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Biomedical subjects

Sue Moorhead

Publications and source records attributed to Sue Moorhead.

12 recordsLinked to original sources
PubMed2006

Building a personal health record from nursing perspective.

A complex set of needs-the increased accessibility to and interest in health information, more respected patients' rights, advanced information technologies, and pressure to seek a cost-effective healthcare delivery-introduced the Personal Health Record (PHR). Nursing care, as essential to healthcare, must be represented in a PHR, but few studies have explored the nurses' role in the development and expansion of the PHR. Our 'IOWA PERSONAL HEALTH RECORD (IowaPHR)' would be a pioneer to demonstrate how nursing can be integrated in the PHR. IowaPHR is attributed with these innovations: (1) information that embraces main community health concerns; (2) transformation of a standardized nursing language into questions adjusted for consumer vocabulary level; and (3) a user-friendly interface equipped with trending of health conditions and a diary function. The usability of this PHR is validated by experts in terms of content, ease of navigation, time needed to complete tasks, ability to find desired information, and site presentation. This work will provide a way for nursing informatics to make a difference in health informatics.

Humans↗
PubMed2006

Variations across field settings in the use of the indicators for nursing outcomes classification outcomes.

The Nursing Outcomes Classification (NOC) includes with each outcome a set of indicators to provide concrete referents for measurement of the outcome. Not all indicators are relevant for all instances of the rating of an outcome. The choice of indicators to use varies by clinical setting. Patterns of variation in use of indicators have implications for both nurse clinicians in understanding their practice and nurse informaticists in developing nursing information systems.

Adolescent↗
PubMed2004

Content validity and nursing sensitivity of community-level outcomes from the Nursing Outcomes Classification (NOC).

PURPOSE: To evaluate the content validity and nursing sensitivity of six community-level outcomes from the Nursing Outcomes Classification (NOC; Johnson, Maas, & Moorhead, 2000). DESIGN AND METHODS: A survey research design was used. Questionnaires were mailed to 300 public health nursing experts; 102 nurses responded. Experts evaluated between 11 and 30 indicators for each of the six outcomes for: (a) importance of the indicators for measuring the outcome, and (b) influence of nursing on the indicators. Content validity and nursing sensitivity of the outcomes were estimated with a modified Fehring technique. FINDINGS: All outcomes were deemed important; only Community Competence had an outcome content validity score < .80. The outcome sensitivity score for Community Health: Immunity was .80; other outcome scores ranged from .62-.70. Indicator ratios for all 102 indicators met the study criterion for importance, with 87% designated as critical and 13% as supplemental. Sensitivity ratios reflected judgments that 45% of the indicators were sensitive to nursing intervention. CONCLUSIONS: The study provided evidence of outcome content validity and nursing sensitivity of the study outcomes; further validation research is recommended, followed by testing of the study outcomes in clinical practice. Community-level nursing-sensitive outcomes will potentially enable study of the efficacy and effectiveness of public health interventions focused on improving health of populations and communities.

Attitude of Health Personnel↗
PubMed2003

Evaluation of the sensitivity and use of the nursing outcomes classification.

The two purposes of the study were evaluation of the sensitivity of Nursing Outcomes Classification (NOC) outcomes to change in patient condition and description of the outcomes and interventions nurses select for patients with a specific nursing diagnosis. Data were collected in 10 clinical sites representing the care continuum. Sensitivity was evaluated by comparing paired serial ratings of the means of NOC outcomes at baseline and subsequent intervals, including discharge. Descriptive statistics were used to illustrate linkages between the outcomes and interventions selected for each diagnosis. There were 4,233 paired serial ratings on 166 NOC outcomes of which 804 included at least two follow-up ratings. The average change ranged from 0.00 to 1.47 on a 5-point scale. The 10 most frequently selected diagnoses varied across sites, as did outcomes and interventions selected for each diagnosis. The findings provide evidence of the sensitivity of NOC in the aggregate and the value of standardized terminology for studying nursing practice.

Adult↗
PubMed2003

Assessing the reliability, validity, and sensitivity of nursing outcomes classification in home care settings.

The purpose of this study is to provide evidence of the validity, inter-rater reliability, and sensitivity of 36 clinically useful of Nursing Outcomes Classification (NOC) results for Home Care (HC) settings. The results of inter-rater reliability, criterion-related validity, and sensitivity evaluations of 36 NOC outcomes were compiled from a 10-site regional evaluation of the NOC. Findings of HC and all sites data were contrasted. More than 90% of the inter-rater reliability scores on the 36 NOC outcome label ratings were within one point, with a substantial number of absolute agreements. All but six of the criterion measures were significantly associated with the corresponding NOC outcomes, and most mean change scores were zero or positive. This was impressive evidence of the adequacy of these measures for reliable and valid use in practice.

