D-Catch instrument: development and psychometric testing of a measurement instrument for nursing documentation in hospitals

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

AIM: This paper is a report of the development and testing of the psychometric properties of an instrument to measure the accuracy of nursing documentation in general hospitals.

BACKGROUND: Little information is available about the accuracy of nursing documentation. None of the existing instruments that quantify accuracy of nursing diagnoses, interventions, and progress and outcome evaluations are suitable to measure documentation in general hospital environments, nor were they intended for this purpose.

METHOD: The D-Catch instrument, based on the Cat-ch-Ing instrument and the Scale for Degrees of Accuracy in Nursing Diagnoses, was developed in 2007-2008. Content validity of the D-Catch instrument was assessed by two Delphi panels, in which pairs of independent reviewers assessed 245 patient records in seven hospitals in the Netherlands. Construct validity was assessed by explorative factor analysis with principal components and varimax rotation. Internal consistency was measured by Cronbach's alpha. The inter-rater reliability of the D-Catch instrument was tested by calculating Cohen's weighted kappa (K(w)) for each pair of reviewers. Results. Quantity and quality variables were used to assess the accuracy of nursing documentation. Three constructs were identified in the factor analysis. 'Accuracy of the nursing diagnosis' was the only variable with substantial loading on component two (0.907) and a modest loading on component one (0.230). Internal consistency (Cronbach's alpha) was 0.722. The inter-rater reliability (K(w)) varied between 0.742 and 0.896.

CONCLUSION: The D-Catch instrument is a valid and reliable measurement instrument to assess nursing documentation in general hospital settings.

Original languageEnglish
Pages (from-to)1388-400
Number of pages13
JournalJournal of advanced nursing
Volume66
Issue number6
DOIs
Publication statusPublished - Jun 2010

Keywords

  • Documentation
  • Hospitals, General
  • Humans
  • Medical Records
  • Netherlands
  • Nursing Staff, Hospital
  • Observer Variation
  • Pilot Projects
  • Psychometrics
  • Quality Assurance, Health Care
  • Reproducibility of Results
  • Journal Article
  • Research Support, Non-U.S. Gov't

Cite this

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title = "D-Catch instrument: development and psychometric testing of a measurement instrument for nursing documentation in hospitals",
abstract = "AIM: This paper is a report of the development and testing of the psychometric properties of an instrument to measure the accuracy of nursing documentation in general hospitals.BACKGROUND: Little information is available about the accuracy of nursing documentation. None of the existing instruments that quantify accuracy of nursing diagnoses, interventions, and progress and outcome evaluations are suitable to measure documentation in general hospital environments, nor were they intended for this purpose.METHOD: The D-Catch instrument, based on the Cat-ch-Ing instrument and the Scale for Degrees of Accuracy in Nursing Diagnoses, was developed in 2007-2008. Content validity of the D-Catch instrument was assessed by two Delphi panels, in which pairs of independent reviewers assessed 245 patient records in seven hospitals in the Netherlands. Construct validity was assessed by explorative factor analysis with principal components and varimax rotation. Internal consistency was measured by Cronbach's alpha. The inter-rater reliability of the D-Catch instrument was tested by calculating Cohen's weighted kappa (K(w)) for each pair of reviewers. Results. Quantity and quality variables were used to assess the accuracy of nursing documentation. Three constructs were identified in the factor analysis. 'Accuracy of the nursing diagnosis' was the only variable with substantial loading on component two (0.907) and a modest loading on component one (0.230). Internal consistency (Cronbach's alpha) was 0.722. The inter-rater reliability (K(w)) varied between 0.742 and 0.896.CONCLUSION: The D-Catch instrument is a valid and reliable measurement instrument to assess nursing documentation in general hospital settings.",
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author = "Wolter Paans and Walter Sermeus and Roos Nieweg and {van der Schans}, {Cees P.}",
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D-Catch instrument : development and psychometric testing of a measurement instrument for nursing documentation in hospitals. / Paans, Wolter; Sermeus, Walter; Nieweg, Roos; van der Schans, Cees P.

