{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:17:00Z","timestamp":1791364620415,"version":"4.3.1"},"reference-count":44,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2023,3,12]],"date-time":"2023-03-12T00:00:00Z","timestamp":1678579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004834","name":"Universitat Jaume I","doi-asserted-by":"publisher","award":["UJI-A2020-08"],"award-info":[{"award-number":["UJI-A2020-08"]}],"id":[{"id":"10.13039\/501100004834","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The nursing assessment is the first step of the nursing process and fundamental to detecting patients\u2019 care needs and at-risk situations. This article presents the psychometric properties of the VALENF Instrument, a recently developed meta-instrument with only seven items that integrates the assessment of functional capacity, risk of pressure injuries and risk of falls with a more parsimonious approach to nursing assessment in adult hospitalization units. A cross-sectional study based on recorded data in a sample of 1352 nursing assessments was conducted. Sociodemographic variables and assessments of the Barthel, Braden and Downton instruments were included at the time of admission through the electronic health history. Thus, the VALENF Instrument obtained high content validity (S-CVI = 0.961), construct validity (RMSEA = 0.072; TLI = 0.968) and internal consistency (\u03a9 = 0.864). However, the inter-observer reliability results were not conclusive, with Kappa values ranging between 0.213 and 0.902 points. The VALENF Instrument has adequate psychometric properties (content validity, construct validity, internal consistency and inter-observer reliability) for assessing the level of functional capacity, risk of pressure injuries and risk of falls. Future studies are necessary to establish its diagnostic accuracy.<\/jats:p>","DOI":"10.3390\/ijerph20065003","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T04:35:41Z","timestamp":1678682141000},"page":"5003","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Development and Validation of a Meta-Instrument for the Assessment of Functional Capacity, the Risk of Falls and Pressure Injuries in Adult Hospitalization Units (VALENF Instrument) (Part II)"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6062-9810","authenticated-orcid":false,"given":"David","family":"Luna-Aleixos","sequence":"first","affiliation":[{"name":"Hospital Universitario de La Plana, Nursing Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"},{"name":"Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6722-0356","authenticated-orcid":false,"given":"Irene","family":"Llagostera-Reverter","sequence":"additional","affiliation":[{"name":"Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ximo","family":"Castell\u00f3-Benavent","sequence":"additional","affiliation":[{"name":"Mathematics Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Aquilu\u00e9-Ballar\u00edn","sequence":"additional","affiliation":[{"name":"Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"},{"name":"Hospital Comarcal Universitario de Vinar\u00f3s, Nursing Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1563-4842","authenticated-orcid":false,"given":"Gema","family":"Mecho-Montoliu","sequence":"additional","affiliation":[{"name":"Hospital Universitario de La Plana, 12540 Villarreal, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8187-680X","authenticated-orcid":false,"given":"\u00c1gueda","family":"Cervera-Gasch","sequence":"additional","affiliation":[{"name":"Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8943-5243","authenticated-orcid":false,"given":"Mar\u00eda Jes\u00fas","family":"Valero-Chiller\u00f3n","sequence":"additional","affiliation":[{"name":"Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1596-3064","authenticated-orcid":false,"given":"Desir\u00e9e","family":"Mena-Tudela","sequence":"additional","affiliation":[{"name":"Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2944-9878","authenticated-orcid":false,"given":"Laura","family":"Andreu-Pej\u00f3","sequence":"additional","affiliation":[{"name":"Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6430-7624","authenticated-orcid":false,"given":"Rafael","family":"Mart\u00ednez-Gonz\u00e1lbez","sequence":"additional","affiliation":[{"name":"Hospital