Reliability and Validity of the Minimum Data Set 3.0 Standardized Self-Care and Mobility Data Elements Among Long-Stay Nursing Home Residents.

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing Pub Date : 2024-03-01 Epub Date: 2024-01-29 DOI:10.3928/19404921-20240112-01

Molly Marino, Anne Deutsch, Tracy Kline, Alice Smith, Qinghua Li, Jenny Beizer, Tara McMullen

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引用次数: 0

Abstract

Purpose: To assess the reliability and validity of a subset of the Minimum Data Set (MDS) 3.0 Section GG data elements (i.e., standardized self-care, mobility) among 147 long-stay nursing home residents in seven nursing homes in five states.

Method: Trained clinicians assessed residents' functional abilities using select Section GG items and Section G activities of daily living items. We examined the reliability and construct validity of the data using Cronbach's alpha, correlations between Section G and Section GG items, confirmatory factor analysis (CFA), and Rasch measurement analysis.

Results: We observed acceptable internal consistency values for all (0.98), self-care (0.93), and mobility (0.98) standardized items. Correlations between conceptually related Section G and Section GG items ranged from -0.53 to -0.84. CFA findings found acceptable values for all fit indices. Rasch analysis showed most items had acceptable fit statistics, except for the easiest and most difficult activities.

Conclusion: These findings establish the feasibility of data collection, internal consistency reliability, and construct validity of the selected Section GG items among long-stay nursing home residents. Use of the same standardized data elements in post-acute and long-term care populations can support improved coding of function and enhance our understanding of resident functioning. [Research in Gerontological Nursing, 17(2), 57-64.].

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最低数据集 3.0 标准化自理能力和行动能力数据元素在长期住院疗养院住户中的可靠性和有效性。

目的：对美国五个州七家疗养院的 147 名长期居住在疗养院的住院患者进行最低数据集（MDS）3.0 GG 部分数据元素（即标准化自我护理和移动能力）子集的可靠性和有效性评估：方法：训练有素的临床医生使用选定的 GG 部分项目和 G 部分日常生活活动项目评估住院患者的功能能力。我们使用 Cronbach's alpha、G 部分与 GG 部分项目之间的相关性、确证因子分析 (CFA) 和 Rasch 测量分析对数据的可靠性和构建有效性进行了检验：我们观察到所有标准化项目（0.98）、自理项目（0.93）和移动项目（0.98）的内部一致性值均可接受。与概念相关的 G 部分和 GG 部分项目之间的相关性介于 -0.53 和 -0.84 之间。CFA 分析结果显示，所有拟合指数的值均可接受。Rasch 分析表明，除了最简单和最困难的活动外，大多数项目的拟合统计量都可以接受：这些研究结果证实了在长期入住养老院的居民中收集数据的可行性、内部一致性可靠性以及 GG 部分所选项目的构建有效性。在急性期后护理和长期护理人群中使用相同的标准化数据元素有助于改进功能编码，并加深我们对居民功能的了解。[老年护理研究》，xx（x），xx-xx]。

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来源期刊

Research in Gerontological Nursing NURSING-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.