Validity and reliability of a pediatric patient classification instrument

correlation study developed at a teaching hospital. The classification involved 227 patients, using the pediatric patient classification instrument. The construct validity was assessed through the factor analysis approach and reliability through internal consistency.

RESULTS:

the Exploratory Factor Analysis identified three constructs with 67.5% of variance explanation and, in the reliability assessment, the following Cronbach's alpha coefficients were found: 0.92 for the instrument as a whole; 0.88 for the Patient domain; 0.81 for the Family domain; 0.44 for the Therapeutic procedures domain.

CONCLUSIONS:

the instrument evidenced its construct validity and reliability, and these analyses indicate the feasibility of the instrument. The validation of the Pediatric Patient Classification Instrument still represents a challenge, due to its relevance for a closer look at pediatric nursing care and management. Further research should be considered to explore its dimensionality and content validity.

Health Evaluation; Pediatric Nursing; Validation Studies; Workload

Variables		n	%
Age range (years)
	<1	64	28.0
	1 to 6	77	34.0
	7 to 11	47	21.0
	12 to 17	30	13.0
	≥18	9	4.0
Sex
	Male	136	59.9
	Female	91	40.1
Reason for hospitalization
	Surgical procedures	50	22.0
	Respiratory conditions	49	21.5
	Genital-urinary conditions	27	11.9
	Clinical conditions*	25	11.0
	Neurological conditions	24	10.6
	Infections	21	9.3
	Liver or gastrointestinal tract conditions	14	6.2
	Other reasons^†	17	7.5

Care Category	<1 year		1-6 years		7-11 years		12-17 years		≥18 years		Total
Care Category	n	%	n	%	n	%	n	%	n	%	n	%
Minimal	-	-	3	3.9	3	6.4	13	43.3	1	11.1	20	8.8
Intermediary	6	9.4	28	36.4	18	38.3	12	40.0	4	44.5	68	30.0
High dependence	22	34.4	22	28.6	13	27.7	5	16.7	3	33.3	65	28.6
Semi-intensive	10	15.6	17	22.1	9	19.1	-	-	1	11.1	37	16.3
Intensive	26	40.6	7	9.0	4	8.5	-	-	-	-	37	16.3
Total	64	100	77	100	47	100	30	100	9	100	227	100

Construct		KMO*	Communality	Factor loading
Domain: Patient
	Personal hygiene	0.85	0.80	0.86
	Feeding and hydration	0.89	0.67	0.81
	Mobility and ambulation	0.87	0.74	0.77
	Activity	0.89	0.73	0.69
	Eliminations	0.85	0.58	0.65
	Oxygenation	0.89	0.73	0.65
Domain: Family
	Support network	0.79	0.79	0.87
	Participation of the accompanying person	0.82	0.73	0.82
Domain: Therapeutic procedures
	Drug therapy	0.68	0.77	0.87
	Cutaneous-mucous integrity	0.86	0.36	0.50
	Physiological controls assessment	0.88	0.52	0.39

Indicator*	I-1	I-2	I-3	I-4	I-5	I-6	I-7	I-8	I-9	I-10	I-11
I-1
I-2	0.43
I-3	0.74	0.56
I-4	0.11	0.33	0.15
I-5	0.26	0.16	0.23	0.21
I-6	0.60	0.41	0.57	0.11	0.16
I-7	0.29	0.34	0.26	0.16	0.20	0.41
I-8	0.61	0.45	0.59	0.15	0.29	0.65	0.57
I-9	0.68	0.48	0.67	0.11	0.34	0.54	0.43	0.77
I-10	0.42	0.41	0.45	0.12	0.29	0.24	0.18	0.33	0.44
I-11	0.48	0.44	0.52	0.11	0.26	0.24	0.13	0.31	0.39	0.69
Total	0.80	0.69	0.82	0.29	0.44	0.69	0.52	0.79	0.83	0.65	0.65

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Edinêis de Brito Guirardello Universidade Estadual de Campinas. Faculdade de Enfermagem Rua Tessália Vieira de Camargo, 126 Caixa Postal 6111 Cidade Universitária "Zeferino Vaz" CEP: 13083-887, Campinas, SP, Brasil E-mail: guirar@fcm.unicamp.br

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Validity and reliability of a pediatric patient classification instrument1 1 Paper extracted from doctoral dissertation "Validation of an instrument for classification of pediatric patient", presented to Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil

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Validity and reliability of a pediatric patient classification instrument¹ 1 Paper extracted from doctoral dissertation "Validation of an instrument for classification of pediatric patient", presented to Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil