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Article

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

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Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain
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Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019 Complex Care, Chronic and Health Outcomes, Instituto de Biomedicina de Sevilla (IBIS), 41013 Seville, Spain
3
Emergency Unit, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain
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Instituto de Investigación Biosanitaria de Granada (IBS), Hospital Universitario Virgen de las Nieves, 18012 Granada, Spain
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Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga, 29010 Málaga, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(22), 8511; https://doi.org/10.3390/ijerph17228511
Received: 17 October 2020 / Revised: 10 November 2020 / Accepted: 12 November 2020 / Published: 17 November 2020
(This article belongs to the Special Issue Instruments for Measuring Health)
Background: 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. View Full-Text
Keywords: assessment tools; dependency care; health measurements; hospitals; instrument development; nursing care; outcome assessment; psychometrics; scales; validation studies assessment tools; dependency care; health measurements; hospitals; instrument development; nursing care; outcome assessment; psychometrics; scales; validation studies
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MDPI and ACS Style

Porcel-Gálvez, A.M.; Barrientos-Trigo, S.; Fernández-García, E.; Allande-Cussó, R.; Quiñoz-Gallardo, M.D.; Morales-Asencio, J.M. 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, 17, 8511. https://doi.org/10.3390/ijerph17228511

AMA Style

Porcel-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. International Journal of Environmental Research and Public Health. 2020; 17(22):8511. https://doi.org/10.3390/ijerph17228511

Chicago/Turabian Style

Porcel-Gálvez, Ana M., Sergio Barrientos-Trigo, Elena Fernández-García, Regina Allande-Cussó, María D. Quiñoz-Gallardo, and José M. Morales-Asencio. 2020. "Development and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitals" International Journal of Environmental Research and Public Health 17, no. 22: 8511. https://doi.org/10.3390/ijerph17228511

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