos: Hospital Universitario de La Plana, Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain. ORCID
Irene Llagostera-Reverter: Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain. ORCID
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. ORCID
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. ORCID
María Jesús Valero-Chillerón: Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain. ORCID
Desirée Mena-Tudela: Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain. ORCID
Laura Andreu-Pejó: Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain. ORCID
Rafael Martínez-Gonzálbez: Hospital Universitario de La Plana, 12540 Villarreal, Spain. ORCID
Víctor M González-Chordá: Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castelló de la Plana, Spain. ORCID
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 (Radj = 0.938), Braden (Radj = 0.926) and Downton (Radj = 0.921) indices. Likewise, reliability was significant ( < 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.
