Publication:
Development and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitals

dc.contributor.authorPorcel-Gálvez, Ana María
dc.contributor.authorBarrientos-Trigo, Sergio
dc.contributor.authorFernández-García, Elena
dc.contributor.authorAllande-Cussó, Regina
dc.contributor.authorQuiñoz-Gallardo, María Dolores
dc.contributor.authorMorales-Asencio, José Miguel
dc.contributor.authoraffiliation[Porcel-Gálvez,AM; Barrientos-Trigo,S; Fernández-García,E; Allande-Cussó,R] Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain. [Porcel-Gálvez,AM; Barrientos-Trigo,S; Fernández-García,E; Allande-Cussó,R] Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019 Complex Care, Chronic and Health Outcomes, Instituto de Biomedicina de Sevilla (IBIS), Seville, Spain. [Allande-Cussó,R] Emergency Unit, Hospital Universitario Virgen del Rocío,Seville, Spain. [Quiñoz-Gallardo,MD] Instituto de Investigación Biosanitaria de Granada (IBS), Hospital Universitario Virgen de las Nieves, Granada, Spain. [Morales-Asencio,JM] Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga, Málaga, Spain.
dc.contributor.funderThis research was funded by Health Ministry of the Andalusian Regional Government, grant number (PI-0045/2016).
dc.date.accessioned2022-03-30T05:53:47Z
dc.date.available2022-03-30T05:53:47Z
dc.date.issued2020-11-17
dc.description.abstractBackground: The increasing dependence care in patients hospitalized in acute hospitals around the world entails classification systems heeding the wide range of care dependency levels generated by the many different types of dependent patients. This article is a report of a study assessing the validity and reliability of a short-from version of the instrument (Inventario del NIvel de Cuidados mediante Indicadores de Resultados de Enfermería (INICIARE)) used to classify inpatients according to their care dependency level. Methods: The validation, carried out in a multicenter longitudinal study, included three different samples: the first sample of 1800 patients to evaluate the reliability and validity, a second of 762 patients for confirmatory factor analysis, and a third of 762 to test the short-form version. Patients over 16 years of age, admitted to medical or surgical units at 11 public hospitals, were included. Results: The final sample included 3605 patients. Patients had a mean age of 64.5 years, 60% were admitted to medical units, with severe dependency. The validation process yielded two versions of the instrument: a 40-item version, with eight factors with 83.6% of total variance explained and Cronbach's alpha values between 0.98 and 0.92, and a short-form with 26 items, with five factors and Cronbach's alpha values between 0.96 and 0.90. The Confirmatory Factor Analysis yielded a good fit model to the 40-item version (Chi Square on Degrees of Freedom CMIN/DF) = 1.335; Normed Fit Index (NFI); Tucker-Lewis Index (TLI); Comparative Fit Index (CFI) > 0.90; Standardized Residual Root Mean Square (RMSEA) = 0.02; and Standardized Residual Root Mean Square (SRMR) = 0.027) and 26-item version (Chi Square on Degrees of Freedom CMIN/DF = 1.385; NFI = 0.998; CFI = 0.999; RMSEA = 0.02; and SRMR 0.02). Both INICIARE versions obtained a high correlation between them (r = 0.96; p < 0.001). Conclusion: INICIARE has proved to be a valid and reliable instrument for the assessment of the level of care dependency of acutely hospitalized patients.es_ES
dc.description.versionYeses_ES
dc.identifier.citationPorcel-Gálvez AM, Barrientos-Trigo S, Fernández-García E, Allande-Cussó R, Quiñoz-Gallardo MD, Morales-Asencio JM. Development and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitals. Int J Environ Res Public Health. 2020 Nov 17;17(22):8511es_ES
dc.identifier.doi10.3390/ijerph17228511es_ES
dc.identifier.essn1660-4601
dc.identifier.issn1661-7827
dc.identifier.pmcPMC7698435
dc.identifier.pmidPMC7698435es_ES
dc.identifier.urihttp://hdl.handle.net/10668/3500
dc.journal.titleInternational Journal of Environmental Research and Public Health
dc.language.isoen
dc.page.number19 p.
dc.publisherMDPIes_ES
dc.relation.publisherversionhttps://www.mdpi.com/1660-4601/17/22/8511/htmes_ES
dc.rightsAtribución 4.0 Internacional*
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectAssessment toolses_ES
dc.subjectDependency carees_ES
dc.subjectHealth measurementses_ES
dc.subjectHospitalses_ES
dc.subjectInstrument developmentes_ES
dc.subjectNursing carees_ES
dc.subjectOutcome assessmentes_ES
dc.subjectPsychometricses_ES
dc.subjectScaleses_ES
dc.subjectValidation studieses_ES
dc.subjectAtención de enfermeríaes_ES
dc.subjectEvaluación de resultado en la atención de saludes_ES
dc.subjectPsicometríaes_ES
dc.subjectAnálisis factoriales_ES
dc.subjectEstudios longitudinaleses_ES
dc.subjectEncuestas y cuestionarioses_ES
dc.subjectHospitales_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Age Groups::Adolescentes_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Age Groups::Adultes_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Age Groups::Adultes_ES
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Factor Analysis, Statisticales_ES
dc.subject.meshMedical Subject Headings::Check Tags::Femalees_ES
dc.subject.meshMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Facilities::Hospitalses_ES
dc.subject.meshMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humanses_ES
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studieses_ES
dc.subject.meshMedical Subject Headings::Check Tags::Malees_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Age Groups::Adult::Middle Agedes_ES
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Evaluation Studies as Topic::Reproducibility of Resultses_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Age Groups::Adult::Young Adultes_ES
dc.subject.meshMedical Subject Headings::Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychological Tests::Psychometricses_ES
dc.subject.meshMedical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Data Collection::Questionnaireses_ES
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Patient Care::Nursing Carees_ES
dc.subject.meshMedical Subject Headings::Disciplines and Occupations::Health Occupations::Nursing::Specialties, Nursing::Critical Care Nursinges_ES
dc.titleDevelopment and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitalses_ES
dc.typeresearch article
dc.type.hasVersionVoR
dspace.entity.typePublication

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