Healthcare professionals’ views on the mutual consistency of the Finnish Classification of
Nursing Interventions and the Oulu Patient Classification
Engelsk titel: Healthcare professionals’ views on the mutual consistency of the Finnish Classification of
Nursing Interventions and the Oulu Patient Classification
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Författare:
Liljamo, Pia
;
Kinnunen, Ulla-Mari
;
Saranto, Kaija
Email: pia.liljamo@ppshp.fi
Språk: Eng
Antal referenser: 45
Dokumenttyp:
Artikel
UI-nummer: 16113501
Sammanfattning
Background: Various classification schemes have been used for clinical and administrative
purposes, but their concepts have seldom been cross-mapped. Cross-mapping is a formal method
that can be used for examining existing classifications’ validity.
Aim: The aim was to cross-map two nursing classifications - the Finnish Classification of Nursing
Interventions (FiCNI, version 3.0), developed for structured nursing documentation, and the Oulu
Patient Classification (OPCq), created for daily assessment of nursing intensity - and evaluate their
mutual consistency. The objective was to obtain information on the content equivalence of the two
classifications and the consistency of the concepts used, to inform further development of both.
Methods: The Delphi method was utilised, with a panel of experts that included terminology
developers, researchers, teachers and nurses (n = 16). Four Delphi rounds were required. In these,
panellists selected the most relevant content from the OPCq subareas (n = 6) for each FiCNI main
category and subcategory (n = 307). In cases of doubt, respondents were asked to justify their
choices.
Results: Response rates ranged from 68.8 to 93.8% in the Delphi rounds. After three rounds, 81.4% of
the FiCNI categories were cross-mapped with sufficient consensus. A fourth round was needed for 57
FiCNI categories (18.6%). Most FiCNI categories (29.3%) were cross-mapped to the OPCq's subarea 2.
Deficiencies in the concepts’ clarity and in the OPCq's content areas complicated the cross-mapping.
The most unambiguous categories of the FiCNI were found in the respiratory, cardiac and activity
components. The components showing greatest ambiguity were skin integrity, mental balance and
safety.
Conclusion: The content and concepts used in both classifications need further development. The
cross-mapping results can be utilised for developing reuse of structured nursing data in assessment
of nursing intensity and in decision-making in human-resources planning. Published by arrangement
with John Wiley & Sons.