Content validity and nursing sensitivity of community-level outcomes from the Nursing Outcomes Classification (NOC)

Barbara J. Head; Mary Lorber Aquilino; Marion Johnson; David Reed; Meridean Maas; Sue Moorhead

doi:10.1111/j.1547-5069.2004.04046.x

Back

Content validity and nursing sensitivity of community-level outcomes from the Nursing Outcomes Classification (NOC)

Journal article

Peer reviewed

Content validity and nursing sensitivity of community-level outcomes from the Nursing Outcomes Classification (NOC)

Barbara J. Head, Mary Lorber Aquilino, Marion Johnson, David Reed, Meridean Maas and Sue Moorhead

Journal of nursing scholarship, Vol.36(3), pp.251-259

09/02/2004

DOI: 10.1111/j.1547-5069.2004.04046.x

PMID: 15495495

View Online

Abstract

<p>PURPOSE: To evaluate the content validity and nursing sensitivity of six community-level outcomes from the Nursing Outcomes Classification (NOC; Johnson, Maas, & Moorhead, 2000). DESIGN AND METHODS: A survey research design was used. Questionnaires were mailed to 300 public health nursing experts; 102 nurses responded. Experts evaluated between 11 and 30 indicators for each of the six outcomes for: (a) importance of the indicators for measuring the outcome, and (b) influence of nursing on the indicators. Content validity and nursing sensitivity of the outcomes were estimated with a modified Fehring technique. FINDINGS: All outcomes were deemed important; only Community Competence had an outcome content validity score < .80. The outcome sensitivity score for Community Health: Immunity was .80; other outcome scores ranged from .62-.70. Indicator ratios for all 102 indicators met the study criterion for importance, with 87% designated as critical and 13% as supplemental. Sensitivity ratios reflected judgments that 45% of the indicators were sensitive to nursing intervention. CONCLUSIONS: The study provided evidence of outcome content validity and nursing sensitivity of the study outcomes; further validation research is recommended, followed by testing of the study outcomes in clinical practice. Community-level nursing-sensitive outcomes will potentially enable study of the efficacy and effectiveness of public health interventions focused on improving health of populations and communities.</p>

Nursing

Attitude of Health Personnel

Chronic Disease/nursing

Clinical Competence/standards

Communicable Disease Control/standards

Health Status

Humans

Immunization/standards

Lead Poisoning/etiology/prevention & control

Nurse's Role

Nurses/psychology

Nursing Evaluation Research/methods/standards

Outcome Assessment (Health Care)/classification/methods/standards

Public Health Nursing/education/organization & administration

Quality Indicators

Health Care/classification/standards

Questionnaires

Risk Factors

Sensitivity and Specificity

Details

Title: Subtitle: Content validity and nursing sensitivity of community-level outcomes from the Nursing Outcomes Classification (NOC)
Creators: Barbara J. Head - University of Nebraska Medical Center
Mary Lorber Aquilino
Marion Johnson - University of Iowa, Nursing
David Reed
Meridean Maas - University of Iowa
Sue Moorhead - University of Iowa
Resource Type: Journal article
Publication Details: Journal of nursing scholarship, Vol.36(3), pp.251-259
DOI: 10.1111/j.1547-5069.2004.04046.x
PMID: 15495495
NLM abbreviation: J Nurs Scholarsh
ISSN: 1527-6546
Language: English
Date published: 09/02/2004
Academic Unit: Nursing
Record Identifier: 9983557698102771

Metrics

79 Record Views

17 Times Cited - Web of Science