Validity and reliability of a pediatric patient classification instrument

Dini, Ariane Polidoro; Alves, Daniela Fernanda dos Santos; Oliveira, Henrique Ceretta; Guirardello, Edinêis de Brito

doi:10.1590/0104-1169.3575.2457

Original Articles • Rev. Latino-Am. Enfermagem 22 (4) • Jul-Aug 2014 • https://doi.org/10.1590/0104-1169.3575.2457 linkcopy

Validity and reliability of a pediatric patient classification instrument¹

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVES: to assess the construct validity and reliability of the Pediatric Patient Classification Instrument.

METHODS: correlation study developed at a teaching hospital. The classification involved 227 patients, using the pediatric patient classification instrument. The construct validity was assessed through the factor analysis approach and reliability through internal consistency.

RESULTS: the Exploratory Factor Analysis identified three constructs with 67.5% of variance explanation and, in the reliability assessment, the following Cronbach's alpha coefficients were found: 0.92 for the instrument as a whole; 0.88 for the Patient domain; 0.81 for the Family domain; 0.44 for the Therapeutic procedures domain.

CONCLUSIONS: the instrument evidenced its construct validity and reliability, and these analyses indicate the feasibility of the instrument. The validation of the Pediatric Patient Classification Instrument still represents a challenge, due to its relevance for a closer look at pediatric nursing care and management. Further research should be considered to explore its dimensionality and content validity.

Health Evaluation; Pediatric Nursing; Validation Studies; Workload

Variables		n	%
Age range (years)
	<1	64	28.0
	1 to 6	77	34.0
	7 to 11	47	21.0
	12 to 17	30	13.0
	≥18	9	4.0
Sex
	Male	136	59.9
	Female	91	40.1
Reason for hospitalization
	Surgical procedures	50	22.0
	Respiratory conditions	49	21.5
	Genital-urinary conditions	27	11.9
	Clinical conditions*	25	11.0
	Neurological conditions	24	10.6
	Infections	21	9.3
	Liver or gastrointestinal tract conditions	14	6.2
	Other reasons^†	17	7.5

Care Category	<1 year		1-6 years		7-11 years		12-17 years		≥18 years		Total
Care Category	n	%	n	%	n	%	n	%	n	%	n	%
Minimal	-	-	3	3.9	3	6.4	13	43.3	1	11.1	20	8.8
Intermediary	6	9.4	28	36.4	18	38.3	12	40.0	4	44.5	68	30.0
High dependence	22	34.4	22	28.6	13	27.7	5	16.7	3	33.3	65	28.6
Semi-intensive	10	15.6	17	22.1	9	19.1	-	-	1	11.1	37	16.3
Intensive	26	40.6	7	9.0	4	8.5	-	-	-	-	37	16.3
Total	64	100	77	100	47	100	30	100	9	100	227	100

Construct		KMO*	Communality	Factor loading
Domain: Patient
	Personal hygiene	0.85	0.80	0.86
	Feeding and hydration	0.89	0.67	0.81
	Mobility and ambulation	0.87	0.74	0.77
	Activity	0.89	0.73	0.69
	Eliminations	0.85	0.58	0.65
	Oxygenation	0.89	0.73	0.65
Domain: Family
	Support network	0.79	0.79	0.87
	Participation of the accompanying person	0.82	0.73	0.82
Domain: Therapeutic procedures
	Drug therapy	0.68	0.77	0.87
	Cutaneous-mucous integrity	0.86	0.36	0.50
	Physiological controls assessment	0.88	0.52	0.39

Indicator*	I-1	I-2	I-3	I-4	I-5	I-6	I-7	I-8	I-9	I-10	I-11
I-1
I-2	0.43
I-3	0.74	0.56
I-4	0.11	0.33	0.15
I-5	0.26	0.16	0.23	0.21
I-6	0.60	0.41	0.57	0.11	0.16
I-7	0.29	0.34	0.26	0.16	0.20	0.41
I-8	0.61	0.45	0.59	0.15	0.29	0.65	0.57
I-9	0.68	0.48	0.67	0.11	0.34	0.54	0.43	0.77
I-10	0.42	0.41	0.45	0.12	0.29	0.24	0.18	0.33	0.44
I-11	0.48	0.44	0.52	0.11	0.26	0.24	0.13	0.31	0.39	0.69
Total	0.80	0.69	0.82	0.29	0.44	0.69	0.52	0.79	0.83	0.65	0.65

location_on

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3387 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[t01TFN01] ^*
Rheumatic, dermatologic conditions, immunodeficiency, dehydration, malnutrition, cardiac disease †Orthopedic conditions, diagnostic procedures and accidents

Validity and reliability of a pediatric patient classification instrument1

Abstract

Validity and reliability of a pediatric patient classification instrument¹