Psychometric Evaluation of the Complexity of Care in the Home Care Setting Instrument (COMID) in Italian Language

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2024-08-14 DOI:10.1111/opn.12637

Sara Levati, Loris Bonetti, Cesarina Prandi, Monica Bianchi

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引用次数: 0

Abstract

Aim

To test the psychometric properties of the complexity assessment instrument for home nursing practice (COMID) Italian version.

Design

Cross-sectional study.

Methods

Internal consistency was determined using Cronbach's alpha, whilst the two-way mixed effects, absolute agreement, single measure intraclass correlation coefficient (ICC 3.1) was calculated to evaluate the inter-rater reliability both on individual factors and the overall score. Registered Nurses enrolled at the MSc in Nursing at the University of Applied Sciences and Arts of Southern Switzerland and homecare nurses working for several home care institutions were involved in the data collection process following ad hoc training on the use of the COMID assessment instrument.

Results

A total of 220 questionnaires were completed by 36 nurses. Cronbach's alpha was 0.764, in line with the original study. The inter-rater reliability ranged from good (factor 6 ICC = 0.85) to excellent (factors 1–5 ICC > 91), with the ICC assessed on the total score of the COMID also excellent (ICC = 0.95).

Conclusion

The COMID Italian version is a valid and reliable instrument for homecare nurses to assess complex situations according to the tests performed on a sample of older people receiving home care in Southern Switzerland.

Implications for Practice

The use of such an instrument will enable the identification of the most relevant areas of complexity to be discussed by the nursing and multidisciplinary team to plan and deliver personalised caring interventions.

Abstract Image

查看原文本刊更多论文

意大利语 "家庭护理环境中的护理复杂性工具"（COMID）的心理计量评估。

目的：测试家庭护理实践复杂性评估工具（COMID）意大利语版的心理测量特性：横断面研究：使用克朗巴赫α确定内部一致性，同时计算双向混合效应、绝对一致、单测类内相关系数（ICC 3.1），以评估单个因子和总分的评分者间可靠性。瑞士南部应用科学与艺术大学护理学硕士班的注册护士和多家家庭护理机构的家庭护理护士在接受了有关使用 COMID 评估工具的特别培训后，参与了数据收集过程：36 名护士共完成了 220 份问卷。Cronbach's alpha 为 0.764，与最初的研究结果一致。评分者之间的可靠性从良好（因子 6 ICC = 0.85）到优秀（因子 1-5 ICC > 91）不等，COMID 总分的 ICC 评估也非常优秀（ICC = 0.95）：结论：根据对瑞士南部接受家庭护理的老年人样本进行的测试，COMID 意大利语版是家庭护理护士评估复杂情况的有效而可靠的工具：对实践的启示：使用这种工具可以确定最相关的复杂情况，供护理和多学科团队讨论，以计划和提供个性化的护理干预措施。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.