2026-06-14T03:47:19Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/158952025-05-12T07:14:11Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19618

00925njm 22002777a 4500 dc Luna-Aleixos, David author Llagostera-Reverter, Irene author Castelló-Benavent, Ximo author Aquilué-Ballarín, Marta author Mecho-Montoliu, Gema author Cervera-Gasch, Águeda author Valero-Chillerón, María Jesús author Mena-Tudela, Desirée author Andreu-Pejó, Laura author Martínez-Gonzálbez, Rafael author González-Chordá, Víctor M author 2022-11-08 Nursing assessment is the basis for performing interventions that match patient needs, but nurses perceive it as an administrative load. This research aims to develop and validate a meta-instrument that integrates the assessment of functional capacity, risk of pressure ulcers and risk of falling with a more parsimonious approach to nursing assessment in adult hospitalization units. Specifically, this manuscript presents the results of the development of this meta-instrument (VALENF instrument). A cross-sectional study based on recorded data was carried out in a sample of 1352 nursing assessments. Socio-demographic variables and assessments of Barthel, Braden and Downton indices at the time of admission were included. The meta-instrument's development process includes: (i) nominal group; (ii) correlation analysis; (iii) multiple linear regressions models; (iv) reliability analysis. A seven-item solution showed a high predictive capacity with Barthel (R2adj = 0.938), Braden (R2adj = 0.926) and Downton (R2adj = 0.921) indices. Likewise, reliability was significant (p < 0.001) for Barthel (ICC = 0.969; τ-b = 0.850), Braden (ICC = 0.943; τ-b = 0.842) and Downton (ICC = 0.905; κ = 7.17) indices. VALENF instrument has an adequate predictive capacity and reliability to assess the level of functional capacity, risk of pressure injuries and risk of falls. Int J Environ Res Public Health. 2022 Nov 8;19(22):14622. 10.3390/ijerph192214622 1660-4601 International journal of environmental research and public health 36429341 http://hdl.handle.net/20.500.12105/15895 Hospitalization Nurses Nursing Nursing assessment Validation study Development and Validation of a Meta-Instrument for Nursing Assessment in Adult Hospitalization Units (VALENF Instrument) (Part I)