Construction and Validation of an Instrument for Assessment of the Nursing Diagnosis, Risk for Infection, in Patients Following Cardiac Surgery

Abstract

Purpose To construct and validate a data collection instrument (DCI), and a corresponding instructional guide, for assessment of the nursing diagnosis, risk for infection, in patients following cardiac surgery. Methods Construction of conceptual and operational definitions for risk factors based on literature, content validation by experts, and clinical validation by clinical nurses. Findings There were significant internal consistency and reproducibility in the content validation. In the clinical validation, agreement among nurses was higher than 70% for all risk factors. Conclusions The DCI was constructed and validated. Implications for Nursing Practice This DCI could be used for assessment of adult patients after cardiac surgeries worldwide because of its detailed cues for risk factors, which facilitate clinical reasoning and diagnostic judgment. Objetivo Construir e validar um instrumento de coleta de dados (ICD) e seu roteiro instrucional (RI) para avaliacAo do diagnostico de enfermagem Risco de infeccAo em pacientes pos-cirurgia cardiaca. Metodos ConstrucAo de definicoes conceituais e operacionais dos fatores de risco baseada na literatura, validacAo de conteudo por experts e validacAo clinica por enfermeiras assistenciais. Resultados Consistencia interna e reprodutibilidade significativas na validacAo de conteudo. Na validacAo clinica, a concordancia foi maior que 70% para todos os fatores de risco. Conclusoes O ICD foi construido e validado. Implicacoes Para Pratica De Enfermagem O ICD poderia ser utilizado para avaliacAo de adultos pos-cirurgia cardiaca internacionalmente devido as suas pistas detalhadas sobre os fatores de risco, que facilitam o raciocinio clinico julgamento diagnostico.