Who Are the Experts? A Commentary on Nursing Diagnosis Validation Studies

Levin, Rona F.; Wilkinson, Judith M.

doi:10.1111/j.1744-618x.2001.tb00114.x

Cited by 11 publications

(10 citation statements)

References 9 publications

(10 reference statements)

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“…The Spanish version of the NANDA‐I diagnosis of “death anxiety” (00147) has undergone a process of content validation by experts using the method proposed by Fehring. Fehring's criteria for expert status are difficult to meet, not only in the context in which the study was conducted, but also in other countries where there are few nurses with doctoral degrees (Levin & Wilkinson, ). Therefore, as proposed by Quatrini Carvalho Passos Guimarães, Pena, Lopes, Lopes, and Bottura Leite de Barros (), other criteria were selected, such as professional experience or academic training, in order to achieve a better response from nurses and guarantee the diversity of perspectives in the assessments obtained.…”

Section: Discussionmentioning

confidence: 99%

The Nursing Diagnosis of “Death Anxiety”: Content Validation by Experts

Fernández-Donaire

Romero‐Sánchez

Paloma‐Castro

et al. 2018

Int J of Nursing Knowl

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PURPOSE To validate the content of the NANDA‐I diagnosis “death anxiety” (00147). METHODS Descriptive study using the Fehring model with 202 Spanish nurses who were expert in end‐of‐life care to explore the adequacy of the components of the NANDA‐I diagnosis “death anxiety” (00147) in the Spanish edition. FINDINGS None of the diagnosis definitions were considered as representative. Furthermore, 5 of the 56 defining characteristics and 5 of the 26 related factors were validated as major. CONCLUSIONS In general, the components of the diagnosis “death anxiety” (00147) in the Spanish edition are not representative according to experts. IMPLICATIONS FOR NURSING PRACTICE The results support the need to either exclude the diagnosis from the taxonomy or adjust its content.

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Section: Discussionmentioning

confidence: 99%

The Nursing Diagnosis of “Death Anxiety”: Content Validation by Experts

Fernández-Donaire

Romero‐Sánchez

Paloma‐Castro

et al. 2018

Int J of Nursing Knowl

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“…The use of content experts is recognized in instrument development and validation studies (Grant & Davis, 1997;Kassam-Adams et al, 2015;Levin, 2001;Shek & Yu, 2014), but the approach taken in this study, where a DCV model was applied for selection of constructs (Fehring, 1986;Sparks & Lien-Gieschen, 1994), has not been used before in studies on ASD screening instruments. Bringing this more structured technique to the ASD research community should facilitate the instrument development process and allow for more collaborative efforts towards building more effective screening tools.…”

Section: Discussionmentioning

confidence: 99%

Building a theoretical framework for autism spectrum disorders screening instruments in Europe

Magán‐Maganto

Jónsdóttir²,

Sánchez-García

et al. 2017

Child Adoles Ment Health

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Background: This study addresses the need for a theoretical base to develop more effective early autism spectrum disorders (ASD) detection tools. The structure that underlies early ASD detection is explored by evaluating the opinions of experts on ASD screening tools currently used in Europe. Method: A process of face and content validity was performed. First, the best constructs were selected from the relevant tests: Checklist for Early Signs of Developmental Disorders (CESDD), Checklist for Autism in Toddlers (CHAT), Early Screening of Autistic Traits Questionnaire (ESAT), Modified Checklist for Autism in Toddlers (M-CHAT), Social Communication Questionnaire (SCQ) and Communication and Symbolic Behaviour Scales Developmental Profile (CSBS-DP). The diagnostic content validity model by Fehring (1986Fehring ( , 1994 was adapted to make the selection. Afterwards, the items, taken from these tests, were selected to fit into each construct, using the same methodology. Results: Twelve of the 18 constructs were selected by the experts and 11 items were chosen from a total of 130, reduced to eight after eliminating tautologies. Conclusions: Mapping these constructs and items on to the DSM-5 diagnostic criteria for ASD indicated good face and content validity. Results of this research will contribute to efforts to improve early ASD screening instruments and identify the key behaviours that experts in ASD see as the most relevant for early detection. Key Practitioner Message• The study outlines the main screening instruments used across Europe and the need to improve early detection of autism spectrum disorders (ASD).• A novel approach, based on content validity, was used to identify the key behaviours that experts in ASD see as the most relevant for early detection.• Results of this study can help practitioners improve their understanding of early ASD and be more confident in their screening results, while also serving as a theoretical framework to develop more effective screening tests.

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“…This restriction is reflected in the study sample in which only 29.4% are master's prepared, and 0.9% are doctors. To overcome this difficulty, the recommendation of Levin () of making flexible the consideration of experts was followed, and the criteria of training and experience was adopted as it is common in DCV studies developed in cultural contexts different from the one for which the model was developed (Lopes et al., ; Wake et al., ). The selection of an unrepresentative sample makes it impossible to generalize the results for all Spanish nurses.…”

Section: Discussionmentioning

confidence: 99%