Abstract

HENAO CASTANO, Ángela María  and  AMAYA REY, María Consuelo del Pilar. CEI-ICU: an instrument for evaluating individualized nursing care adult in ICU. av.enferm. [online]. 2015, vol.33, n.1, pp.104-113. ISSN 0121-4500.  https://doi.org/10.15446/av.enferm.v33n1.38310.

The proposal of this study was to design an instrument of individualized nursing care in intensive care unit (CEI-UCI) so as to characterize the interventions of care, in adults with artificial respiration at risk of delirium in UCI. Methodology: Observational exploration with 156 nurses working in UCI with adult patients under artificial respiration. A total of 85 items are identified so as to initiate the test. For facial validation, it requires an Aiken index above 0,70. For the content validity, a modified Lawshe equal or superior to 0,58 was calculated. For the construct validation, a factorial analysis with eight NANDA domains was used. Results: The instrument CEI-UCI had facial validity between 0,75 and 0,82 and CVI between 0,58 and 0,90. The construct validity was confirmed by a total variance of the 73% for four factors. The reliability by means of test-retest among the first three days in UCIcame with a range from 0,662 to 1,00. Conclusions: The psychometric instrument CEI-UCI has obvious facial validity, content validity and constructs validity. This is supported by the factorial analysis showing multi-dimensionalility with four factors: F1, Protection and security (17 items); F2, Physiological and social interactions (3 items); F3, Roles and social connections (13 items) and F4, Self-perceptions and nutrition (11 items). Furthermore, there were united permanent domains: the Perceptual-Cognitive and the Comfort with items derived from care rather than the factorial analysis. The product was the instrument CEI-UCI with 53 items for adults under artificial respiration and monitored for delirium using acceptable psychometric tests.

Keywords : Psychometrics; Intensive Care; Nursing Care; Respiration; Artificial.

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