Content Validation of Impaired Skin Integrity and Urinary Incontinence in the Home Health Setting

Abstract

The purpose of this study was to examine content validity of two nursing diagnoses in the home health setting: impaired skin integrity and altered urinary elimination: total incontinence. Eighty-two home health nurses rated the importance of each of the defining characteristics for the two nursing diagnoses. Diagnostic content validity scores (DCV) were calculated for each defining characteristic for both diagnoses using the method described by Fehring (1986). Four characteristics for each diagnosis had DCV scores greater than .75, indicating characteristics were critical indicators for the diagnosis. Erythema, denuded skin, disruptions of dermal and epidermal tissue, and lesions were critical indicators for impaired skin integrity. Lack of awareness of incontinence, constant flow of urine, lack of awareness of bladder cues to void, and incontinence refractory to other treatments were critical indicators for alteration in urinary elimination: total incontinence.

Keywords

nursing diagnosis impaired skin integrity altered patterns of urinary elimination total incontinence home health nursing content validation

Get full access to this article

View all access options for this article.

References

Anderson

Thompson

(1991). Impaired skin integrity: Clinical validation of the defining characteristics. In Carroll-Johnson

R. M.

(Ed.), Classification of nursing diagnoses: Proceedings of the ninth conference (pp. 126–132). Philadelphia: Lippincott.

Carpenito

(1987). Nursing diagnosis: Application to clinical practice (2d ed.). Philadelphia: Lippincott.

Cattaneo

Lackey

(1987). Impaired skin integrity. In McLane

(Ed.), Classification of nursing diagnoses: Proceedings of the seventh conference (pp. 129–135). St. Louis, Mosby.

Fehring

(1986). Validating diagnostic labels: Standardized methodology. In Hurley

(Ed.), Classification of nursing diagnoses: Proceedings of the sixth conference (pp. 183–190). St. Louis, Mosby.

Gordon

Sweeney

(1979). Methodological problems and issues in identifying and standardizing nursing diagnoses. Advances in Nursing Science, 2, 1–15.

Gordon

(1987). Nursing diagnosis: Process and application (2d ed.). New York: McGraw-Hill.

Goyette-Vincent

(1991). Defining characteristics: General or population specific. In Carroll-Johnson

R. M.

(Ed.), Classification of nursing diagnoses: Proceedings of the ninth conference (pp. 76–78). Philadelphia: Lippincott.

Greene

(1991). The relationship between nursing diagnostic reasoning and reimbursement in home health care. In Carroll-Johnson

R. M.

(Ed.), Classification of nursing diagnoses: Proceedings of the ninth conference (pp. 283–284). Philadelphia: Lippincott.

Harris

Peters

(1990). Impaired skin integrity: A nursing diagnosis—a nursing challenge. Home Healthcare Nurse 8 (5), 33–38.

10.

Iverson-Carpenter

(1989). A descriptive study of the etiologies and defining characteristics of pressure sores. In Carroll-Johnson

R. M.

(Ed.), Classification of nursing diagnoses: Proceedings of the eighth conference (pp. 275–280). Philadelphia: Lippincott.

11.

Levin

Krainovich

Bahrenburg

Mitchell

(1989). Diagnostic content validity of nursing diagnoses. Image 21, 40–44.

12.

Metzger

Hiltunen

(1987). Diagnostic content validation of ten frequently reported nursing diagnoses. In McLane

(Ed.), Classification of nursing diagnoses: Proceedings of the seventh conference (pp. 144–153). St. Louis, Mosby.

13.

Myers

Stull

(1989). The use of nursing diagnoses in community-based nursing agencies. In Carroll-Johnson

R. M.

(Ed.), Classification of nursing diagnoses: Proceedings of the eighth conference (pp. 223–227). Philadelphia: Lippincott.

14.

NANDA . (1990). Taxonomy I - Revised. St. Louis, MO: author.

15.

Polit

Hungler

(1987). Nursing research: Principles and methods (3d ed.). Philadelphia: Lippincott.

16.

Ryan

Falco

(1985). A pilot study to validate the etiologies and defining characteristics of the nursing diagnosis of noncompliance. The Nursing Clinics of North America, 20, 685–694.

17.

Saba

O'Hare

Zuckerman

Boondas

Levine

Oatman

(1991). A nursing intervention taxonomy for home health care. Nursing and Health Care, 12, 296–299.

18.

Schappler

(1989). Impaired skin integrity: Actual and potential in orthopedic patients. In Carroll-Johnson

R. M.

(Ed.), Classification of nursing diagnoses: Proceedings of the eighth conference (pp. 345–348). Philadelphia: Lippincott.

19.

Waltz

Strickland

Lenz

(1991). Measurement in nursing research (2d ed.). Philadelphia: Davis.