Validity and Community‐Health‐Nursing Sensitivity of Six Outcomes for Community Health Nursing with Older Clients

Abstract

A survey research design was used to assess the importance, sensitivity to nursing interventions, and content validity of six client outcomes from the Nursing Outcomes Classification (NOC)). Outcomes relevant for elderly community residents and caregivers were included in a questionnaire mailed to American Nurses Credentialing Center-certified expert community health nurses. Two hundred thirty-nine experts rated specific indicators of the six outcomes for their importance in determining the outcomes and the contribution of nursing to their achievement. Outcomes also were rated for their importance for community health nursing clients and responsiveness to community health nursing intervention. Results strongly support the content validity and nursing sensitivity of outcomes and specific indicators. Experts judged all six outcomes to be important and 90% of indicators as important in determining the outcome. All outcomes and 78% of indicators were judged to be responsive to community health nursing intervention. Recommendations include the testing of NOC outcomes in community health nursing clinical practice and inclusion in community health nursing curricula. Areas for further research include development and validation of community-level outcomes, validation of outcomes with rural and home health nursing experts, and exploration of the community health nursing-sensitivity of one study outcome.

Nursing Outcomes for Brazilian Pediatric Patients Hospitalized With Deficient Diversional Activity

“…This adaptation refers to the validation of NOC indicators, instead of characteristics that define a nursing diagnosis, and the criteria used to include the experts for this validation. The outcome content validation, adapted from the model of diagnosis content validation proposed by Fehring, has been used in various studies (Head et al., ; Head, Maas, & Johnson, ).…”

Validação de indicadores da classificação dos resultados de enfermagem para pacientes com problemas ortopédicos

“…Various models are proposed to validate nursing diagnoses; it is highlighted, however, that Fehring's diagnostic content validation model has been widely used in nursing. As nurses are accustomed to this model, it has been used to validate nursing outcomes (12)(13) . The validity of outcome indicators has been estimated based on expert judgments' on their relevance, based on a specific context, given by the ND Self-Care Deficit: bathing/hygiene in adult patients submitted to THR.…”

Content Validity and Nursing Sensitivity of Community‐Level Outcomes From the Nursing Outcomes Classification (NOC)

“…The development and validation of community‐level nursing‐sensitive outcomes is consistent with both official specialty organization statements that clarify the focus of PHN as population‐based (American Public Health Association–Public Health Nursing Section, 1996; Quad Council of Public Health Nursing Organizations, 1999) and with population‐based practice focused at individual, family, system, and community levels (Keller, Strohschein, Lia‐Hoagberg, & Schaffer, 1998). Head, Maas, and Johnson (2003) reported that ANCC‐certified community health nursing experts viewed development of community‐level nursing‐sensitive outcomes as essential for PHN practice evaluation and important for the NOC. Although six NOC individual and family caregiver outcomes were judged as having content validity and nursing sensitivity for community practice, experts observed that the contribution of PHN as a specialty could not be adequately described by only individual‐level outcome measures such as self‐care: activities of daily living, caregiver emotional health, health‐promoting behavior.…”