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PURPOSE. To describe pilot testing of Quality of Diagnoses, Interventions and Outcomes (Q-DIO), an instrument to measure quality of nursing documentation. DESIGN. Instrument testing was performed using a random, stratified sample of 60 nursing documentations representing hospital nursing with and without implementation of standardized nursing language (30 for both strata) in a Swiss General Acute Hospital. METHODS. Internal consistency and intrarater and interrater reliabilities were tested. Through item analyses, the grades of difficulty and the discrimination validity of items were evaluated. FINDINGS. Internal consistency of nursing diagnoses as process produced Cronbach's alpha .83; nursing diagnoses as product .98; nursing interventions .90; and nursing-sensitive patient outcomes .99. With Kappas of .95, the intrarater and interrater reliabilities were good. Criteria for the grades of difficulty of items and discrimination validity were well met. The results of this study suggest that Q-DIO is a reliable instrument to measure the documentation quality of nursing diagnoses, interventions, and outcomes. Further testing of Q-DIO in other settings is recommended. Zusammenfassung ZIEL. Die Beschreibung der Pilot-Testung von Q-DIO (Quality of Nursing Diagnoses, Interventions and Outcomes), eines Instruments zur Messung der Qualität der Pflegedokumentation. DESIGN. Die Instrumenttestung wurde mittels einer zufällig gewählten, stratifizierten Stichprobe von 60 Pflegedokumentationen vorgenommen, welche klinische Pflege mit und ohne Einführung standardisierter Pflegefachsprache in einem Schweizer Akutspital repräsentierten (30 für beide Strata). METHODE. Interne Konsistenz, Intrarater und Interrater-Reliabilität wurden getestet. Mittels einer Itemanalyse wurden die Schwierigkeitsgrade und die Trennschärfe der Items evaluiert. ERGEBNISSE. Die interne Konsistenz der Subskala zu Pflegediagnosen als Prozess zeigte einen Crohnbach's alpha von 0.83; zu Pflegediagnosen als Produkt 0.98; zu Pflegeinterventionen 0.90 und zu pflegesensiblen Patientenergebnissen 0.99. Mit Kappa-Werten von 0.95 waren die Intra- und die Interrater-Reliabilitäten gut. Die Itemanalyse bestätigte die Erfüllung der Kriterien zu Schwierigkeitsgrad und Trennschärfe der Items. SCHLUSSFOLGERUNGEN. Die Resultate beschreiben Q-DIO als zuverlässiges Instrument zur Messung der Qualität von dokumentierten Pflegediagnosen, -interventionen und -ergebnissen. Studien zu weiteren Testungen von Q-DIO in anderen Settings werden empfohlen. [ABSTRACT FROM AUTHOR]

PURPOSE. To evaluate the impact of the quality of nursing diagnoses, interventions, and outcomes in an acute care hospital following the implementation of an educational program. METHOD. In a pretest–posttest experimental design study, nurses from 12 wards of a Swiss hospital received an educational intervention—an introductory class and consecutive classes, using a case discussion method—to implement nursing diagnoses, interventions, and outcomes. Two sets of 36 randomly selected nursing records were evaluated before and after implementation. The quality of documented nursing diagnoses, interventions, and nursing-sensitive patient outcomes was assessed by 29 Likert-type items with a 0–4 scale instrument, called Quality of Nursing Diagnoses, Interventions, and Outcomes (Q-DIO) and tested using t -tests. FINDINGS. Significant enhancements in the quality of documented nursing diagnoses, interventions, and outcomes were found following the implementation of a planned educational program. CONCLUSIONS. The implementation of NANDA, NIC, and NOC (NNN) nursing diagnoses, interventions, and outcomes led to higher quality of nursing diagnosis documentation, etiology-specific nursing interventions, and nursing-sensitive patient outcomes. IMPLICATIONS FOR NURSING PRACTICE. Educational measures support nurses to improve documentation of diagnoses, interventions, and outcomes. The Q-DIO is a useful audit tool. [ABSTRACT FROM AUTHOR]

The article presents an abstract of a research paper that analyzes the effectiveness of nursing staff education in enhancing the quality of documented nursing diagnoses, interventions and outcomes.