Constipation: impact of etiological factors.
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Biomedical subjects
Publications and source records attributed to A M McLane.
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This article describes the process of consensual and empirical validation used for one nursing diagnosis, constipation. The process is illustrated with a cluster of studies, both qualitative and quantitative. Implications for practice, education, and research are described.
This study reports the development of a process for the validation of sets of outcome criteria. The process can be simply and inexpensively utilized at the unit level by staff nurses. It was tested by the investigators and did serve to differentiate between valid and invalid outcomes of nursing care.
To identify a common core of process competencies that all masters-prepared nurses are expected to attain, regardless of area of clinical concentration or functional-role goal, a 68-item Process Competency Scale was devised from a conceptual model of the multiple roles of masters-prepared nurses: practitioner, educator, manager, and change agent. Responses from 118 questeionnaires from four groups of respondents revealed that 25 competency items met the criteria established for a core competency. There was uniform agreement that nursing educators should be high-level practitioners and that practitioners of nursing should attain teacher competencies.
A 21-item observation tool developed by one of the authors was used to assess learning needs of 30 registered nurses who regularly suction intubated patients. Of the nurses observed, 97 percent had excellent regard for proper equipment utilization and 91 percent for maintenance of sterile environment. These high percentages were responsible for pulling the overall average scores to 65 percent, thus partially disguising the acute need for patient assessment (38 percent), psychological support (57 percent), and procedure (62 percent). Scores for subgroups of nurses--associate degree (group 1), diploma (group II), And baccalaureate (group III)--were 72, 69, and 65, respectively. Of particular concern were low scores in the assessment and psychological support categories. Despite increased emphasis on both of these areas in nursing programs in the last decade, AD graduates received scores of 52 and 57 percent while diploma graduates received scores of 38 and 58 percent and baccalaureate graduates received scores of 26 and 55 percent.