Universitario de La Plana, 12540 Villarreal, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7426-6686","authenticated-orcid":false,"given":"V\u00edctor M.","family":"Gonz\u00e1lez-Chord\u00e1","sequence":"additional","affiliation":[{"name":"Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12006 Castell\u00f3 de la Plana, Spain"},{"name":"Nursing and Healthcare Research Unit (INVEST\u00c9N-ISCIII), Institute of Health Carlos III, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,12]]},"reference":[{"key":"ref_1","unstructured":"Ministerio de Sanidad, Pol\u00edtica Social e Igualdad (2022, December 20). Estrategia de Seguridad del Paciente del Sistema Nacional de Salud. Periodo 2015\u20132020; Spain, 2016. Available online: https:\/\/www.seguridaddelpaciente.es\/resources\/documentos\/2015\/Estrategia%20Seguridad%20del%20Paciente%202015-2020.pdf."},{"key":"ref_2","unstructured":"Zsifkovits, J., Zuba, M., Geibler, L., Pertl, D., and Kernstock, E. (2022, December 20). Costs of Unsafe Care and Cost Effectiveness of Patient Safety Programmes; European Comisi\u00f3n: 2016. Available online: https:\/\/ec.europa.eu\/health\/sites\/health\/files\/systems_performance_assessment\/docs\/2016_costs_psp_en.pdf."},{"key":"ref_3","unstructured":"Ministerio de Sanidad y Consumo (2022, December 20). Proyecto SENECA. Est\u00e1ndares de Calidad de Cuidados para la Seguridad del Paciente en los Hospitales del SNS; Spain, 2009, Available online: https:\/\/www.sanidad.gob.es\/organizacion\/sns\/planCalidadSNS\/docs\/SENECA.pdf."},{"key":"ref_4","first-page":"121","article-title":"Deterioro funcional asociado a la hospitalizaci\u00f3n en pacientes mayores de 65 a\u00f1os","volume":"26","year":"2016","journal-title":"Enf. Cl\u00edn."},{"key":"ref_5","first-page":"139","article-title":"Culture of Safety","volume":"50","author":"Hershey","year":"2015","journal-title":"Nurs. Clin."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1111\/j.2047-3095.2011.01202.x","article-title":"Implemetation strategies of measurement instruments and their validity as adopted in Italian hospital nursing practice: An Italian cross-sectional study","volume":"23","author":"Palese","year":"2012","journal-title":"Int. J. Nurs. Knowl."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1097\/NCQ.0000000000000237","article-title":"Hospital Nurses\u2019 Work Activity in a Technology-Rich Environment: A Triangulated Quality Improvement Assessment","volume":"32","author":"Higgins","year":"2017","journal-title":"J. Nurs. Care Qual."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Westbrook, J.I., Duffield, C., Li, L., and Creswick, N.J. (2011). How much time do nurses have for patients? A longitudinal study quantifying hospital nurses\u2019 patterns of task time distribution and interactions with health professionals. BMC Health Serv. Res., 11.","DOI":"10.1186\/1472-6963-11-319"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Liang, Y.W., Chen, W.Y., Lee, J.L., and Huang, L.C. (2012). Nurse staffing, direct nursing care hours and patient mortality in Taiwan: The longitudinal analysis of hospital nurse staffing and patient outcome study. BMC Health Serv. Res., 12.","DOI":"10.1186\/1472-6963-12-44"},{"key":"ref_10","first-page":"9","article-title":"Comparison of Nurses\u2019 Job Satisfaction, Patients\u2019 Satisfaction and Direct Nursing Time according to the Change in Grade of the Nursing Management Fee","volume":"10","author":"Kim","year":"2017","journal-title":"J. Korean Crit. Care Nurs."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1016\/j.ijnurstu.2015.01.005","article-title":"Associations between characteristics of the nurse work environment and five nurse-sensitive patient outcomes in hospitals: A systematic review of literature","volume":"52","author":"Stalpers","year":"2015","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/medu.12621","article-title":"A systematic review of validity evidence for checklists versus global rating scales in simulation-based assessment","volume":"49","author":"Ilgen","year":"2015","journal-title":"Med. Educ."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1016\/j.bja.2018.06.014","article-title":"Validity and reliability of an objective structured assessment tool for performance of ultrasound-guided regional anaesthesia","volume":"121","author":"Shafqat","year":"2018","journal-title":"Br. J. Anaesth."