Content validation of a standardized algorithm for ostomy care.

The number of ostomy care clinician experts is limited and the majority of ostomy care is provided by non-specialized clinicians or unskilled caregivers and family. The purpose of this study was to obtain content validation data for a new standardized algorithm for ostomy care developed by expert wo...

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Publicado en:Ostomy Wound Management Vol. 56; no. 10; pp. 22 - 27
Autores principales: Beitz J, Gerlach M, Ginsburg P, Ho M, McCann E, Schafer V, Scott V, Stallings B, Turnbull G
Formato: glossary pictorial research tables/charts Journal Article
Publicado: HMP Global 2010 Oct
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2010 Oct
      vid: 56
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      pub: HMP Global
      place: Malvern, Pennsylvania
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          Beitz J
          Gerlach M
          Ginsburg P
          Ho M
          McCann E
          Schafer V
          Scott V
          Stallings B
          Turnbull G
      sug:
        subj:
          Algorithms
          Instrument Validation
          Ostomy Care
          Wound Assessment
          Aged
          Clinical Assessment Tools
          Construct Validity
          Content Validity
          Cross Sectional Studies
          Face Validity
          Female
          Human
          Male
          Middle Age
          Purposive Sample
          Summated Rating Scaling
          United States
          Wound, Ostomy and Continence Nursing
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: The number of ostomy care clinician experts is limited and the majority of ostomy care is provided by non-specialized clinicians or unskilled caregivers and family. The purpose of this study was to obtain content validation data for a new standardized algorithm for ostomy care developed by expert wound ostomy continence nurse (WOCN) clinicians. After face validity was established using overall review and suggestions from WOCN experts, 166 WOCNs self-identified as having expertise in ostomy care were surveyed online for 6 weeks in 2009. Using a cross-sectional, mixed methods study design and a 30-item instrument with a 4-point Likert-type scale, the participants were asked to quantify the degree of validity of the Ostomy Algorithm's decisions and components. Participants' open-ended comments also were thematically analyzed. Using a scale of 1 to 4, the mean score of the entire algorithm was 3.8 (4 = relevant/very relevant). The algorithm's content validity index (CVI) was 0.95 (out of 1.0). Individual component mean scores ranged from 3.59 to 3.91. Individual CVIs ranged from 0.90 to 0.98. Qualitative data analysis revealed themes of difficulty associated with algorithm formatting, especially orientation and use of the Studio Alterazioni Cutanee Stomali (Study on Peristomal Skin Lesions [SACSTM Instrument]) and the inability of algorithms to capture all individual patient attributes affecting ostomy care. Positive themes included content thoroughness and the helpful clinical photos. Suggestions were offered for algorithm improvement. Study results support the strong content validity of the algorithm and research to ascertain its construct validity and effect on care outcomes is warranted.
      pubtype: Academic Journal
      doctype:
        glossary
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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