Developing an instrument to self‐evaluate the Discharge Planning of Ward Nurses

Nursing Open

Shima Sakai²  Noriko Yamamoto-Mitani³  Yukari Takai³  Hiroki Fukahori¹ 

[1] Department of Nursing Care Management, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan;Department of Gerontological Nursing, School of Nursing, Tokyo Women's Medical University, Tokyo, Japan;Department of Adult Nursing/Palliative Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan

关键词: Discharge planning;    instrument development;    Japan;    psychometric testing;    ward nurses;   

DOI  :  10.1002/nop2.31

来源: Wiley

【 摘 要 】

Abstract

Aims

To develop the Discharge Planning of Ward Nurses (DPWN), a Japanese self-evaluation instrument for ward nurses' discharge planning practices.

Design

Cross-sectional survey.

Methods

Participants were 624 ward nurses from six hospitals in Japan with a discharge planning department. Items about discharge planning practices were collected from literature and interviews with nurses and researchers. Construct validity, concurrent validity, internal consistency and test–retest reliability were tested.

Results

Initially, 55 items were collected. Examination of the floor effect, item-total, good–poor analyses and exploratory factor analysis yielded a four-factor model with 24 items (‘teaching home-care skills with community/hospital professionals,’ ‘identifying clients’ potential needs early in the discharge process,’ ‘introducing social resources’ and ‘identifying client/family wishes and building consensus for discharge’). The four-factor structure was supported by confirmatory factor analysis. The DPWN correlated with scales ascertaining similar concepts, supporting concurrent validity. Internal consistency and test–retest reliability were generally satisfactory.

【 授权许可】

CC BY   
© 2015 The Authors. Nursing Open published by John Wiley & Sons Ltd.

Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.