To describe the cross-cultural adaptation of the Quality of Diagnoses, Interventions and Outcomes (Q-DIO) Instrument into the Slovene language.
Based on general international guidelines, a six-step ...process of localization to translate and adjust the instrument from English into the Slovene language was used. Content validity was quantified based on an agreement of eight experts. The instrument was tested using a sample of 140 nursing documentations from two Slovenian tertiary hospitals.
26 of 29 items showed an excellent content validity index ranging from 0.857 to 1.000, and a modified kappa index above 0.856. The content validity indexes of the three remaining items adjusted based on experts' comments were subsequently estimated at 1.000. Construct validity was significantly different between the two groups of documentations. The Cronbach coefficient for the whole questionnaire was 0.860. Cronbach's alpha if item deleted reamins above 0.80 for all items. The criteria for the difficulty grades of items and discrimination validity were acceptably met for more than 75% of items.
Based on the results of the study, it may be concluded that Q-DIO is a reliable instrument for measuring the quality of nursing documentation. The deviations in the results of some items are due to poor nursing documentation quality, and indicate that nursing classifications have not yet been fully implemented into practice in the study setting. Additional testing of the instrument is recommended.
The paper is an analysis of the position of nurses (health technicians) & their experience of caring work in a hospital ward. The findings are based on a qualitative research -- a case study, carried ...out in the Angiology Dept of the Ljubljana Medical Centre. In-depth interviews & fieldwork confirmed that the caring work performed by nurses is similar to the work done by women in traditional families, The ward may be compared to the traditional family residence, the patient taking the role of the child, the nurse the role of the housewife who brings things to order, & the doctor the role of the master, the father who supervises the working process. The interviews show that the passive caring role attributed to women by socially constructed sexual ideologies has not satisfied the nurses. An additional factor that contributes to the lack of job satisfaction in the nurses is the nature of the ward, which has certain resemblances to the 'total' institution. Working with seriously affected patients causes anxiety. Nurses do not have enough knowledge & support to deal with such feelings, as the organization of health care service promotes the development of their defense mechanisms, based mainly on evasion, rather than a constructive confrontation with problems or personal & professional growth. 32 References. Adapted from the source document.
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