Measuring nursing performance in practice, education, and research

419 Pages·2001·15.981 MB·English

by  Waltz, Carolyn Feher

Measurement of
Nursing Outcomes
Second Edition
Carolyn F. Waltz, PhD, RN, FANN, is Professor and Associate Dean for
Academic Affairs at the University of Maryland School of Nursing. She
received her BSN and MS degrees from the University of Maryland and
her PhD from the University of Delaware. Dr. Waltz is an expert in the
development of outcomes evaluation in clinical and educational settings.
She has published numerous books and articles on measurement, nurs-
ing outcomes, consultations, and workshops to varied health care audi-
ences nationally and internationally and is widely acknowledged as a
pioneer in outcomes evaluation and research.
Louise S. Jenkins, PhD, RN, is Director of Graduate Studies at the
University of Maryland School of Nursing. She received a BS degree from
Northern Illinois University and MS and PhD degrees from the University
of Maryland, Baltim9re. Her research program is in the area of individ-
ual cardiac recovery and rehabilitation. She has developed and tested var-
ious outcome measures for use with self-efficacy theory and the study of
quality of life. She serves on a number of editorial and review boards. She
is currently principal investigator on a grant to develop an Institute for
Teaching and Learning with Technology in Health and Human Services
and recently was a collaborator on the development and implementation
of a new Clinical Education and Evaluation Laboratory.
Measurement of
Nursing Outcomes
Second Edition
Volume I; Measuring Nursing Performance
in Practice, Education, and Research
Carolyn Feher Waltz, PhD, RN, FAAN
Louise Sherman Jenkins, PhD, RN, FAAN
Editors
Springer Publishing Company
Copyright © 2001 by Springer Publishing Company, Inc.
All rights reserved
No part of this publication may be reproduced, stored in a retrieval system, or transmitted
in any form or by any means, electronic, mechanical, photocopying, recording, or other-
wise, without the prior permission of Springer Publishing Company, Inc.
Springer Publishing Company, Inc.
536 Broadway
New York, NY 10012-3955
Acquisitions Editor: Ruth Chasek
Production Editor: Jeanne Libby
Cover design by Susan Hauley
00 01 02 03 04 / 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
Measurement of nursing outcomes / Carolyn Feher Waltz, Louise Sherman Jenkins,
editors,—2nd ed.
p. ; cm.
Includes bibliographical references and index.
Contents: v. 1. Professional and education focus
ISBN 0-8261-1417-2 (v. 1)
1. Nursing—Standards. 2. Nursing audit. I. Waltz, Carolyn Feher.
II. Jenkins, Louise Sherman.
[DNLM: 1. Nursing—methods. 2. Clinical Competence. 3. Nursing—
standards. 4. Outcome and Process Assessment (Health Care). WY16 M484 2001]
RT85.5 .M434 2001
610.73—dc21
00-054928
Printed in the United States of America
CONTENTS
Preface ix
Contributors xi
Part I MEASURING CLINICAL DECISION MAKING
AND PERFORMANCE IN EDUCATION AND PRACTICE
1 Diagnostic Reasoning Simulations and Instruments 3
Jean M. Arnold
2 Clinical Decision Making in Nursing Scale 33
Helen M. Jenkins
3 Creativity in the Application of the Nursing Process Tool 41
Roberta J. Emerson
4 Measuring Clinical Judgment in Home Health Nursing 58
Angeline M. Jacobs and Felicitas A. dela Cruz
5 Postpartum Caseload Priority-Setting Instrument 73
Irene M. Bobak
6 Performance Appraisal Tool 79
Margaret R. Kostopoulos
1 Measuring Clinical Decision Making Using a
Clinical Simulation Film 92
Donna Ketchum Story
8 Clinical Performance Examination for Critical
Care Nurses 102
Barbara Clark Mims
9 Clinical Performance Measure 130
Kathryn S. Hegedus, Eloise M. Balasco, and Anne S. Black
v
vi Contents
10 Measuring Quality of Nursing Care for DRGs Using the
HEW-Medicus Nursing Process Methodology 136
Elizabeth A. Barrett
11 Clinical Evaluation Tool 143
Carol L. Rossel, Barbara A. Kakta, Gail A. Vitale,
Peggy R. Rice, Katherine N. McDannel, and Pamela A. Martyn
12 Clinical Competence Rating Scale 157
Linda J. Scheetz
13 Clinical Evaluation Tool 184
Elizabeth P. Howard
14 Measuring RN Students' Clinical Skills via Computer 194
Linda Finke, Patricia Messmer, Marie Spruck, Barbara Oilman,
