Validity of defining characteristics of chronic confusion

Abstract

sociálnych vied a zdravotníctva, katedra ošetrovateľstva summary The paper aims to nursing diagnosis of Chronic confusion (00129) from NANDA-I (North American Nursing Diagnosis Association International) in conditions of selected workplaces. The sample was made up of 93 experts. An expert was considered to be a nurse with minimum 4 points according to modified Fehring criteria for the Czech Republic and Slovakia. The Ferhing Diagnostic Content Validity Model was used for content validity. Importance of defining characteristics was analyzed by the validity instrument containing 13 items (9 defining characteristics of Chronic confusion (00129) from NANDA-I, 3 items of MMSE (Mini-Mental State Examination: Folstein test and 1 neutral characteristic). The nurses-experts considered changes in time orientation, space (0.88), long-term cognitive disorder (0.82), progressive cognitive disorder (0.79) and disturbed stimulation interpretation and reaction to them to be the main defining characteristics. Two items-absent concious disorder (0.41) and rapid thinking (a neutral item) (0.31) were excluded. The total score of chronic confusion was 0.67. The detailed analysis showed that expert's item score influences the evaluation of defining characteristics to the main ones and the secondary ones. The study confirmed the validity of eight defining characteristics of chronic confusion from NANDA-I and that's way this nursing diagnosis can be considered as a valid one. The proper selection of expert sample is an important step in the process of validity of nursing diagnosis. key words: validity-nurse-expert-chronic confusion-demency ošetřovatelství súhrn Cieľom práce bolo validovať ošetrovateľskú diagnózu Chronická zmätenosť (00129) z NAN-DA-I (North American Nursing Diagnosis Association International) v podmienkach vybraných pracovísk. Súbor tvorilo 93 expertov. Za experta sme považovali sestry, ktoré získali minimálne 4 body podľa modifikovaných Fehringových kritérií pre podmienky Slovenska a Česka. Na obsahovú validáciu sme použili Fehringov model validity diagnostického obsahu (Diagnostic Content Validity Model). Posúdenie významnosti definujúcich charakteristík sme uskutočnili validačným nástrojom, ktorý obsahoval 13 položiek (9 definujúcich charakteristík Chronickej zmätenosti z NANDA-I, 3 položky nástroja MMSE (Mini-Mental State Examination: Folsteinov test a 1 neutrálnu charakteristiku).