Development and Validation of the Operational Definitions of the Defining Characteristics of the Nursing Diagnosis of Insomnia in the Occupational Health Setting

Int J Nurs Knowl. 2020 Oct;31(4):275-284. doi: 10.1111/2047-3095.12281. Epub 2020 Apr 24.

Abstract

Purpose: To develop and validate the operational definition (ODs) for each defining characteristic (DC) contained in the Nursing Diagnosis (ND) "insomnia" (00095) in the occupational health context.

Methods: Methodological study carried out in two stages, including a consensus of experts to develop the ODs (Stage 1) and an online Delphi panel, performed in two rounds, to validate them (Stage 2).

Findings: The 15 ODs proposed in Stage 1 were narrowed down to six validated ODs in the first round (diagnostic content validity index [DCVI] = 0.80-0.89). In the second round, five ODs were validated (DCVI = 0.80-0.94). Finally, the remaining four ODs were validated by the general consensus of experts.

Conclusions: The ODs were validated, although there remains some doubt as to whether some of the DCs can be applied to the field of occupational health.

Implications for nursing practice: The ODs developed and validated could improve the diagnostic accuracy of the ND "insomnia" (00095) in the context of occupational health.

Keywords: Insomnia; nursing diagnosis; occupational health | workplace.

MeSH terms

  • Adult
  • Delphi Technique
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nursing Diagnosis*
  • Occupational Health*
  • Reproducibility of Results
  • Sleep Initiation and Maintenance Disorders / nursing*