Development and Content Validation of a NOC-Based Instrument for Measuring Dietary Knowledge in Patients with Diabetes: CoNOCidiet-Diabetes

Abstract

PURPOSE

To construct a questionnaire for measuring knowledge of a diabetic diet and validate its contents.

METHODS

This study was carried out in three stages: (a) generation of items, (b) apparent and content validation, (c) cognitive pilot test.

FINDINGS

An 88-item questionnaire was obtained with a content validity index and a representativeness index of 0.87. The experts modified the items that did not reach the preset values. The cognitive test was shown to be feasible, with good exploratory values of reliability and concurrent validity.

CONCLUSIONS

The CoNOCidiet-Diabetes questionnaire was obtained from the NOC outcome “Knowledge: Prescribed Diet” and its contents were validated.

IMPLICATIONS FOR NURSING PRACTICE

This research shows the usefulness of the NOC for generating tools to measure health outcomes sensitive to nursing interventions.

Keywords

Attitudes diabetes mellitus diabetic diet health knowledge practice standardized nursing terminology surveys and questionnaires validation studies

Get full access to this article

View all access options for this article.

References

American Diabetes Association . (2017). Standards of medical care in diabetes—2017. Diabetes Care, 40(1), 1–135.

Breen

Ryan

Gibney

M. J.

O'Shea

(2015). Diabetes-related nutrition knowledge and dietary intake among adults with type 2 diabetes. British Journal of Nutrition, 114(3), 439–447.

Butcher

Bulechek

G. M.

Dochterman

J. M.

Wagner

(Eds.). (2018). Nursing interventions classification (NIC) (7th ed.). St Louis, MO: Elsevier.

Cárdenas Valladolid

López de Andrés

Jiménez García

deDios Duarte

M. J.

Gómez Campelo

deBurgos Lunar

, … Salinero-Fort

M. A.

(2018). Effectiveness of standardized nursing care plans to achieve A1C, blood pressure, and LDL-C goals among people with poorly controlled type 2 diabetes mellitus at baseline: Four-year follow-up study. BMC Family Practice, 19, 125.

Carvajal

Centeno

Watson

Martínez

Sanz Rubiales

Á.

(2011). ¿Cómo validar un instrumento de medida de la salud? Anales del Sistema Sanitario de Navarra, 34(1), 63–72.

Da Silva

N. C.

DeSouza Oliveira

A. R.

DeCarvalho

E. C.

(2015). Knowledge produced from the outcomes of the “Nursing Outcomes Classification-NOC”: Integrative review. Revista Gaúcha de Enfermagem, 36(4), 104–111.

DeSousa Costa

A. G.

DeAraujo

T. L.

Cavalcante

T. F.

Oliveira Lopes

M. V.

Oliveira-Kumakura

A. R.

Chaves Costa

F. B.

(2017). Clinical validation of the nursing outcome falls prevention behavior in people with stroke. Applied Nursing Research, 33, 67–71.

Dodds

(2017). The how-to for type 2: An overview of diagnosis and management of type 2 diabetes mellitus. The Nursing Clinics of North America, 52(4), 513–522.

Fearon-Lynch

J. A.

Stover

C. M.

(2015). A middle-range theory for diabetes self-management mastery. Advances in Nursing Science, 38(4), 330–346.

10.

Fitzgerald

J. T.

Funnell

M. M.

Anderson

R. M.

Nwankwo

Stansfield

R. B.

Piatt

G. A.

(2016). Validation of the revised brief diabetes knowledge test (DKT2). Diabetes Educator, 42(2), 178–187.

11.

Flanagan

Weir-Hughes

(2016). NANDA-I NIC and NOC, the EHR, and meaningful use. International Journal of Nursing Knowledge, 27(4), 183.

12.

Force, 2017 Stand Revision Task . (2017). 2017 national standards for diabetes self-management education and support. Diabetes Care, 40(10), 1409–1419.

13.

García Andrés

Jorge Gascón

A. I.

Seoane López

M. T.

Castro Melián

Ramos Fuentes

M. J.

Pérez Martín

R. M.

Aguirre Jaime

(2005). Sugar. Un instrumento para priorizar la educación diabetológica. Revista ROL de Enfermería, 28(6), 15–26.

14.

Herdman

T. H.

Kamitsuru

(Eds.). (2017). NANDA international nursing diagnoses: Definitions and classification, 2018–2020 (11th ed.). New York: Thieme.

15.

Huang

X. L.

Pan

J. H.

Chen

T. T.

(2016). Efficacy of lifestyle interventions in patients with type 2 diabetes: A systematic review and meta-analysis. European Journal of Internal Medicine, 27, 37–47.

