Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 May;28(3):404-410.
doi: 10.1111/nicc.12717. Epub 2021 Sep 17.

Development and validation of a daily assessment tool for critically ill patients

Ghada Shalaby Khalaf Mahran  1 , Asmaa Atiaa Tolba  1 , Mostafa Samy Abbas  2 , Amr Mohamed Ahmed Thabet  2
Affiliations

Development and validation of a daily assessment tool for critically ill patients

Ghada Shalaby Khalaf Mahran et al. Nurs Crit Care. 2023 May.

Abstract

Background: Patients in intensive care units require comprehensive care. Hence, improving health care quality depends on accurate assessment and documentation.

Aim: To develop and validate the content of an assessment sheet for critically ill patients.

Study design and methods: A Delphi design study was conducted between January and March 2020. The content validity index (CVI) was used to calculate the degree of agreement among the experts to analyse the instrument and the entire set of items. Content validity was determined by seven experts (three critical care nursing professionals, two critical care doctors, and two anaesthesiologists) using a four-point Likert scale. They evaluated the items in terms of the following: 1 = "irrelevant," 2 = "somewhat relevant if the phrasing is profoundly adjusted," 3 = "relevant with some adjustment as to phrasing," and 4 = "very relevant." The CVI was applied, and the accepted value was ≥0.50.

Results: Three rounds of evaluation were required to achieve the minimum index. The items were reviewed for content and face validity. The instrument was validated with 86 items with a total CVI of 0.90, a face validity of 1, and a scale-level content validity index/universal agreement calculation method (S-CVI/UA) value of 0.813.

Conclusion: This instrument can help nurses, doctors, academics, and students assess patients in intensive care units.

Relevance to clinical practice: The daily assessment tool may provide a systematic and consistent approach to critically ill patients' assessment to guide interventions.

Keywords: assessment tool; critically ill patients; development; validation.

PubMed Disclaimer

References

REFERENCES

    1. Irajpour A, Salimi M, Mardanian L, Rahimi M. Developing and validating a patient monitoring flow sheet in intensive care units. Iran J Nurs Midwifery Res. 2014;19(4):354-359.
    1. Mador RL, Shaw NT. The impact of a critical care information system (CCIS) on time spent charting and in direct patient care by staff in the ICU: a review of the literature. Int J Med Inform. 2009;78(7):435-445.
    1. Gugerty B, Maranda MJ, Beachley M, et al. Challenges and Opportunities in Documentation of the Nursing Care of Patients. Baltimore: Maryland Nursing Workforce Commission; 2007.
    1. Chang Z-X, Yang G-H, Yuan W. Competency-based management effects on satisfaction of nurses and patients. Int J Nurs Sci. 2014;1(1):121-125.
    1. Sole ML, Klein DG, Moseley MJ, Brenner ZR, Powers J. Introduction to Critical Care Nursing. 5th ed. St. Louis, Mo: Saunders; 2009:749.

LinkOut - more resources