Amanda J Hessels1, Sharon W Darby2, Edwin Simpser3, Lisa Saiman4, Elaine L Larson5. 1. Columbia University, School of Nursing, New York, NY, USA; Hackensack Meridian Health, Ann May Center for Nursing, Neptune, NJ, USA. Electronic address: ah3269@cumc.columbia.edu. 2. Children's Hospital of Richmond at VCU, Richmond, VA, USA. Electronic address: SDarby@CHVA.ORG. 3. St. Mary's Healthcare System for Children, New York, USA. Electronic address: ESimpser@stmaryskids.org. 4. Columbia University Medical Center, Pediatric Infectious Diseases, New York, NY, USA. Electronic address: ls5@cumc.columbia.edu. 5. Columbia University, School of Nursing, New York, NY, USA. Electronic address: ell23@columbia.edu.
Abstract
PURPOSE: The purpose of this study is to test the Nursing-Kids Intensity of Care, a measure of the intensity of nursing care needs, defined as the quantity and type of direct and indirect care activities performed by caregivers in a national sample. DESIGN AND METHODS: A 40-item tool previously tested in a small sample was psychometrically tested on a sample of 116 children with complex medical conditions by 33 nurse raters across 11 pediatric sites. RESULTS: The Nursing-Kids Intensity of Care tool demonstrated components of usability, feasibility, inter-rater, test-retest and internal consistency reliability and construct validity in the national study sample. CONCLUSIONS: Additional testing to further establish psychometric sufficiency and expanded use to quantify the intensity of nursing care needs of children with complex medical conditions in pediatric long-term care settings is recommended. PRACTICE IMPLICATIONS: This novel measure could assist the nursing administrators, educators and staff of pediatric long-term care facilities assess the intensity of care needs of their residents.
PURPOSE: The purpose of this study is to test the Nursing-Kids Intensity of Care, a measure of the intensity of nursing care needs, defined as the quantity and type of direct and indirect care activities performed by caregivers in a national sample. DESIGN AND METHODS: A 40-item tool previously tested in a small sample was psychometrically tested on a sample of 116 children with complex medical conditions by 33 nurse raters across 11 pediatric sites. RESULTS: The Nursing-Kids Intensity of Care tool demonstrated components of usability, feasibility, inter-rater, test-retest and internal consistency reliability and construct validity in the national study sample. CONCLUSIONS: Additional testing to further establish psychometric sufficiency and expanded use to quantify the intensity of nursing care needs of children with complex medical conditions in pediatric long-term care settings is recommended. PRACTICE IMPLICATIONS: This novel measure could assist the nursing administrators, educators and staff of pediatric long-term care facilities assess the intensity of care needs of their residents.
Authors: Ellen Schwalenstocker; Hema Bisarya; Stephen T Lawless; Lisa Simpson; Cheri Throop; Donna Payne Journal: J Healthc Qual Date: 2008 Sep-Oct Impact factor: 1.095
Authors: Eyal Cohen; Dennis Z Kuo; Rishi Agrawal; Jay G Berry; Santi K M Bhagat; Tamara D Simon; Rajendu Srivastava Journal: Pediatrics Date: 2011-02-21 Impact factor: 7.124