Cultural adaptation of the Nursing Activities Score to the French-Canadian context and reliability evaluation.
| Autor: | LACHANCE, JOANIE, DOUVILLE, FRÉDÉRIC, MACHADO, ELAINE O., DALLAIRE, CLÉMENCE, OLIVEIRA, HENRIQUE C., HOULE, JULIE, GALLANI, MARIA CÉCILIA |
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| Předmět: |
CRITICALLY ill
INTENSIVE care nursing INTENSIVE care units RESEARCH methodology META-analysis PATIENTS QUESTIONNAIRES RELIABILITY (Personality trait) RESEARCH evaluation STATISTICS INTER-observer reliability RESEARCH methodology evaluation DATA analysis software DESCRIPTIVE statistics INFERENTIAL statistics INTRACLASS correlation |
| Zdroj: | Canadian Journal of Critical Care Nursing; Fall2018, Vol. 29 Issue 3, p32-38, 7p |
| Abstrakt: | Background: Evaluating nursing activities during direct care of critically ill patients is important to understand the intensity of care required by these patients and then to better allocate human and financial resources. The Nursing Activities Score (NAS) is a 23-item tool aimed at quantifying the nursing time required for the direct care ofICU patients. Aim: The aim of this paper is to present the cultural adaptation of the NAS to the French-Canadian context and the results of the assessment of its reliability. Methods: Phase 1 of this methodological study was the cross-cultural adaptation of the NAS and its tutorial as follows: translation, synthesis of translation, back-translation, evaluation by an expert committee, and pretest. In Phase 2, reliability was assessed according to the criterion of interrater agreement in three specialized ICUs, by three evaluators: one pair of nurses and one expert. Results: The total score exhibited an intra-class coefficient of 0.90, indicating a good overall agreement among the three judges. Concerning the items separately, Kappa-Fleiss coefficients indicated that 65% of the items (15/23) presented clear evidence of agreement. Items with lower levels of agreement were those with multiple-choice answers (i.e., monitoring; administrative tasks, hygiene, mobilization, support and care of relatives and patient) and some related to specific treatments. Conclusion: The French-Canadian version of the NAS and its tutorial were content-validated by the target users. The evaluation of its reliability indicated a good overall agreement among judges for the total NAS score, but the multiple-choice items and some items related to specific interventions remain a challenge for the standardization of scores among different users. The training of nurses for NAS use is imperative for accurate use of its tutorial and scoring. The evidence of the validation of this version will be the topic of a future publication. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
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