Clinical assessment instruments validated for nursing practice in the Italian context: a systematic review of the literature
Authors:
Palese, A., Tameni, A., Ambrosi, E., Albanese, S., Barausse, M., Benazzi, B., De Togni, S., Doro, R., Eccher, C., Fattori, M., Franchini, P., Girlanda, M., Gobbetti, D., Guarino, L., Lazzeri, R., Moreale, R., Ricci, N., Venturini, M., Villa, G., Zonzini, E., and Saiani, L.
Abstract:
AIMS: With the aim to identify the instruments validated for Italian nursing practice, a systematic review of the literature was undertaken.
RESULTS: A total of 101 instruments emerged. The majority (89; 88.1%) were developed in other countries; the remaining (14; 13.9%) were developed and validated in the Italian context. The instruments were developed to measure patient's problems (63/101; 62.4%), outcomes (27/101; 26.7%), risks (4/101; 4%) and others issues (7/101; 6.9%). The majority of participants involved in the validation processes were younger adults (49; 48.5%), older adults (40; 39.5%), children (4; 4%), adolescents (3; 3%), and children/adolescents (1; 1%). The instruments were structured primarily in the form of questionnaires (61; 60.4%), as a grid for direct observation (27; 26.7%) or in other forms (12; 11.9%). Among the 101 instruments emerged, there were 1 to 7 validation measures documented with on average 3.2 (95% CI 2.86-3.54) for each instrument.
CONCLUSIONS: Developing validation studies giving priority to those instruments widely adopted in the clinical nursing practice is recommended.
Cognitive/mental state Emotional state Physical state
Functional status:
Cognitive/mental functioning Physical functioning
Overall quality of life:
Overall quality of life
Age:
Adults (18-65) Children (0-18) Seniors (65+)
Disease:
Certain conditions originating in the perinatal period and related symptoms Certain infections and parasitic diseases and related symptoms Congenital malformations, deformations and chromosomal abnormalities and related symptoms Diseases of and symptoms related to the blood and blood-forming organs and certain disorders involving the immune mechanism Diseases of and symptoms related to the circulatory system Diseases of and symptoms related to the digestive system Diseases of and symptoms related to the ear and mastoid process Diseases of and symptoms related to the eye and adnexa Diseases of and symptoms related to the genitourinary system Diseases of and symptoms related to the musculoskeletal system and connective tissue Diseases of and symptoms related to the nervous system Diseases of and symptoms related to the respiratory system Diseases of and symptoms related to the skin and subcutaneous tissue Endocrine, nutritional and metabolic diseases and related symptoms External causes of morbidity and mortality Factors influencing health status and contact with health services Injury, poisoning and certain other consequences of external causes Mental and behavioural disorders and related symptoms Neoplasms and related symptoms Pregnancy, childbirth and puerperium and related symptom Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified