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Translation and National Clinical Validation of the Nursing Manag.Pdf University of Iowa Iowa Research Online Theses and Dissertations Fall 2011 Translation and National clinical validation of the Nursing Management Minimum Data Set (NMMDS) in hospitals in the country of Iceland Gudrun Audur Hardardottir University of Iowa Follow this and additional works at: https://ir.uiowa.edu/etd Part of the Nursing Commons Copyright 2011 Gudrun A. Hardardottir This dissertation is available at Iowa Research Online: https://ir.uiowa.edu/etd/3464 Recommended Citation Hardardottir, Gudrun Audur. "Translation and National clinical validation of the Nursing Management Minimum Data Set (NMMDS) in hospitals in the country of Iceland." PhD (Doctor of Philosophy) thesis, University of Iowa, 2011. https://doi.org/10.17077/etd.c75tpacw Follow this and additional works at: https://ir.uiowa.edu/etd Part of the Nursing Commons TRANSLATION AND NATIONAL CLINICAL VALIDATION OF THE NURSING MANAGEMENT MINIMUM DATA SET (NMMDS) IN HOSPITALS IN THE COUNTRY OF ICELAND by Gudrun Audur Hardardottir An Abstract Of a thesis submitted in partial fulfillment of the requirements for the Doctor of Philosophy degree in Nursing in the Graduate College of The University of Iowa December 2011 Thesis Supervisor: Professor Diane L. Huber 1 ABSTRACT Rising health care costs place increased burden on patients, health care personnel, administrators and policymakers. Decisions in health care are influenced by data which can be transferred into valuable information and knowledge. Data sets that facilitate data collection, information management and knowledge building are needed by nurse managers to support administrative decision-making. The Nursing Management Minimum Data Set (NMMDS) offers a standardized method to capture core data that can be collected in information systems, shared and reused for multiple purposes to support safe and cost-effective care. The purpose of this descriptive study was to adapt to Iceland and clinically test the NMMDS-ICE in all adult inpatient care units in the country of Iceland. The aims were to 1) translate the NMMDS from source language (English) to target language (Icelandic); 2) to validate the translated instrument; and 3) to describe the environment, nursing care resources, and financial resources across acute adult inpatient care units in Iceland. Instrument development consisted of translation, expert validation, and psychometric testing. The target population was all adult acute care units in hospitals in Iceland, and the nurse managers (n=38) representing these units. Data collection included a mailed survey. The sample equaled the population. Furthermore, 134 staff nurses on these units (excluding staff nurses at Landspitali) completed a job satisfaction survey. For nurse managers the return rate was 74%, however 53% was usable. Return rate was 71% for staff nurses. Semantic and content equivalence of the NMMDS-ICE was established. Five of seven subscales of the instrument received Cronbach’s alpha score of 0.70 or higher. Results indicated that it was feasible to collect the NMMDS-ICE in hospitals in Iceland, albeit, there was an issue with time commitment to do so. The specialty services that best 2 described the patient population were medical/surgical services, birthing, and geriatrics. Furthermore, nurse managers seem to perceive good control on their units, and both nurse managers and staff nurses are satisfied with their jobs. A positive correlation was found between autonomy and satisfaction with nursing management, nursing administration, and own level of autonomy. Collecting financial data was a challenge due to unavailability to nurses. Abstract Approved: ____________________________________ Thesis Supervisor ____________________________________ Title and Department ____________________________________ Date TRANSLATION AND NATIONAL CLINICAL VALIDATION OF THE NURSING MANAGEMENT MINIMUM DATA SET (NMMDS) IN HOSPITALS IN THE COUNTRY OF ICELAND by Gudrun Audur Hardardottir A thesis submitted in partial fulfillment of the requirements for the Doctor of Philosophy degree in Nursing in the Graduate College of The University of Iowa December 2011 Thesis Supervisor: Professor Diane L. Huber Copyright by GUDRUN AUDUR HARDARDOTTIR 2011 All Rights Reserved Graduate College The University of Iowa Iowa City, Iowa CERTIFICATE OF APPROVAL _______________________ PH.D. THESIS _______________ This is to certify that the Ph.D. thesis of Gudrun Audur Hardardottir has been approved by the Examining Committee for the thesis requirement for the Doctor of Philosophy degree in Nursing at the December 2011 graduation. Thesis Committee: ___________________________________ Diane L. Huber, Thesis Supervisor ___________________________________ Connie Delaney ___________________________________ Der-Fa Lu ___________________________________ Sue Moorhead ___________________________________ Janet Specht ___________________________________ Thor Aspelund To Andrea, Siggi and Rakel who have been my motivation throughout my PhD journey. To my late sister Maddý who, although no longer with us, has been my strength, inspiration, and dedication to complete this journey. ii Nurses bring comfort where there is pain, courage where there is fear, and hope where there is despair. We heal, reassure, educate, inspire, and give confidence. We are courageous and caring. No health-care system can function without us. (Hancock, C., 2004, ICN conference in Geneva, p. 13). iii ACKNOWLEDGMENTS I am grateful to so many people who made it possible for me to accomplish this thesis. First of all, I express my sincerest thanks and eternal gratitude to Dr. Huber, chair of my committee for her guidance, endless patience and continuous encouragement throughout this process. Dr. Delaney I am forever grateful for her support, encouragement, inspiration, and friendship throughout the years. My sincere thanks to Dr. Lu for all her helpful remarks, and support; Dr. Specht for her comments, encouragement and friendship throughout the years; Dr. Moorhead for her comments and scholarly support; and Dr. Aspelund for his time and great help. Dr. Gail Keenan and Dr. John Schneider, who were with me at the beginning of my PhD journey, I want to thank for their support and guidance. My sincerest thanks to Jennifer Clougherty for watching over me all those years and making sure I would be aware of all important deadlines. I also want to thank the Minister of Welfare, Guðbjartur Hannesson, Anna Lilja Gunnarsdóttir, Vilborg Ingólfsdóttir, Sigurjón Haraldsson, and my co-workers for their support. Special thanks to my co-workers Sigurður Davíðsson, who helped me with formatting the thesis; and to Guðrún Gunnarsdóttir and Margrét Björk Svavarsdóttir, who, besides keeping me company, made sure I had food while writing my thesis. I am forever grateful to my friends Ásta Thoroddsen, Brynja Örlygsdóttir, Þórdís Þórisdóttir, and Kristín Óskarsdóttir for their outstanding help and support during this journey. I thankfully acknowledge the nurse experts, Hrund Scheving Thorsteinsson, Lilja Stefánsdóttir, Guðlaug Rakel Gudjónsdóttir, Hildur Helgadóttir, Birna Flygenring, and Guðrún Björg Sigurbjörnsdóttir for their contribution. I also thank the nurse managers and staff nurses who participated in the study; the nurse managers who pilot tested the instrument, and the nurse executives who gave their permission for the study. iv I want to thank my children for their patience, encouragement, and for standing by me. Special thanks to my mom, my sister Erla Ruth Hardardóttir, Logi Kjartansson, and my dear friends Vicki and J.R. Concha, for their outstanding support. Last but not least, I gratefully acknowledge The Icelandic Nurses Association (Félag Íslenskra Hjúkrunarfræðinga) and Sigma Theta Tau International for supporting this study. v ABSTRACT Rising health care costs place increased burden on patients, health care personnel, administrators and policymakers. Decisions in health care are influenced by data which can be transferred into valuable information and knowledge. Data sets that facilitate data collection, information management and knowledge building are needed by nurse managers to support administrative decision-making. The Nursing Management Minimum Data Set (NMMDS) offers a standardized method to capture core data that can be collected in information systems, shared and reused for multiple purposes to support safe and cost-effective care. The purpose of this descriptive study was to adapt to Iceland and clinically test the NMMDS-ICE in all adult inpatient care units in the country of Iceland. The aims were to 1) translate the NMMDS from source language (English) to target language (Icelandic); 2) to validate the translated instrument; and 3) to describe the environment, nursing care resources, and financial resources across acute adult inpatient care units in Iceland. Instrument development consisted of translation, expert validation, and psychometric testing. The target population was all adult acute care units in hospitals in Iceland, and the nurse managers (n=38) representing these units. Data collection included a mailed survey. The sample equaled the population. Furthermore, 134 staff nurses on these units (excluding staff nurses at Landspitali) completed a job satisfaction survey. For nurse managers the return rate was 74%, however 53% was usable. Return rate was 71% for staff nurses. Semantic and content equivalence of the NMMDS-ICE was established. Five of seven subscales of the instrument received Cronbach’s alpha score of 0.70 or higher. Results indicated
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