16.

Krug

E. G.

(2016). Trends in diabetes: Sounding the alarm. Lancet, 387(10027), 1485–1486.

17.

Lee

E. J.

(2003). Validation of nursing care sensitive outcomes related to knowledge. Taehan Kanho Hakhoe Chi, 33(5), 625–632.

18.

Lee

Park

Whyte

Kim

Park

S. Y.

(2014). Identifying core nursing sensitive outcomes associated with the most frequently used North American Nursing Diagnosis Association—International nursing diagnoses for patients with cerebrovascular disease in Korea. International Journal of Nursing Practice, 20(6), 636–645.

19.

Lopes

J. L.

Altino

Silva de Cássia

G. E.

(2010). Content validation of current and new defining characteristics of the nursing diagnosis: Decreased cardiac output. Acta Paulista de Enfermagen, 23(6), 764–768.

20.

Moorhead

Johnson

Maas

M. L.

Swanson

(Eds.). (2013). Nursing outcomes classification (NOC) (5th ed.). St. Louis, MO: Mosby.

21.

Moorhead

Swanson

Johnson

Maas

M. L.

(Eds.). (2018). Nursing outcomes classification (NOC) (6th ed.). St. Louis, MO: Elsevier.

22.

Morales Asencio

J. M.

Porcel Gálvez

A. M.

Oliveros-Valenzuela

Rodríguez Gómez

Sánchez Extremera

Serrano-López

F. A.

, … Barrientos Trigo

(2015). Design and validation of the INICIARE instrument, for the assessment of dependency level in acutely ill hospitalised patients. Journal of Clinical Nursing, 24(5–6), 761–777.

23.

Paloma Castro

Romero Sánchez

J. M.

Paramio Cuevas

J. C.

Pastor Montero

S. M.

Sánchez Dalda

M. C.

Rozadillas Sanmiguel

Moreno-Corral

L. J.

(2017). Development and psychometric evaluation of a questionnaire based on the Nursing Outcomes Classification to determine the knowledge of parents on breast-feeding: Research protocol. International Journal of Nursing Knowledge, 28(2), 100–108.

24.

Peres

Cruz

Tellez

deCássia Gengo

Silva

Ortiz

, … Ortiz

R. D.

(2016). Implementation of improvements in an electronic documentation nursing process system structured on NANDA-I, NOC and NIC (NNN) classification. Studies in Health Technology and Informatics, 225, 1082–1083.

25.

Polit

D. F.

Tatano Beck

(2012). Nursing research: Generating and assessing evidence for nursing practice. New York: Lippincott Williams and Wilkins.

26.

Romero Sánchez

J. M.

Paloma Castro

(2016). Instrumentos de medición para la investigación en metodología y lenguajes enfermeros estandarizados. In Echevarría Pérez

(Ed.), Investigación en metodología y lenguajes enfermeros (pp. 89–100). Barcelona, España: Elsevier.

27.

Seabra

P. R. C.

Amendoeira

J. J. P.

Sá

L. O.

Capelas

M. V. L.

(2018). Clinical validation of the Portuguese version of “Substance Addiction Consequences” derived from the Nursing Outcomes Classification. Issues in Mental Health Nursing, 15, 1–7.

28.

Soriguer

Goday

Bosch Comas

Bordiú

Calle Pascual

Carmena

, … Vendrell

(2012). Prevalence of diabetes mellitus and impaired glucose regulation in Spain: The Di@bet.es study. Diabetología, 55(1), 88–93.

29.

Spanish Ministry of Health, Social Services, and Equality [Ministerio de Sanidad, Servicios Sociales e Igualdad] . (2012). Estrategia en Diabetes del Sistema Nacional de Salud. Actualización. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad. Retrieved from http://www.fundaciondiabetes.org/upload/publicaciones_ficheros/72/estrategia_diabetes_sns.pdf

30.

Swanson

(2016). La utilización de la investigación para la evaluación de los cuidados enfermeros: La Clasificación de Resultados de Enfermería (NOC) en la medición de la eficacia enfermera. In Echevarría Pérez

(Ed.), Investigación en metodología y lenguajes enfermeros (pp. 217–230). Barcelona, España: Elsevier.

31.

World Health Organization, Regional Office for Europe . (2014). Prevention and control of noncommunicable diseases in the European Region: A progress report. Copenhagen, Denmark: WHO Regional Office for Europe.

32.

World Health Organization . (2016). Global report on diabetes. France: MEO Design & Communication. Retrieved from http://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf