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Validation of Nursing Outcomes Classification: Knowledge and Self-management for Cardiac Disease
Hyunkyoung Oh1, Sue Moorhead, Sena Chae
1Author Affiliations : University of Wisconsin-Milwaukee College of Nursing (Dr Oh); and University of Iowa College of Nursing (Drs Moorhead and Chae).
This study validated two Nursing Outcomes Classification outcomes for cardiac disease patients. These validated outcomes, Knowledge: Cardiac Disease and Self-management: Cardiac Disease, improve patient assessment and clinical decision-making.
Area of Science:
- Nursing
- Cardiology
- Health Outcomes
Background:
- The Nursing Outcomes Classification (NOC) offers tools to assess cardiac patients.
- Existing NOC outcomes require validation for accurate assessment of knowledge and self-management in cardiac disease.
Purpose of the Study:
- To validate two nursing-sensitive outcomes: Knowledge: Cardiac Disease and Self-management: Cardiac Disease.
- To establish content validity for these specific NOC outcomes.
Main Methods:
- A methodological study utilizing the Delphi technique with 13 nurse experts.
- Descriptive statistics and the Nurse-Patient Outcome Content Validity method were employed.
- Validation focused on definition adequacy, clinical usefulness, indicator importance, and content similarity.
Main Results:
- Both Knowledge: Cardiac Disease and Self-management: Cardiac Disease outcomes demonstrated acceptable definition adequacy, clinical usefulness, and content similarity.
- Out of 81 validated indicators, 60 were identified as critical.
- The Delphi technique ensured expert consensus on the outcomes' validity.
Conclusions:
- Validated NOC outcomes enable effective and accurate evaluation of cardiac patient outcomes.
- These tools enhance clinical decision-making for nurses and nursing students caring for cardiac patients.
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