Elizabeth Weiner, and Lou Ann Emerson
Part II MEASURING EDUCATIONAL OUTCOMES
15 Influence of Review Course Preparation on
NCLEX-RN Scores 201
Nelda S.amarel
16 Influence of English Language on Ability to Pass the
NCLEX-RN 204
Joan Gittins Johnston
17 Criterion-Related Validity of the NCLEX-RN 207
Muriel W. Lessner
18 Self-Assessment Leadership Instrument 210
Bonnie Ketchum Smola
19 Evaluation of Learning According to Objectives Tool 216
Joan M. Johnson
20 Student Stress and Coping Inventory 223
Barbara Jaffin Cohen
21 Faculty Role Preparation Self-Assessment Scale 237
Janet M. Burge
22 Assertiveness Behavior Inventory Tools 245
Paulette Freeman Adams and Linda Holbrook Freeman
Contents vii
Part III MEASURING PROFESSIONALISM
23 Nursing Activity Scale 253
Karen Kelly
24 Nursing Care Role Orientation Scale 267
Jacqueline Stemple
25 Justification of Moral Judgment and Action Tool 276
Sara T. Fry
26 Reliability and Validity of the Nursing Role
Conceptions Instrument 282
Gretchen Reising Cornell
27 Attitudes Toward Physically Disabled College Students 293
Patricia R. Messmer, Alice Conway, Janice Giltinan,
and Kathy Stroh
28 Organizational Climate Descriptive Questionnaire 301
Q. Kay Branum
29 Blaney/Hobson Nursing Attitude Scale 308
Doris R. Blaney, Charles J. Hobson, and Anna B. Stepniewski
Part IV RESEARCH AND EVALUATION
30 Research Appraisal Checklist 323
Mary E. Duffy
31 Knowledge of Research Consumerism Instrument 332
Cheryl B. Stetler and E. Ann Sheridan
32 A Program Evaluation Model for Continuing
Education Programs 357
Angeline M. Jacobs, DeAnn M. Young,
and Felicitas A. dela Cruz
33 Opinionnaire: Computing in Nursing 364
Barbara S. Thomas
34 Software Evaluation Tool 370
Sandra Millon Underwood
35 Trends and Implications for Measurement 379
Carolyn F. Waltz and Louise S. Jenkins
Index 393
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PREFACE
This publication is a compendium of some of the finest tools and meth-
ods available to nurses for the measurement of clinical and educational
outcomes. It is a second edition of the highly acclaimed series of
Measurement of Nursing Outcomes books published by Springer Publishing
Company:
Waltz, Carolyn F. and Strickland, Ora L. (1988), Volume One, Measuring
Client Outcomes.
Strickland, Ora L. and Waltz, Carolyn F. (1988), Volume Two, Measuring
Nursing Performance: Practice, Education, and Research.
Waltz, Carolyn F. and Strickland, Ora L. (1990), Volume Three, Measuring
Clinical Skills and Professional Development in Education and Practice.
Strickland, Ora L. and Waltz, Carolyn F. (1990), Volume Four, Measuring
Client Self-Care and Coping Skills.
A collection of tools and methods is presented with attention given in
each chapter to purpose and utility, conceptual basis, development, test-
ing, and the results of reliability and validity assessments.
Many of the tools and methods included are the second generation of
tools that were originally developed by participants in the Measurement
of Clinical and Educational Outcomes Project. This project, administered
by Dr. Carolyn F. Waltz and Dr. Ora L. Strickland and funded by the
Division of Nursing, Special Projects Branch, U.S. Dept. of Health,
Education, and Welfare (1983-1988), afforded nurse researchers, clini-
cians, and educators from across the nation the opportunity to refine their
skills in measurement through a series of intensive workshops and indi-
vidualized consultations. The project focused on the development and
testing of clinical and educational outcome tools by nurses who partici-
pated. Enrollment was limited to those who were actively engaged in
research or education, and selection of participants was on a competitive
basis. Resulting tools and methods were presented at a conference open
to the profession at large that was attended by approximately 250 indi-
viduals. Selected tools and methods were subsequently disseminated in
the four volumes edited by Drs. Waltz and Strickland and published by
the Springer Publishing Company (1988-1990).
Since that time, many of these tools have been widely used, further tested,
and revised by the developers and others. Thus, it is time for a second edi-
tion. Included here are tools and methods applicable to clinical and
ix