PMID- 18331481 OWN - NLM STAT- MEDLINE DCOM- 20080529 LR - 20220409 IS - 1541-5147 (Print) IS - 1744-618X (Linking) VI - 19 IP - 1 DP - 2008 Jan-Mar TI - Testing the Q-DIO as an instrument to measure the documented quality of nursing diagnoses, interventions, and outcomes. PG - 20-7 LID - 10.1111/j.1744-618X.2007.00075.x [doi] AB - PURPOSE: To describe pilot testing of Quality of Diagnoses, Interventions and Outcomes (Q-DIO), an instrument to measure quality of nursing documentation. DESIGN: Instrument testing was performed using a random, stratified sample of 60 nursing documentations representing hospital nursing with and without implementation of standardized nursing language (30 for both strata) in a Swiss General Acute Hospital. METHODS: Internal consistency and intrarater and interrater reliabilities were tested. Through item analyses, the grades of difficulty and the discrimination validity of items were evaluated. FINDINGS: Internal consistency of nursing diagnoses as process produced Cronbach's alpha .83; nursing diagnoses as product .98; nursing interventions .90; and nursing-sensitive patient outcomes .99. With Kappas of .95, the intrarater and interrater reliabilities were good. Criteria for the grades of difficulty of items and discrimination validity were well met. The results of this study suggest that Q-DIO is a reliable instrument to measure the documentation quality of nursing diagnoses, interventions, and outcomes. Further testing of Q-DIO in other settings is recommended. FAU - Muller-Staub, Maria AU - Muller-Staub M AD - Pflege PBS, Bern, Switzerland. muellerstaub@bluewin.ch FAU - Lunney, Margaret AU - Lunney M FAU - Lavin, Mary Ann AU - Lavin MA FAU - Needham, Ian AU - Needham I FAU - Odenbreit, Matthias AU - Odenbreit M FAU - van Achterberg, Theo AU - van Achterberg T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study PL - United States TA - Int J Nurs Terminol Classif JT - International journal of nursing terminologies and classifications : the official journal of NANDA International JID - 101155367 MH - *Documentation/standards MH - Humans MH - Nursing Audit MH - *Nursing Diagnosis/organization & administration MH - Nursing Evaluation Research MH - Nursing Process/organization & administration MH - *Nursing Records/standards MH - Nursing Staff, Hospital/organization & administration MH - Observer Variation MH - Outcome Assessment, Health Care MH - *Patient Care Planning/organization & administration MH - Pilot Projects MH - Psychometrics MH - Quality Indicators, Health Care/*standards MH - Sensitivity and Specificity MH - Switzerland MH - *Vocabulary, Controlled EDAT- 2008/03/12 09:00 MHDA- 2008/05/30 09:00 CRDT- 2008/03/12 09:00 PHST- 2008/03/12 09:00 [pubmed] PHST- 2008/05/30 09:00 [medline] PHST- 2008/03/12 09:00 [entrez] AID - IJNT075 [pii] AID - 10.1111/j.1744-618X.2007.00075.x [doi] PST - ppublish SO - Int J Nurs Terminol Classif. 2008 Jan-Mar;19(1):20-7. doi: 10.1111/j.1744-618X.2007.00075.x.