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首页> 外文期刊>Western journal of nursing research >Reliability and Validity of the NDNQI (R) Injury Falls Measure
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Reliability and Validity of the NDNQI (R) Injury Falls Measure

机译：NDNQI（R）伤害跌落测量的可靠性和有效性

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摘要

Although remarkable efforts have been made to improve patient fall reporting through the utilization of standardized definitions, injury falls reporting has rarely been examined. This study used an overall intra-class correlation coefficient (ICC) estimate and factor analysis to assess the reliability and validity of the National Database of Nursing Quality Indicators (R) (NDNQI (R)) falls with injury measure. Data were collected from an online Fall Injury Level Survey that was administered to 1,159 NDNQI site coordinators (39.7% response rate; 91% registered nurses [RNs]). Estimated overall ICC was .85. Exploratory factor analysis (EFA) with a Promax rotation (root mean square error of approximation [RMSEA] = 0.053) identified three latent factors: No Injury, Minor Injury, and Moderate/Major Injuries. Final confirmatory factor analysis (CFA) assessment (comparative fit index [CFI] = 0.914, Tucker Lewis Index [TLI] = 0.910, RMSEA = 0.048) confirmed an acceptable model fit. Results provided strong evidence that the NDNQI falls with injury measure is reliable and valid in supporting hospitals' fall prevention efforts and future injurious falls research.
机译：尽管已经做出了巨大努力来通过使用标准化定义来改善患者跌倒报告，但很少检查伤害跌倒报告。这项研究使用总体类内相关系数（ICC）估计和因素分析来评估国家护理质量指标数据库（R）（NDNQI（R））跌倒伤害度的可靠性和有效性。数据是从对1159名NDNQI现场协调员进行的在线秋季跌倒伤害水平调查中收集的（39.7％的回应率; 91％的注册护士[RNs]）。估计总体ICC为0.85。具有Promax旋转（均方根近似值[RMSEA] = 0.053）的探索性因素分析（EFA）确定了三个潜在因素：无伤害，轻度伤害和中度/重度伤害。最终验证性因子分析（CFA）评估（比较拟合指数[CFI] = 0.914，塔克·刘易斯指数[TLI] = 0.910，RMSEA = 0.048）证实了可接受的模型拟合。结果提供了有力的证据，证明NDNQI跌落伤害法在支持医院跌倒预防工作和未来伤害跌倒研究方面是可靠和有效的。

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