In: Journal of advanced nursing, Vol. 66, No. 6, 06.2010, p. 1388-400.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - D-Catch instrument

T2 - development and psychometric testing of a measurement instrument for nursing documentation in hospitals

AU - Paans, Wolter

AU - Sermeus, Walter

AU - Nieweg, Roos

AU - van der Schans, Cees P.

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N2 - AIM: This paper is a report of the development and testing of the psychometric properties of an instrument to measure the accuracy of nursing documentation in general hospitals.BACKGROUND: Little information is available about the accuracy of nursing documentation. None of the existing instruments that quantify accuracy of nursing diagnoses, interventions, and progress and outcome evaluations are suitable to measure documentation in general hospital environments, nor were they intended for this purpose.METHOD: The D-Catch instrument, based on the Cat-ch-Ing instrument and the Scale for Degrees of Accuracy in Nursing Diagnoses, was developed in 2007-2008. Content validity of the D-Catch instrument was assessed by two Delphi panels, in which pairs of independent reviewers assessed 245 patient records in seven hospitals in the Netherlands. Construct validity was assessed by explorative factor analysis with principal components and varimax rotation. Internal consistency was measured by Cronbach's alpha. The inter-rater reliability of the D-Catch instrument was tested by calculating Cohen's weighted kappa (K(w)) for each pair of reviewers. Results. Quantity and quality variables were used to assess the accuracy of nursing documentation. Three constructs were identified in the factor analysis. 'Accuracy of the nursing diagnosis' was the only variable with substantial loading on component two (0.907) and a modest loading on component one (0.230). Internal consistency (Cronbach's alpha) was 0.722. The inter-rater reliability (K(w)) varied between 0.742 and 0.896.CONCLUSION: The D-Catch instrument is a valid and reliable measurement instrument to assess nursing documentation in general hospital settings.

AB - AIM: This paper is a report of the development and testing of the psychometric properties of an instrument to measure the accuracy of nursing documentation in general hospitals.BACKGROUND: Little information is available about the accuracy of nursing documentation. None of the existing instruments that quantify accuracy of nursing diagnoses, interventions, and progress and outcome evaluations are suitable to measure documentation in general hospital environments, nor were they intended for this purpose.METHOD: The D-Catch instrument, based on the Cat-ch-Ing instrument and the Scale for Degrees of Accuracy in Nursing Diagnoses, was developed in 2007-2008. Content validity of the D-Catch instrument was assessed by two Delphi panels, in which pairs of independent reviewers assessed 245 patient records in seven hospitals in the Netherlands. Construct validity was assessed by explorative factor analysis with principal components and varimax rotation. Internal consistency was measured by Cronbach's alpha. The inter-rater reliability of the D-Catch instrument was tested by calculating Cohen's weighted kappa (K(w)) for each pair of reviewers. Results. Quantity and quality variables were used to assess the accuracy of nursing documentation. Three constructs were identified in the factor analysis. 'Accuracy of the nursing diagnosis' was the only variable with substantial loading on component two (0.907) and a modest loading on component one (0.230). Internal consistency (Cronbach's alpha) was 0.722. The inter-rater reliability (K(w)) varied between 0.742 and 0.896.CONCLUSION: The D-Catch instrument is a valid and reliable measurement instrument to assess nursing documentation in general hospital settings.

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KW - Hospitals, General

KW - Humans

KW - Medical Records

KW - Netherlands

KW - Nursing Staff, Hospital

KW - Observer Variation

KW - Pilot Projects

KW - Psychometrics

KW - Quality Assurance, Health Care

KW - Reproducibility of Results

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

KW - documentatie

KW - ziekenhuizen, algemeen

KW - mensen

KW - medische records

KW - nederland

KW - verplegend personeel

KW - waarnemer variatie

KW - pilot projecten

KW - psychometrie

KW - kwaliteitsverzekering

KW - reproduceerbaarheid van de resultaten

KW - tijdschriftartikel

KW - Research Support, Non-U.S. Gov't

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DO - 10.1111/j.1365-2648.2010.05302.x

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JO - Journal of advanced nursing

JF - Journal of advanced nursing

SN - 0309-2402

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