Development and reliability and validity test of an ICU patient care difficulty index system based on psychosocial factors
10.3969/j.issn.1671-8283.2025.05.008
- VernacularTitle:基于心理社会因素的ICU患者护理难度评价指标体系的构建及其信度、效度检验
- Author:
Xiaoshuang ZHAO
1
;
Zhuo YANG
;
Hui ZHANG
;
Hongli CHI
;
Ting NI
;
Yan YANG
Author Information
1. 吉林大学第一医院护理部,吉林 长春,130000
- Publication Type:Journal Article
- Keywords:
psychosocial factor;
ICU;
nursing difficulty;
Guarinoni model;
reliability;
validity
- From:
Modern Clinical Nursing
2025;24(5):56-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop an ICU patient care difficulty index based on psychosocial factors and to evaluate its reliability and validity,thereby providing a comprehensive tool for assessing the difficulties in ICU patient care.Methods Guided by Guarinoni theory,an index system was developed through systematic literature reviews,semi-structured interviews,two rounds of Delphi expert consultation and the analytic hierarchy process.Based on the drafted system,a questionnaire was formulated.The tests for validity and reliability were conducted on 290 patients selected by convenience sampling.Results The finalised ICU patient care difficulty index system was composed of 5 primary indices(the general condition of the patient,disease condition,nursing condition,social support,and organizational characteristics),13 secondary indices and 27 tertiary indices.The Kendall's coefficient of coordination W values were 0.380 and 0.498,respectively,indicating a statistically significant agreement(both P<0.001).The system demonstrated a robust reliability(Cronbach's α=0.896)and a good internal consistency.Validity was confirmed through a scale level-content validity index(S-CVI)of 0.94 and the item level-content validity indices(I-CVI)ranged from 0.87 to 1.00.Structural validity analysis,based on 8 extracted public factors,showed a cumulative variance contribution rate of 66.34%.Conclusion The ICU patient care difficulty index system shows a high reliability and validity,making it a valuable tool for accurately quantification of the difficulty in ICU patient care.This system provides a scientific basis for allocation of ICU nursing resource and performance distribution.
