Grading Immediate Nursing Sensitive Outcomes after Coronary Artery Bypass Graft: Tool Development and Validation.

Abstract

Nursing profession struggles to retain its identity in health care system; the need for nursing to define its interventions and outcomes has never been greater. Nursing-sensitive patient outcomes describe the patient outcomes that are responsive to nursing intervention. The aims of this study were identify the specific nursing-sensitive outcomes measured in patient at immediate postoperative phase after coronary artery bypass graft surgery CABG; developing tool to measure nursing sensitive outcomes in patient at immediate postoperative phase after CABG, grading the tool of measuring the immediate postoperative nursing sensitive outcomes after CABG and establishing the validity, reliability, and sensitivity, of the developed tool. A survey research design was utilized in this study to assess the content and face validity of the designed instrument and an inter-rater reliability was utilized to assure its reliability. Thirty patients at their immediate postoperative phase after CABG were subjected for measuring their nursing sensitive outcomes; twenty five experts were invited to participate in this study. Graded Nursing Sensitive Outcomes Measuring Scale was developed and subjected for testing reliability, validity, and sensitivity. The study provided evidence of outcomes content validity, reliability, and nursing sensitivity of the studied outcomes. The study recommended dissemination of the developed instrument and inclusion of nursing outcomes classification into nursing curricula to be utilized in clinical education as a continuum for nursing diagnoses classification.