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Article
Content validity and nursing sensitivity of community-level outcomes from the Nursing Outcomes Classification (NOC)
Journal of nursing scholarship
  • B. J. Head
  • M. L. Aquilino
  • M. Johnson
  • D. Reed
  • Meridean Maas, University of Iowa
  • Sue Moorhead, University of Iowa
Document Type
Article
Peer Reviewed
1
Publication Date
1-1-2004
NLM Title Abbreviation
J Nurs Scholarsh
PubMed ID
15495495
Abstract

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.

Keywords
  • Attitude of Health Personnel,
  • Chronic Disease/nursing,
  • Clinical Competence/standards,
  • Communicable Disease Control/standards,
  • Health Status,
  • Humans,
  • Immunization/standards,
  • Lead Poisoning/etiology/prevention & control,
  • Nurse's Role,
  • Nurses/psychology,
  • Nursing Evaluation Research/methods/standards,
  • Outcome Assessment (Health Care)/classification/methods/standards,
  • Public Health Nursing/education/organization & administration,
  • Quality Indicators,
  • Health Care/classification/standards,
  • Questionnaires,
  • Risk Factors,
  • Sensitivity and Specificity
Published Article/Book Citation
Journal of nursing scholarship, 36:3 (2004) pp.251-259.
Disciplines
Citation Information
B. J. Head, M. L. Aquilino, M. Johnson, D. Reed, et al.. "Content validity and nursing sensitivity of community-level outcomes from the Nursing Outcomes Classification (NOC)" Journal of nursing scholarship Vol. 36 Iss. 3 (2004) p. 251 - 259 ISSN: 1527-6546
Available at: http://works.bepress.com/sue_moorhead/6/