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ORIGINAL ARTICLE • Rev. Bras. Enferm. 76 (2) • 2023 • https://doi.org/10.1590/0034-7167-2022-0396 copy

Nurses’ Work Methods Assessment Scale: a study of content validation

Escala de evaluación de los métodos de trabajo de los enfermeros: un estudio de validez de contenido

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To develop and validate the content of the Nurses’ Work Methods Assessment Scale.

Methods:

Methodological study conducted between January and February 2022, based on the Quality Standards for Nursing Care and Imogene King’s framework. A literature review was previously undertaken to design the scale. The content validation was carried out by 23 experts.

Results:

The initial version consisted of 40 items organized in four work methods identified in the literature. In the first dimension, from ten items, seven were considered, and one was reformulated. Seven of the initial ten items were considered in the second version. The third dimension consisted of seven items. In the fourth dimension, three items were reformulated, and three were excluded, leaving seven items. The final version ended with 28 items, whose Content Validity Index ranged between 0.83 and 1.

Conclusions:

The involvement of experts has become pivotal in the development and validation of the items, providing confidence to the continuity of psychometric procedures.

Descriptors:
Validation Studies; Nursing Care; Work; Female and Male Nurses; Nursing Administration Research

Items of the “Functional Work Method” dimension	CVI
1. During my shift, I perform nursing interventions on all patients admitted to the service.	0.91
2. When patients are admitted, I divide the interventions with the rest of the nurses to facilitate the work.	0.87
3. The focus of my work is centered on the execution of predefined and standardized procedures.	0.91
4. I feel that my work is recognized through standardized interventions.	0.91
5. During the planning and implementation of interventions, I devote myself exclusively to their execution without the patient’s involvement in the care.	0.91
6. During the planning and implementation of the interventions, I dedicate myself exclusively to their execution, without the involvement of the caregiver/family member caregiver.	1.00
7. The outcome of the nursing care I provide aims to deliver the interventions.	0.83

Items of the “Individual Work Method” dimension	CVI
1. During a work shift, I take full responsibility for formulating and executing care for the patients assigned to me.	0.87
2. My work focuses on the conception and implementation of patient care during a shift.	0.87
3. In the organization of nursing care, I value the integration of the patient over the execution of standardized interventions.	0.96
4. I believe that monitoring the same patients throughout a shift ensures more humanized and personalized nursing care.	0.91
5. The organization of the nursing care that I provide aims at the integral care of the patient.	0.91
6. In the planning and implementing interventions, I consider the involvement of the family/family member caregiver.	0.83
7. In each work shift, I evaluate the results of the interventions to reformulate the care planning.	0.96

Items of the “Teamwork Method” dimension	CVI
1. The nursing care I provide is guided and supervised by a nurse designated as team leader/chief of staff.	0.91
2. Daily meetings between the nurses and the nurse leaders/team leaders discuss the nursing care to be provided to the patient to ensure continuity of care.	0.87
3. There is a team leader responsible for ensuring quality and safe nursing care, which employs leadership strategies, control, and supervision techniques.	0.87
4. I value the continuity of care by discussing nursing care plans between nurse leaders/team leaders and the remaining nurses.	0.91
5. Patients’ care needs are met by a team of nurses with different levels of competence.	1.00
6. Throughout each shift, the planning and implementation of care to be performed by a group of nurses are common.	0.96
7. The team leader discusses strategies with the nurses to involve the family/family member caregiver in the planning and implementing of care.	0.87

Items of the “Reference Nurse Work Method” dimension	CVI
1. There is a reference nurse for each patient, from admission to discharge, and other nurses who substitute in their absence.	0.91
2. In the absence of the reference nurse, assistance will be provided by nurses “associated” with them.	0.91
3. Whenever possible, I am assigned the patients I admitted to the service.	0.96
4. The patient’s reference nurse plans and evaluates the care provided by themselves and associate nurses, suggesting changes in the planning and implementation of care from admission to discharge.	0.91
5. The reference nurse validates the reformulation of care planning.	0.87
6. I always try to include the patient during the planning and implementation of interventions.	0.91
7. During the planning and implementation of nursing interventions, I always try to include the caregiver/family member caregiver.	0.83

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