Further psychometric testing of the Dutch Care Dependency Scale on two different patient groups (original) (raw)
Related papers
Scandinavian Journal of Caring Sciences, 2003
Care dependency: testing the German version of the Care Dependency Scale in nursing homes and on geriatric wards The purpose of this study was the psychometric evaluation of the German version of the dependency scale in nursing homes and on geriatric wards. The 15-item scale was originally developed in the Netherlands for assessing the care dependency of demented and mentally handicapped patients. Data of 81 nursing home residents and of 115 geriatric patients were collected. Residents and patients were assessed several time by professionals and nonprofessionals. Reliability was determined by Cronbach's a, showing very good results with values of 0.94 and 0.98. Inter-rater and intrarater reliability show moderate to substantial Kappa values. Criterion validity was examined by comparing the data of the scale with the German nursing personal regulation and the German statutory insurance. The results show that the scores of the Care Dependency Scale correlate to the scores of the two classifications. In general, the German version of the scale can be recommended for use in nursing homes and on geriatric wards.
The care dependency scale: An assessment instrument for elderly patients in German hospitals
Geriatric Nursing, 2003
THE PURPOSE OF THE STUDY was to examine aspects of reliabillity and validity of the German version of the Care Dependency Scale (CDS), a Dutch assessment instrument originally developed for demented and mentally handicapped patients. Data of 1806 patients, 60 years or older from a larger sample, collected in 11 hospitals in Germany, were analyzed. Reliability was determined by Cronbach's alpha, showing a very good result with a value of .98. Criterion related validity was examined by comparing the data of the CDS with the German nursing personal regulation. The scores of the CDS correlate to the scores of the personal regulation.
Clinical Interventions in Aging, 2018
The aim of the study was to evaluate the usefulness of the Polish version of the Care Dependency Scale (CDS) in predicting care needs and health risks of elderly patients admitted to a geriatric unit. Methods: This was a cross-sectional study of 200 geriatric patients aged $60 years, chronologically admitted to a geriatrics unit in Poland. The study was carried out using the Polish version of the CDS questionnaire to evaluate biopsychosocial needs and the level of care dependency. Results: The mean age of the participating geriatric patients was 81.8±6.6. The mean result of the sum of the CDS index for all the participants was 55.3±15.1. Detailed analysis of the results of evaluation of the respondents' functional condition showed statistically significant differences in the levels of care dependency. Evaluation of the patients' physical performance in terms of the ability to do basic activities of daily living (ADL) and instrumental ADL (I-ADL) showed statistically significant differences between the levels of care dependency. Patients with high dependency were more often prone to pressure ulcers-13.1±3.3, falls (87.2%), poorer emotional state-6.9±3.6, mental function-5.1±2.8, and more often problems with locomotion, vision, and hearing. The results showed that locomotive disability, depression, advanced age, and problem with vision and hearing are connected with increasing care dependency. Conclusion: CDS evaluation of each admitted geriatric patient enables us to predict the care needs and health risks that need to be reduced and the disease states to be improved. CDS evaluation should be accompanied by the use of other instruments and assessments to evaluate pressure ulcer risk, fall risk, and actions toward the improvement of subjective well-being, as well as correction of vision and hearing problems where possible and assistive devices for locomotion.
A criterion-related validity study of the Nursing-Care Dependency (NCD) scale
International journal of nursing studies, 1998
The purpose of this study was to examine some aspects of the criterion-related validity of the Nursing-Care Dependency (NCD) scale. This 15-item counting scale has recently been developed for assessing the care dependency of demented or mentally handicapped in-patients. Its criterion-related validity was investigated by studying the relationship between the Nursing-Care Dependency scale, the Rating Scale for Elderly Patients (RSEP), the Behavior Observation Scale for Intramural Psychogeriatrics (BOSIP) and the Scale for Social Functioning (SSF). Data were collected from 322 demented and 105 mentally handicapped patients using the mentioned instruments. High correlations were found between NCD and RSEP, and NCD and SSF. There was a low relationship between the NCD sumscore and BOSIP subscales-scores. The NCD was able to purposefully distinguish diagnostic groups of demented patients when an external criterion was used.
European Geriatric Medicine, 2015
Demographic developments have led to increased chronic diseases, such as dementia, which result in care dependency and nursing care problems like incontinence. This study aims to compare the degree of care dependency and the prevalence of nursing care problems between Austrian nursing home residents with and without dementia. Methods: Since 2009 a cross-sectional study has been conducted annually in Austrian nursing homes. Data from the standardized questionnaire sampling 2155 residents with and 1422 residents without dementia between 2009 and 2012 have been analysed. Results: Seventy-two percent of residents with dementia compared to 45.5% of residents without dementia are completely or to a great extent care dependent, with the highest care dependency being in hygiene, continence, (un)dressing and avoiding danger. Residents with dementia have a significantly higher prevalence of urinary incontinence (87.9% vs. 69.5%), fecal incontinence (68.2% vs. 44.5%), double incontinence (64.8% vs. 36.1%), restraints (33.5% vs. 22.4%), malnutrition (27.9% vs. 18.4%) and falls (9.9% vs. 7.0%). No significant difference was found for pressure ulcers (5.2% vs. 6.5%). Conclusion: Residents with dementia have a significantly higher degree of care dependency than residents without dementia and they also have, except for pressure ulcers, a significantly higher prevalence of nursing care problems. These results should increase awareness among health care professionals of areas requiring target-oriented dementia care. Further research should explore care dependency and nursing care problems in different stages of dementia and compare the development of care dependency and nursing care problems among residents with and without dementia.