Female↗
PubMed2003

Testing the nursing outcomes classification in three clinical units in a community hospital.

The testing of the Nursing Outcomes Classification (NOC) was the focus of a 4-year study to evaluate the use of the outcomes and measurement scales developed by the Iowa Outcomes Project, a research team at the University of Iowa. Three units in a Midwest community hospital collected data as part of the larger (ten) clinical site study to test the reliability, validity, and sensitivity of the NOC. This article focuses on the results of sensitivity testing obtained in a birth center, behavioral health center, and an oncology unit in a midwestern community hospital. Methods used in this study focused on change scores from initial assessment to post-treatment status for the outcomes studied in each unit. Average baseline ratings, average follow-up ratings, average change scores, and range of change are reported. Thirty-five outcomes are reported for the behavioral health unit, 21 outcomes are reported for the Birth Center, and 8 outcomes for the Oncology Unit. The overall average baseline for the behavioral health unit was 1.89 with an average follow-up rating of 3.22. For the Birth Center, the average baseline rating was 3.23 with an average follow-up score of 3.88. For the Oncology Unit, the average baseline score was 3.01 with an average follow-up rating of 3.12. The results of this study suggest that the NOC outcomes are able to identify change in some outcome ratings through time and in a direction expected for the populations studied in these three specialty units.

Birthing Centers↗
PubMed2003

Evaluation of the reliability and validity of nursing outcomes classification patient outcomes and measures.

One hundred sixty-nine of the Nursing Outcomes Classification (NOC) patient outcomes were tested for interrater reliability, criterion validity, and sensitivity. In 10 field sites, ranging from hospitals to home care, pairs of nurses rated the outcome measures for 5 to 130 patients. Inter-class correlations were greater than or equal to 0.70 for 63 outcomes. Pearson's correlations with criterion measures were greater than or equal to 0.60 for 40 outcomes and from 0.39 to 0.60 for 43 additional ones. Change scores for 99 outcomes ranged from 0 to 2.0 from first to second and second to third rating. Most NOC measures demonstrated good inter-rater reliability, substantial criterion validity, and sensitivity to change. More testing and thorough training of nurses using NOC outcomes are needed.

Aged↗
PubMedDate not supplied

Mapping parish nurse documentation into the nursing interventions classification: a research method.

Mapping, or linking like terms that represent the same concept, is a research method increasingly used for testing the reliability and validity of standardized taxonomies. For mapping to be useful, it is critical that the procedure is reliable. One way to maximize reliability is to develop standardized mapping procedures, or rules to follow when linking the terms. This article will present a standardized mapping procedure method in a study that mapped narrative parish nurse documentation (170 health records, 1607 interactions) into the Nursing Interventions Classification (NIC), yielding an intercoder reliability kappa of 0.92. The mapping process identified conceptual issues in the NIC, which also are presented. Because the NIC is included in the Systematic Nomenclature of Medicine of Clinical Terms (SNOMED CT), these conceptual issues raised data aggregation issues in SNOMED CT. Those issues are also presented.

Humans↗
PubMedDate not supplied

Diagnostic-specific outcomes and nursing effectiveness research.

PURPOSE: To review the use of diagnosis-specific outcomes in health care and nursing. DATA SOURCES: Published literature, information databases. DATA SYNTHESIS: The need to identify nursing diagnosis-specific outcomes is necessary in order to expand nursing's knowledge base and identify the cost-effectiveness of nursing interventions. CONCLUSIONS: Outcomes work needs to be done across settings where care is provided. PRACTICE IMPLICATIONS: Outcomes information is necessary to identify the cost and impact of nursing interventions.

Humans↗
PubMedDate not supplied

Nursing outcomes classification: a preliminary report of field testing.

Clinically useful and measurable patient outcomes that are sensitive to nursing interventions are needed to determine the effectiveness of nursing care. Nursing Outcomes Classification (NOC) researchers are evaluating the reliability, validity, and usefulness of the first 190 published outcomes in 10 sites representing the continuum of care. Preliminary analysis of inter-rater reliability and construct or criterion validity of 15 outcomes are described. Results indicate NOC outcomes can be used to accurately document the effectiveness of nursing interventions.

Humans↗
PubMedDate not supplied

Establishing the validity, reliability, and sensitivity of NOC in an adult care nurse practitioner setting.

The purpose of this study was to provide evidence of the inter-rater reliability, validity, and sensitivity of a subset of Nursing Outcomes Classification (NOC) measures, including 26 found to be "most clinically useful" in a nurse practitioner setting (NPS). Selected NPS results are compared to those obtained from a larger 10-site study. Results indicated that the measures are valid, reliable, and sensitive as clinical measures of nursing outcomes. Proper education of users can enhance psychometrics. Suggestions for strengthening the measures and further study are outlined.

Female↗