Development of an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes: The Q-DIO

Müller-Staub, Maria, Lunney, Margaret, Odenbreit, Matthias, Needham, Ian, Lavin, Mary Ann and van Achterberg, Theo (2009) Development of an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes: The Q-DIO. Journal of Clinical Nursing, 18 7: 1027-1037. doi:10.1111/j.1365-2702.2008.02603.x


Author Müller-Staub, Maria
Lunney, Margaret
Odenbreit, Matthias
Needham, Ian
Lavin, Mary Ann
van Achterberg, Theo
Title Development of an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes: The Q-DIO
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
1365-2702
Publication date 2009-04
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2008.02603.x
Volume 18
Issue 7
Start page 1027
End page 1037
Total pages 11
Editor Carol Haigh
Debra Jackson
Roger Watson
Place of publication Oxford, U.K.
Publisher Wiley-Blackwell Publishing
Collection year 2010
Language eng
Formatted abstract
Aims and objectives. This paper aims to report the development stages of an audit instrument to assess standardised nursing language. Because research-based instruments were not available, the instrument Quality of documentation of nursing Diagnoses, Interventions and Outcomes (Q-DIO) was developed.

Background. Standardised nursing language such as nursing diagnoses, interventions and outcomes are being implemented worldwide and will be crucial for the electronic health record. The literature showed a lack of audit instruments to assess the quality of standardised nursing language in nursing documentation.

Design. A qualitative design was used for instrument development.

Methods. Criteria were first derived from a theoretical framework and literature reviews. Second, the criteria were operationalised into items and eight experts assessed face and content validity of the Q-DIO.

Results. Criteria were developed and operationalised into 29 items. For each item, a three or five point scale was applied. The experts supported content validity and showed 88·25% agreement for the scores assigned to the 29 items of the Q-DIO.

Conclusions. The Q-DIO provides a literature-based audit instrument for nursing documentation. The strength of Q-DIO is its ability to measure the quality of nursing diagnoses and related interventions and nursing-sensitive patient outcomes. Further testing of Q-DIO is recommended.

Relevance to clinical practice. Based on the results of this study, the Q-DIO provides an audit instrument to be used in clinical practice. Its criteria can set the stage for the electronic nursing documentation in electronic health records.
Keyword Instrument development
Nursing diagnoses
Nursing documentation
Nursing interventions
Nursing-sensitive patient outcomes
Patient record
Q-DIO
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: UQ Centre for Clinical Research Publications
 
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Created: Wed, 07 Oct 2009, 14:41:06 EST by Carmen Buttery on behalf of UQ Centre for Clinical Research