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1111\/jep.12539","article-title":"Overcoming redundancies in bedside nursing assessments by validating a parsimonious meta-tool: Findings from a methodological exercise study","volume":"22","author":"Palese","year":"2016","journal-title":"J. Eval. Clin. Prac."},{"key":"ref_15","first-page":"2015","article-title":"Gli sprechi nella pratica clinica infermieristica: Risultati di uno studio fenomenologico","volume":"71","author":"Dante","year":"2015","journal-title":"Ig. E Sanit\u00e0 Pubblica"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Luna-Aleixos, D., Llagostera-Reverter, I., Castell\u00f3-Benavent, X., Aquilu\u00e9-Ballar\u00edn, M., Mecho-Montoliu, G., Cervera-Gasch, \u00c1., Valero-Chiller\u00f3n, M.J., Mena-Tudela, D., Andreu-Pej\u00f3, L., and Mart\u00ednez-Gonz\u00e1lbez, R. (2022). Development and Validation of a Meta-Instrument for Nursing Assessment in Adult Hospitalization Units (VALENF Instrument) (Part I). Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192214622"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1007\/s40520-017-0809-5","article-title":"Psychometric characteristics of the Spanish version of the Barthel Index","volume":"30","author":"Bilbao","year":"2018","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/S1130-8621(07)71795-3","article-title":"An\u00e1lisis de las escalas de valoraci\u00f3n del riesgo de desarrollar una \u00falcera por presi\u00f3n","volume":"17","year":"2007","journal-title":"Enferm. Clin."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.enfcli.2017.02.008","article-title":"Caracter\u00edsticas de la escala Downton en la valoraci\u00f3n del riesgo de ca\u00eddas en pacientes hospitalizados","volume":"27","year":"2017","journal-title":"Enferm. Clin."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1186\/s12955-014-0176-2","article-title":"Sample size used to validate a scale: A review of publications on newly-developed patient reported outcomes measures","volume":"12","author":"Anthoine","year":"2014","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1007\/s40520-017-0853-1","article-title":"High comorbidity, measured by the Charlson Comorbidity Index, asso-ciates with higher 1-year mortality risks in elderly patients experiencing a first acute heart failure hospitalization","volume":"30","author":"Formiga","year":"2018","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1002\/nur.20147","article-title":"The content validity index: Are you sure you know what\u2019s being reported? Critique and recommendations","volume":"29","author":"Polit","year":"2006","journal-title":"Res. Nurs. Health"},{"key":"ref_23","first-page":"548","article-title":"Improvements on cross-validation: The 632+ bootstrap method","volume":"92","author":"Efron","year":"1997","journal-title":"J. Am. Stat. Assoc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"3510","DOI":"10.1007\/s12144-019-00300-2","article-title":"Exploratory factor analysis: Current use, methodological developments and recommendations for good practice","volume":"40","author":"Goretzko","year":"2021","journal-title":"Curr. Psychol."},{"key":"ref_25","first-page":"1151","article-title":"Exploratory item factor analysis: Practical guide revised and updated","volume":"30","year":"2014","journal-title":"Anales Psicol."},{"key":"ref_26","unstructured":"Kline, R.B. (2015). Principles and Practice of Structural Equation Modeling, The Guilford Press."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1080\/21501378.2021.1940118","article-title":"Alpha, Omega, and H Internal Consistency Reliability Estimates: Reviewing These Options and When to Use Them","volume":"14","author":"Kalkbrenner","year":"2023","journal-title":"Couns. Outcome Res. Eval."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1111\/j.1471-6712.2005.00368.x","article-title":"Statistical methods for assessing agreement for ordinal data","volume":"19","author":"Jakobsson","year":"2005","journal-title":"Scand. J. Caring Sci."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.jclinepi.2010.02.006","article-title":"The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes","volume":"63","author":"Mokkink","year":"2010","journal-title":"J. Clin. Epidemiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1007\/s11136-018-1798-3","article-title":"COSMIN guideline for systematic reviews of patient-reported outcome measures","volume":"27","author":"Prinsen","year":"2018","journal-title":"Qual. Life Res."