Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method
Abstract Background The primary nursing care model is considered a personalized model of care delivery based on care continuity and on the relationship between the nurse and patient. Primary nursing checklists are not often mentioned in the literature; however, they represent a valid instrument to d...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-021-00712-1 |
| _version_ | 1818606528636125184 |
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| author | Antonello Cocchieri Giorgio Magon Manuela Cavalletti Elena Cristofori Maurizio Zega |
| author_facet | Antonello Cocchieri Giorgio Magon Manuela Cavalletti Elena Cristofori Maurizio Zega |
| author_sort | Antonello Cocchieri |
| collection | DOAJ |
| description | Abstract Background The primary nursing care model is considered a personalized model of care delivery based on care continuity and on the relationship between the nurse and patient. Primary nursing checklists are not often mentioned in the literature; however, they represent a valid instrument to develop, implement, and evaluate primary nursing. The aim of this study was to create a structured checklist to explore hospital compliance in primary nursing. Methods The Delphi method was used to develop and validate a checklist. The preliminary version was created and sent to three experts for their opinions. Their comments were ultimately used in the first version, which included four components with 19 items regarding primary nursing characteristics. A two-round Delphi process was used to generate consensus items. The Delphi panel consisted of six experts working in primary nursing contexts and/or teaching or studying primary nursing. Data were collected using a structured questionnaire from July 2020 to January 2021. These experts were asked to rate each element for relevance using a 4-point Likert-type scale. Furthermore, the consensus among the panel of experts was set at ≥78%, with selected items being voted “quite relevant” and “highly relevant”. Content validity index (I-CVI) and modified kappa statistic were also calculated. Following expert evaluation, the first version of the checklist was modified, and the new version, constituting 17 items, was sent to the same experts. Results The first version of the checklist demonstrated a main relevance score of 3.34 (SD = 0.83; range = 1.3–4; mean I-CVI = 0.84; range: 0.83–1), but three items did not receive an adequate I-CVI score, that is, lower than 0.78. After the second round, the I-CVIs improved. The main score of relevance was 3.61 (SD: 0.35; range = 2.83–4; mean = I-CVI: 0.93). The S-CVI/UA was 0.58, and the S-CVI/Ave was 0.93. Conclusion Measuring primary nursing compliance should be implemented to provide continuous feedback to nurses. Moreover, utilizing valid checklists could permit comparing different results from others’ research. Future research should be conducted to compare the results from the checklist with nursing outcomes. |
| first_indexed | 2024-12-16T14:12:17Z |
| format | Article |
| id | doaj.art-35f4ecb695aa449a8dddea35fba5f966 |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-12-16T14:12:17Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-35f4ecb695aa449a8dddea35fba5f9662022-12-21T22:28:43ZengBMCBMC Nursing1472-69552021-10-012011810.1186/s12912-021-00712-1Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi methodAntonello Cocchieri0Giorgio Magon1Manuela Cavalletti2Elena Cristofori3Maurizio Zega4Fondazione Policlinico A. Gemelli IRCCSEuropean Institute of OncologyFondazione Policlinico A. Gemelli IRCCSDepartment of Biomedicine and Prevention, University of Tor VergataFondazione Policlinico A. Gemelli IRCCSAbstract Background The primary nursing care model is considered a personalized model of care delivery based on care continuity and on the relationship between the nurse and patient. Primary nursing checklists are not often mentioned in the literature; however, they represent a valid instrument to develop, implement, and evaluate primary nursing. The aim of this study was to create a structured checklist to explore hospital compliance in primary nursing. Methods The Delphi method was used to develop and validate a checklist. The preliminary version was created and sent to three experts for their opinions. Their comments were ultimately used in the first version, which included four components with 19 items regarding primary nursing characteristics. A two-round Delphi process was used to generate consensus items. The Delphi panel consisted of six experts working in primary nursing contexts and/or teaching or studying primary nursing. Data were collected using a structured questionnaire from July 2020 to January 2021. These experts were asked to rate each element for relevance using a 4-point Likert-type scale. Furthermore, the consensus among the panel of experts was set at ≥78%, with selected items being voted “quite relevant” and “highly relevant”. Content validity index (I-CVI) and modified kappa statistic were also calculated. Following expert evaluation, the first version of the checklist was modified, and the new version, constituting 17 items, was sent to the same experts. Results The first version of the checklist demonstrated a main relevance score of 3.34 (SD = 0.83; range = 1.3–4; mean I-CVI = 0.84; range: 0.83–1), but three items did not receive an adequate I-CVI score, that is, lower than 0.78. After the second round, the I-CVIs improved. The main score of relevance was 3.61 (SD: 0.35; range = 2.83–4; mean = I-CVI: 0.93). The S-CVI/UA was 0.58, and the S-CVI/Ave was 0.93. Conclusion Measuring primary nursing compliance should be implemented to provide continuous feedback to nurses. Moreover, utilizing valid checklists could permit comparing different results from others’ research. Future research should be conducted to compare the results from the checklist with nursing outcomes.https://doi.org/10.1186/s12912-021-00712-1Content validityPrimary nursingChecklistDelphi methodContent validity index |
| spellingShingle | Antonello Cocchieri Giorgio Magon Manuela Cavalletti Elena Cristofori Maurizio Zega Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method BMC Nursing Content validity Primary nursing Checklist Delphi method Content validity index |
| title | Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method |
| title_full | Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method |
| title_fullStr | Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method |
| title_full_unstemmed | Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method |
| title_short | Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method |
| title_sort | exploring hospital compliance with the primary nursing care model validating an inventory using the delphi method |
| topic | Content validity Primary nursing Checklist Delphi method Content validity index |
| url | https://doi.org/10.1186/s12912-021-00712-1 |
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