Abstract
OBJECTIVES: to assess the construct validity and reliability of the Pediatric Patient Classification Instrument. METHODS: 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.
Highlights
In the assessment of the construct validity through exploratory factor analysis, three factors were extracted from the Pediatric Patient Classification Instrument (PPCI) construct, with 67.5% of variance explanation, representing the three care domains
The classification of patients under six years of age in the minimal or intermediary care category is not considered appropriate for the definition of the care categories, considering that the number of nursing care hours established by the Federal Nursing Council, corresponding to only 3.8 hours for minimal care and 5.6 hours for intermediary care, do not reflect the actual care needs of pediatric patients under six years of age(5,9)
Based on the Exploratory Factor Analysis (EFA), it was verified that the PPCI covers three pediatric nursing care domains: family, patient and therapeutic procedures and, as a factor assessment instrument, its validity does not relate to the number of indicators or situations it covers, but to its concept as a whole, as each indicator of the instrument represents a list of potential care needs(10-11)
Summary
To assess the construct validity and reliability of the Pediatric Patient Classification Instrument
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