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Content Validity and Nursing Sensitivity of Community‐Level Outcomes From the Nursing Outcomes Classification (NOC)
Author(s) -
Head Barbara J.,
Aquilino Mary Lober,
Johnson Marion,
Reed David,
Maas Meridean,
Moorhead Sue
Publication year - 2004
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/j.1547-5069.2004.04046.x
Subject(s) - content validity , nursing , medicine , competence (human resources) , nursing interventions classification , nursing outcomes classification , psychological intervention , nursing research , public health , family medicine , psychology , psychometrics , clinical psychology , team nursing , social psychology
Purpose: To evaluate the content validity and nursing sensitivity of six community‐level outcomes from the Nursing Outcomes Classification (NOC; Johnson, Maas, & Moorhead, 2000 ) .Design and Methods: A survey research design was used. Questionnaires were mailed to 300 public health nursing experts; 102 nurses responded. Experts evaluated between 11 and 30 indicators for each of the six outcomes for: (a) importance of the indicators for measuring the outcome, and (b) influence of nursing on the indicators. Content validity and nursing sensitivity of the outcomes were estimated with a modified Fehring technique .Findings: All outcomes were deemed important; only Community Competence had an outcome content validity score <.80. The outcome sensitivity score for Community Health: Immunity was .80; other outcome scores ranged from .62‐.70. Indicator ratios for all 102 indicators met the study criterion for importance, with 87% designated as critical and 13% as supplemental. Sensitivity ratios reflected judgments that 45% of the indicators were sensitive to nursing intervention .Conclusions: The study provided evidence of outcome content validity and nursing sensitivity of the study outcomes; further validation research is recommended, followed by testing of the study outcomes in clinical practice. Community‐level nursing‐sensitive outcomes will potentially enable study of the efficacy and effectiveness of public health interventions focused on improving health of populations and communities .