Construct validity of the Nursing Care Dependency Scale
Journal of Clinical Nursing, 1999
· This paper describes the results of a study determining construct validity aspects of the Nursing Care Dependency (NCD) Scale. · This 15-item instrument has been developed recently for the assessment of the care dependency of dementia or learning-disabled inpatients.
Care Dependency Scale - psychometric testing of the Polish version
Scandinavian Journal of Caring Sciences, 2010
Care Dependency Scale -psychometric testing of the Polish version The importance of this study lies in the availability of psychometrically sound assessment instruments, which are of critical importance for the study of patient's care dependency and the provision of care to these patients. The aim of this study was to identify the psychometric properties of the Care Dependency Scale (CDS) by analyzing data gathered in Poland. The Polish research instrument was a translation of the original Dutch CDS. Psychometric evaluations were carried out based on a convenience sample of 216 older patients. A high alpha coefficient of 0.98 was obtained. Subsequent inter-rater and test-retest reliability revealed Kappa values between 0.82-0.97 and 0.64-0.86, respectively. Factor analysis (principal component analysis) confirmed the one-factor model reported in earlier studies. The analysis of the scale showed that the instrument is promising to be used in elderly care in Poland. The Polish version of the CDS permits comparison with results from earlier studies using this instrument.
Background: Worldwide, around 35.6 million people live with dementia. This chronic condition is a risk factor in developing care dependency and nursing care problems, and often leads to nursing home admission. Aim: The aim of this study was to conduct a literature review that provides an overview of the prevalence of care dependency and nursing care problems in nursing home residents with dementia, because such a review is missing from the international literature. Methods: The type of narrative review was chosen and performed by doing an electronic search in PubMed, CINAHL and EMBASE and EBM Reviews via Ovid from 2003 to 2013. Furthermore, a manual search in reference lists was carried out. The literature was critically reviewed and results are presented as a narrative. Results: The international literature indicates that 28%-83% of residents with dementia are care dependent at the highest level. In view of the nursing care problems, the prevalence of malnutrition ranges from 14%-56%; urinary incontinence from 39%-59%; fecal incontinence from 43%-87%; pressure ulcers from 7%-47%; falls from 29%-60%; and restraints from 10%-60%. Conclusions: The high prevalence of care dependency and nursing care problems in nursing home residents with dementia indicate that improvements in the management of these important quality indicators are still necessary. A suggestion for further nursing research would be to compare the prevalence of care dependency and different care problems between residents with and without dementia, and to undertake longitudinal studies to compare the development as well as the progression of the important quality indicators between residents with and without dementia, including the cognitive status of the residents.
einstein (São Paulo), 2020
Objective: To identify and validate nursing diagnoses of elderly residents, and determine their relationship with the level of dependence in activities of daily living. Methods: One hundred thirtyfive older adults were assessed using medical history and physical examination. Twelve validated gerontological instruments were administered to assess delirium, nutritional status, risk for falls, risk for pressure injury, dementia, cognitive losses, depression, and level of dependence in daily living and instrumental activities of daily living. Nursing diagnoses were identified and validated by experienced, doctorally-prepared nurses. The association between the presence of a nursing diagnosis and the level of dependence was assessed by a test for trend in proportions. The Kruskal-Wallis hypothesis test was used to investigate the association between the number of nursing diagnoses and the level of dependence of the elderly. Results: Most older adults were at risk for malnutrition, at high risk for falls, cognitively impaired, totally dependent for daily living and activities of daily living. In addition, they had very mild dementia and most did not have risk for pressure injuries. Depression was noted among those with dementia, but was absent in those without dementia. A total of 52 nursing diagnoses were validated. Of these, 11 were associated with the level of dependence in daily living. Conclusion: These results can be reproduced in other skilled nursing facilities for older adults, and these may allow the planning of interventions to alleviate etiologies and signs/symptoms of nursing diagnoses, rather than simply directing care toward a general category of dependence. Therefore, guaranteeing individualized nursing care to meet the specific needs of each resident.
A Reliability and Utility Study of the Care Dependency Scale
Scandinavian Journal of Caring Sciences, 2000
The purpose of this study was to examine the reliability and utility of the Care Dependency Scale (CDS). This 15-item scale has been developed recently for assessing the care dependency of demented or mentally handicapped inpatients. Data for this study were collected from 153 demented and 139 mentally handicapped inpatients. The sample was measured three times. Internal consistency was determined using Cronbach's alpha and ranged from 0.95 to 0.97. Interrater reliability revealed moderate to substantial weighted Kappa statistics between 0.51 and 0.83. Test-retest reliability analysis resulted in substantial weighted Kappas between 0.66 and 0.89. Utility tests also revealed satisfactory results. The findings support the reliability and utility of the CDS.