Developing and Testing the Standard of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT) for Critical Care Nursing Practice

Background: Nurses working in critical care often undertake specialty education. There are no uniform practice outcomes for critical care programs, and consumer input to practice standards has been lacking. Methods: A structured multiphase project was undertaken to develop practice standards and an...

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Main Authors: Gill, Fenella, Leslie, Gavin, Grech, C., Boldy, Duncan, Latour, Jos
Format: Journal Article
Published: Slack Incorporated 2014
Online Access:http://hdl.handle.net/20.500.11937/28125
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author Gill, Fenella
Leslie, Gavin
Grech, C.
Boldy, Duncan
Latour, Jos
author_facet Gill, Fenella
Leslie, Gavin
Grech, C.
Boldy, Duncan
Latour, Jos
author_sort Gill, Fenella
building Curtin Institutional Repository
collection Online Access
description Background: Nurses working in critical care often undertake specialty education. There are no uniform practice outcomes for critical care programs, and consumer input to practice standards has been lacking. Methods: A structured multiphase project was undertaken to develop practice standards and an assessment tool informed by critical care nursing stakeholders as well as patients and families—the Standards of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT).Results: Testing of the SPECT revealed adequate content validity index (CVI), domain CVI (range, 0.772 to0.887), and statement CVI (range, 0.66 to 1.00). Reliability was adequate in terms of internal consistency (Cronbach’s α > 0.864) and test-retest Spearman rank correlation (range, 0.772 to 0.887); intra-rater kappa agreement was significant for 102 of 104 statements with moderate agreement for 94.2% of statements. Conclusion: The SPECT appears to have clinical feasibility, preliminary validity and reliability, and provides a clear definition for the expected practice level for graduates of a critical care education program.
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spelling curtin-20.500.11937-281252017-09-13T15:14:32Z Developing and Testing the Standard of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT) for Critical Care Nursing Practice Gill, Fenella Leslie, Gavin Grech, C. Boldy, Duncan Latour, Jos Background: Nurses working in critical care often undertake specialty education. There are no uniform practice outcomes for critical care programs, and consumer input to practice standards has been lacking. Methods: A structured multiphase project was undertaken to develop practice standards and an assessment tool informed by critical care nursing stakeholders as well as patients and families—the Standards of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT).Results: Testing of the SPECT revealed adequate content validity index (CVI), domain CVI (range, 0.772 to0.887), and statement CVI (range, 0.66 to 1.00). Reliability was adequate in terms of internal consistency (Cronbach’s α > 0.864) and test-retest Spearman rank correlation (range, 0.772 to 0.887); intra-rater kappa agreement was significant for 102 of 104 statements with moderate agreement for 94.2% of statements. Conclusion: The SPECT appears to have clinical feasibility, preliminary validity and reliability, and provides a clear definition for the expected practice level for graduates of a critical care education program. 2014 Journal Article http://hdl.handle.net/20.500.11937/28125 10.3928/00220124-20140620-02 Slack Incorporated restricted
spellingShingle Gill, Fenella
Leslie, Gavin
Grech, C.
Boldy, Duncan
Latour, Jos
Developing and Testing the Standard of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT) for Critical Care Nursing Practice
title Developing and Testing the Standard of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT) for Critical Care Nursing Practice
title_full Developing and Testing the Standard of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT) for Critical Care Nursing Practice
title_fullStr Developing and Testing the Standard of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT) for Critical Care Nursing Practice
title_full_unstemmed Developing and Testing the Standard of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT) for Critical Care Nursing Practice
title_short Developing and Testing the Standard of Practice and Evaluation of Critical-Care-Nursing Tool (SPECT) for Critical Care Nursing Practice
title_sort developing and testing the standard of practice and evaluation of critical-care-nursing tool (spect) for critical care nursing practice
url http://hdl.handle.net/20.500.11937/28125