Validation of definitions of the indicators for Nursing Outcomes Classification outcomes: Self-management cardiac disease

Abstract

Objective: To validate conceptual and operational definitions of the indicators for NOC outcomes: cardiac disease self-management. Methods: This consensus-validation study was developed in three steps: integrative literature review, development of conceptual and operational definitions of the indicators for NOC outcome: cardiac disease self-management, and consensus-validation of definitions by 20 nursing specialists. A binomial test was conducted to analyze the proportion of nursing specialists who agreed on the relevance and clarity of definitions. P-values lower than 0.05 indicated a significant difference of the opinion among nursing specialits concerning the relevance and clarity of definitions. Results: After the reviewing by nursing specialits, the conceptual definitions of 43 indicators for clarity and 43 for relevance had a p >0.05. Operational definitions of 36 indicators presented for clarity and 43 for relevance had a p-value >0.05. Indicators showing p <0.05 were adjusted accordingly to reflect the opinion of nursing specialists. Conclusion: To establish conceptual and operational definitions for NOC indicators turn the assessment process more, and guide the clinical practice towards better results. Once validated, these indicators may provide higher precision and increase effectiveness in clinical practice.