{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:15:41Z","timestamp":1788441341270,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":245,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Measuring patient\u2010level complexity of nursing care in acute medical wards is essential for staffing and care planning, yet validated brief instruments in Spanish settings are scarce. The Sistema Informativo della Performance Infermieristica (SIPI) is a brief, intervention\u2010based index designed to quantify nursing\u2010care complexity on general wards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To translate SIPI into Spanish and evaluate its clinimetric properties in acute medical hospital wards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional clinimetric instrument validation study. SIPI was translated into Spanish by two bilingual nurses, and a third bilingual nurse performed a back\u2010translation, which was reviewed by one of the original SIPI authors to ensure semantic equivalence. Construct validity was assessed in 212 hospitalised patients in four internal medicine wards. Convergent validity was examined using nurses\u2019 perception of the complexity of care. Known\u2010groups validity was assessed by examining whether SIPI behaved as expected in relation to patient age and admission type. The optimal cut\u2010off was determined using a receiver operating characteristic analysis to evaluate discriminant validity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The Spanish version was semantically equivalent to the original, with only minor wording adjustments. Convergent validity was supported: SIPI scores increased significantly across the four nurse\u2010rated complexity levels and were significantly higher in patients rated as high versus low complexity. In the ROC analysis, SIPI discriminated high\u2010 from low\u2010complexity patients with excellent accuracy (AUC\u2009=\u20090.94; 95% CI 0.91\u20130.97); the optimal cut\u2010off of 53.50 yielded 88.4% sensitivity, 86.0% specificity, 87.6% positive predictive value and 86.9% negative predictive value. Known\u2010groups validity was supported, as patients classified as high complexity by SIPI were significantly older than those classified as low complexity, and SIPI scores were significantly higher in urgent versus scheduled admissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>The Spanish version of SIPI offers nurse managers a brief, patient\u2010level measure of nursing\u2010care complexity that could complement existing staffing and workload systems to support early identification of high\u2010complexity patients and more equitable, transparent resource allocation, pending confirmation in multicentre, outcome\u2010based studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Spanish version of SIPI showed adequate clinimetric properties, similar to the original Italian version, supporting its use as a brief instrument for measuring the patient\u2010level complexity of nursing care in acute medical hospital wards.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/7258816","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:31:40Z","timestamp":1788438700000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Translation and Clinimetric Evaluation of SIPI, a Brief Instrument for Measuring the Complexity in Nursing Care"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8227-9161","authenticated-orcid":false,"given":"Jos\u00e9 Manuel","family":"Romero-S\u00e1nchez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7922-2663","authenticated-orcid":false,"given":"Elena","family":"Fern\u00e1ndez-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4225-9307","authenticated-orcid":false,"given":"Olga","family":"Paloma-Castro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Carlos","family":"Jim\u00e9nez-Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5212-6463","authenticated-orcid":false,"given":"Davide","family":"Ausili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Antonio","family":"Suffo-Aboza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9571-5935","authenticated-orcid":false,"given":"Violeta","family":"Mar\u00edn-Padillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9369-4448","authenticated-orcid":false,"given":"Ana","family":"Real-Tovar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2389-142X","authenticated-orcid":false,"given":"Luis","family":"L\u00f3pez-Molina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.7416\/ai.2014.1981"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-5038-5"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2022.104311"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.09.016"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12191988"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.7748\/nm2014.04.21.2.30.e1199"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.3310\/hsdr08160"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2010.07.013"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000045567.78801.CC"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199601000-00012"},{"key":"e_1_2_11_11_2","volume-title":"Misurare 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