Joyce A. Verran, RN, PhD, is Assistant Professor and Division Coordinator at the College of Nursing, University of Arizona, Tucson, Arizona.
Testing a classification instrument for the ambulatory care setting
Article first published online: 14 MAR 2007
Copyright © 1986 Wiley Periodicals, Inc., A Wiley Company
Research in Nursing & Health
Volume 9, Issue 4, pages 279–287, December 1986
How to Cite
Verran, J. A. (1986), Testing a classification instrument for the ambulatory care setting. Res. Nurs. Health, 9: 279–287. doi: 10.1002/nur.4770090404
- Issue published online: 14 MAR 2007
- Article first published online: 14 MAR 2007
- Manuscript Revised: 10 DEC 1985
- Manuscript Received: 23 JUL 1985
- National Research Service. Grant Number: 3F31 NU-05270-0151
- Division of Nursing, U.S. Public Health Service, Department of Health and Human Services
The purpose of this study was to evaluate the construct validity, generalizability, and interrater reliability of an instrument designed to measure the complexity of nursing care in the ambulatory care setting. The conceptual framework for the development of the classification instrument was adapted from a theory of organizations and is based upon knowledge technology. Previous research using the Delphi methodology delineated 44 activity categories for the classification instrument. These categories were organized under six literature-based responsibility areas. The instrument was tested in seven areas of one hospital-based ambulatory care setting. A total of 641 valid patient ratings were used for the analysis. Results indicate the instrument has beginning construct validity and high interrater reliability with training. It is not generalizable across services unless the effect of clinic type on nursing care complexity is considered.