Development and reliability and validity test of patient admission nursing assessment sheet of integrated Chinese and western medicine ward
10.3761/j.issn.0254-1769.2024.07.005
- VernacularTitle:中西医结合病房患者入院护理评估单的研制及信效度检验
- Author:
Fanhua ZHOU
1
;
Lin GAN
;
Yanli MEI
;
Fen DU
;
Ye YAN
;
Lijuan XIONG
Author Information
1. 430022 武汉市华中科技大学同济医学院附属协和医院中西医结合科
- Keywords:
Integration of Traditional Chinese and Western Medicine;
Inpatient;
Admission Nursing Assessment Sheet;
Delphi Technology;
Reliability;
Validity
- From:
Chinese Journal of Nursing
2024;59(7):802-807
- CountryChina
- Language:Chinese
-
Abstract:
Objective To design and test the reliability and validity of patient admission nursing assessment sheet of integrated Chinese and westem medicine ward.Methods On the basis of literature research,with traditional Chinese medicine"look,hear,ask and pulse-taking"as the basic framework,physical discrimination as the evaluation outcome,combined with the general nursing evaluation points of patients admitted to hospital,we designed the patient admission nursing assessment sheet of integrated Chinese and westem medicine ward,and then we adopted the Delphi method to conduct an inquiry on the draft of the admission sheet.In April 2022,3 clinical nurses were selected to evaluate 160 admitted patients from Integrated Traditional Chinese and Western Medicine Department of a tertiary A comprehensive hospital in Hubei Province,and Fleiss'Kappa coefficient and content validity coefficient were used to test the reliability and validity.Results The recovery rates of the 2 rounds of expert correspondence questionnaires were 95.45％and 100％.The authority coefficients were 0.931 and 0.957;the Kendall harmony coefficients were 0.101 and 0.106(P＜0.01);the importance scores of articles were 4.13～4.82;the coefficient of variation was 0.07～0.19 in 2nd round of expert correspondence.The final nursing assessment list for inpatients in the integrated Chinese and Western medicine ward included 3 parts:general demographic data assessment,four-Chinese medicine diagnosis assessment/physical discrimination,and nursing risk assessment,and there are 32 evaluation contents in the assessment sheet.The Fleiss'Kappa coefficient of this assessment sheet was 0.602(P＜0.001);the item content validity index was 0.857～1.000,and the overall content validity index was 0.920.Conclusion The admission nursing assessment sheet for inpatients in integrated Chinese and Westem medicine wards has good reliability and validity,and it is suitable for the integrated Chinese and Westem medicine wards.
