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Testing of an audit instrument for the nursing discharge note in the patient record
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-4226-6064
Karolinska Institutet, Stockholm, Sweden.
Uppsala Universitet, Uppsala, Sweden.
2004 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, ISSN 0283-9318, Vol. 18, no 3, p. 318-324Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: This study validates and tests the reliability of an audit instrument constructed to evaluate the content of nursing discharge notes.

DESIGN: Instrument validation and reliability testing.

MAIN OUTCOME MEASURES: Factor analysis identifying structure through data summarization of the instrument, association between scores in test-retest, and interrater reliability between auditors.

RESULTS: Validity: Three factors emerged in the factor analysis: 'General information', 'Planning', and 'Assessment', accounting for 76% of the variance regarding the quantitative aspect and 79% of the variance regarding the qualitative aspect, confirming the distinctiveness. Reliability: The Spearman rank-order correlation coefficient calculated per item in the test-retest ranged from 0.72 to 1.0 (p=0.01). The correlation coefficient for the total score was 0.98 (p=0.01). There were no differences in item scores between the test and retest in 93% of the comparisons (n=486). Between the two auditors, the Spearman rank-order correlation coefficient in each item ranged from 0.83 to 1.00 (p=0.01) and weighted kappa values from 0.70 to 1.00 with the exception of one item in both calculations. The correlation coefficient for the auditors' total score was 0.99 (p=0.01). The Student's paired t-test comparing the two auditors' mean values in five different parts of the instrument showed no significant differences in score.

CONCLUSION: The Cat-ch-Ing EPI instrument shows a high reliability and validity as an audit instrument to evaluate the content of nursing discharge notes.

Place, publisher, year, edition, pages
2004. Vol. 18, no 3, p. 318-324
Keywords [en]
audit instrument, nursing documentation, nursing discharge notes, quality assurance
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-34769DOI: 10.1111/j.1471-6712.2004.00288.xPubMedID: 15355527OAI: oai:DiVA.org:oru-34769DiVA, id: diva2:712939
Available from: 2014-04-17 Created: 2014-04-17 Last updated: 2017-12-05Bibliographically approved

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Windahl, Jenny

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  • apa
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Output format
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