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"430","DOI":"10.3390\/nursrep11020041","article-title":"Fall Risk Assessment Scales: A Systematic Literature Review","volume":"11","author":"Strini","year":"2021","journal-title":"Nurs. Rep."},{"key":"ref_32","first-page":"348","article-title":"The challenge of predicting patients at risk for falling: Development of the Conley Scale","volume":"8","author":"Conley","year":"1999","journal-title":"Medsurg. Nurs."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"5","DOI":"10.3928\/0098-9134-19920701-05","article-title":"Discharge planning predicting patients\u2019 needs","volume":"18","author":"Blaylock","year":"1992","journal-title":"J. Gerontol. Nurs."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.cali.2015.04.003","article-title":"Consecuencias de los errores en la traducci\u00f3n de cuestionarios: Versi\u00f3n espa\u00f1ola del \u00edndice Downton","volume":"30","year":"2015","journal-title":"Rev. Calid. Asist."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"3777","DOI":"10.1111\/jonm.13760","article-title":"Development of a predictive inpatient falls risk model using machine learning","volume":"30","year":"2022","journal-title":"J. Nurs. Manag."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"2285","DOI":"10.1111\/jocn.14247","article-title":"Towards a standardised definition for fundamental care: A modified Delphi study","volume":"27","author":"Feo","year":"2017","journal-title":"J. Clin. Nurs."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1111\/jnu.12081","article-title":"Anything but basic: Nursing\u2019s challenge in meeting patients\u2019 fundamental care needs","volume":"46","author":"Kitson","year":"2014","journal-title":"J. Nurs. Scholarsh."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.ijmedinf.2009.04.002","article-title":"Advancing nursing documentation--an intervention study using patients with leg ulcer as an example","volume":"78","author":"Wahren","year":"2009","journal-title":"Int. J. Med. Inform."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/s43058-022-00315-0","article-title":"The effectiveness of champions in implementing innovations in health care: A systematic review","volume":"3","author":"Santos","year":"2022","journal-title":"Implement. Sci. Commun."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1111\/j.1744-618X.2007.00043.x","article-title":"Improved Quality of Nursing Documentation: Results of a Nursing Diagnoses, Interventions, and Outcomes Implementation Study","volume":"18","author":"Needham","year":"2007","journal-title":"Int. J. Nurs. Terminol. Classif."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Colquhoun, D.A., Davis, R.P., Tremper, T.T., Mace, J.J., Gombert, J.M., Sheldon, W.D., Connolly, J.J., Adams, J.F., and Tremper, K.K. (2021). Design of a novel multifunction decision support\/alerting system for in-patient acute care, ICU and floor (AlertWatch AC). BMC Anesthesiol., 21.","DOI":"10.1186\/s12871-021-01411-9"},{"key":"ref_42","first-page":"CD002099","article-title":"WITHDRAWN: Nursing record systems: Effects on nursing practice and healthcare outcomes","volume":"5","author":"Urquhart","year":"2018","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1111\/j.1365-2648.2011.05821.x","article-title":"Whither nursing models? The value of nursing theory in the context of evidence-based practice and multidisciplinary health care","volume":"68","author":"McCrae","year":"2012","journal-title":"J. Adv. Nurs."},{"key":"ref_44","unstructured":"Macia Soler, M.L. (2021). Un Avance para la Pr\u00e1ctica Enfermera, Elsevier. [1st ed.]."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/6\/5003\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:53:15Z","timestamp":1760122395000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/6\/5003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,12]]},"references-count":44,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["ijerph20065003"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20065003","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,12]]}}}