Development and content validation of the Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey
Aim: To develop a validated tool to measure nursing and midwifery documentation burden. Background: While an important record of care, documentation can be burdensome for nurses and midwives and may remove them from direct patient care, resulting in decreased job satisfaction, associated with decrea...
| Main Authors: | , , |
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| Format: | Journal Article |
| Language: | English |
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WILEY
2020
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| Online Access: | http://hdl.handle.net/20.500.11937/87152 |
| _version_ | 1848764900752490496 |
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| author | Brown, Janie Cooper, Alannah Albrecht, Matthew |
| author_facet | Brown, Janie Cooper, Alannah Albrecht, Matthew |
| author_sort | Brown, Janie |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Aim: To develop a validated tool to measure nursing and midwifery documentation burden. Background: While an important record of care, documentation can be burdensome for nurses and midwives and may remove them from direct patient care, resulting in decreased job satisfaction, associated with decreased patient satisfaction. The amount of documentation is increasing at a time where staff rationalisation results in decreasing numbers of clinicians at the bedside. No instrument is available to measure staff perceptions of the burden of clinical documentation.
Design: Survey development, followed by rwo rounds of content validation (April and May 2019).
Methods: Based on the literature a 28 item survey, with items in 6 subscales, representing key areas of documentation burden was developed. Item (I-CVI), subscale (S-CVI/Ave by subscale) and overall content validity indexes (S-CVI/Ave) were calculated following two review rounds by an expert panel of clinical and academic nurses and midwives.
Results: Level of agreement for the first iteration of the survey was low, with many items failing to reach the critical I-CVI threshold of 0.78. No subscale reached a S-CVI/Ave above 0.8 and the overall scale only achieved a S-CVI/Ave score of 0.67. Thirteen items were removed, seven were edited and five new items added, based on the expert panel feedback, substantially improving the content validity. All individual items achieved an I-CVI ≥0.78, the S-CVI/Ave was above 0.85 for all subscales and the total S-CVI/Ave was 0.94. Conclusion: The Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey can be considered as content valid, according to the content validity analysis by an expert panel.
Impact: The BurDoNsaM survey may be used by nurse leaders and researchers to measure the burden of documentation, providing the opportunity to review practice and implement strategies to decrease documentation burden, potentially improving patient satisfaction with the care received. |
| first_indexed | 2025-11-14T11:26:42Z |
| format | Journal Article |
| id | curtin-20.500.11937-87152 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:26:42Z |
| publishDate | 2020 |
| publisher | WILEY |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-871522022-01-12T03:40:03Z Development and content validation of the Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey Brown, Janie Cooper, Alannah Albrecht, Matthew Science & Technology Life Sciences & Biomedicine Nursing burden content validation documentation instrument development midwives nurses paperwork questionnaire survey HEALTH-CARE WORKERS WORKING TIME USE CONTENT VALIDITY HOSPITALS Aim: To develop a validated tool to measure nursing and midwifery documentation burden. Background: While an important record of care, documentation can be burdensome for nurses and midwives and may remove them from direct patient care, resulting in decreased job satisfaction, associated with decreased patient satisfaction. The amount of documentation is increasing at a time where staff rationalisation results in decreasing numbers of clinicians at the bedside. No instrument is available to measure staff perceptions of the burden of clinical documentation. Design: Survey development, followed by rwo rounds of content validation (April and May 2019). Methods: Based on the literature a 28 item survey, with items in 6 subscales, representing key areas of documentation burden was developed. Item (I-CVI), subscale (S-CVI/Ave by subscale) and overall content validity indexes (S-CVI/Ave) were calculated following two review rounds by an expert panel of clinical and academic nurses and midwives. Results: Level of agreement for the first iteration of the survey was low, with many items failing to reach the critical I-CVI threshold of 0.78. No subscale reached a S-CVI/Ave above 0.8 and the overall scale only achieved a S-CVI/Ave score of 0.67. Thirteen items were removed, seven were edited and five new items added, based on the expert panel feedback, substantially improving the content validity. All individual items achieved an I-CVI ≥0.78, the S-CVI/Ave was above 0.85 for all subscales and the total S-CVI/Ave was 0.94. Conclusion: The Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey can be considered as content valid, according to the content validity analysis by an expert panel. Impact: The BurDoNsaM survey may be used by nurse leaders and researchers to measure the burden of documentation, providing the opportunity to review practice and implement strategies to decrease documentation burden, potentially improving patient satisfaction with the care received. 2020 Journal Article http://hdl.handle.net/20.500.11937/87152 10.1111/jan.14320 English WILEY fulltext |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Nursing burden content validation documentation instrument development midwives nurses paperwork questionnaire survey HEALTH-CARE WORKERS WORKING TIME USE CONTENT VALIDITY HOSPITALS Brown, Janie Cooper, Alannah Albrecht, Matthew Development and content validation of the Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey |
| title | Development and content validation of the Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey |
| title_full | Development and content validation of the Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey |
| title_fullStr | Development and content validation of the Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey |
| title_full_unstemmed | Development and content validation of the Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey |
| title_short | Development and content validation of the Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey |
| title_sort | development and content validation of the burden of documentation for nurses and midwives (burdonsam) survey |
| topic | Science & Technology Life Sciences & Biomedicine Nursing burden content validation documentation instrument development midwives nurses paperwork questionnaire survey HEALTH-CARE WORKERS WORKING TIME USE CONTENT VALIDITY HOSPITALS |
| url | http://hdl.handle.net/20.500.11937/87152 |