Systems Thinking for Transitions of Care

Reliability Testing for a Standardized Rubric

Janet M. Phillips, Ann M. Stalter, Jeanne S. Ruggiero, Pamela L. Bonnett, Josette Brodhead, Deborah H. Merriam, Debra L. Scardaville, Carol Wiggs, Sherri Winegardner

Research output: Contribution to journalArticle

Abstract

Purpose: The purpose of this study was to develop a standardized rubric for systems thinking across transitions of care for clinical nurse specialists. Design: The design was a mixed-methods study using the Systems Awareness Model as a framework for bridging theory to practice. Methods: Content validity was determined using a content validity index. Reliability was established using statistical analysis with Cronbach's and intraclass correlation coefficient. Usability of the rubric was established using content analysis from focus group discussions about their experiences in using the rubric. Results: Content validity was established with a content validity ratio of 1.0. Statistical analysis showed a high interrater reliability ( = 0.99), and sections of the rubric showed a strong degree of reliability with 's ranging from 0.88 to 1.00. Content analysis revealed several overall themes for usability of the rubric: clarity, objectivity, and detail. The area for improvement included adding more detail in the scholarly writing section. Conclusion: The research team recommends using the rubric to reflect application of systems thinking across transitions of care.

Original languageEnglish (US)
Pages (from-to)128-135
Number of pages8
JournalClinical Nurse Specialist
Volume33
Issue number3
DOIs
StatePublished - May 1 2019

Fingerprint

Patient Transfer
Systems Analysis
Nurse Clinicians
Focus Groups
Reproducibility of Results
Research

Keywords

  • clinical nurse specialist
  • standardized rubric
  • systems thinking
  • transitions of care

ASJC Scopus subject areas

  • Leadership and Management
  • Assessment and Diagnosis
  • Advanced and Specialized Nursing
  • LPN and LVN

Cite this

Phillips, J. M., Stalter, A. M., Ruggiero, J. S., Bonnett, P. L., Brodhead, J., Merriam, D. H., ... Winegardner, S. (2019). Systems Thinking for Transitions of Care: Reliability Testing for a Standardized Rubric. Clinical Nurse Specialist, 33(3), 128-135. https://doi.org/10.1097/NUR.0000000000000443

Systems Thinking for Transitions of Care : Reliability Testing for a Standardized Rubric. / Phillips, Janet M.; Stalter, Ann M.; Ruggiero, Jeanne S.; Bonnett, Pamela L.; Brodhead, Josette; Merriam, Deborah H.; Scardaville, Debra L.; Wiggs, Carol; Winegardner, Sherri.

In: Clinical Nurse Specialist, Vol. 33, No. 3, 01.05.2019, p. 128-135.

Research output: Contribution to journalArticle

Phillips, JM, Stalter, AM, Ruggiero, JS, Bonnett, PL, Brodhead, J, Merriam, DH, Scardaville, DL, Wiggs, C & Winegardner, S 2019, 'Systems Thinking for Transitions of Care: Reliability Testing for a Standardized Rubric', Clinical Nurse Specialist, vol. 33, no. 3, pp. 128-135. https://doi.org/10.1097/NUR.0000000000000443
Phillips JM, Stalter AM, Ruggiero JS, Bonnett PL, Brodhead J, Merriam DH et al. Systems Thinking for Transitions of Care: Reliability Testing for a Standardized Rubric. Clinical Nurse Specialist. 2019 May 1;33(3):128-135. https://doi.org/10.1097/NUR.0000000000000443
Phillips, Janet M. ; Stalter, Ann M. ; Ruggiero, Jeanne S. ; Bonnett, Pamela L. ; Brodhead, Josette ; Merriam, Deborah H. ; Scardaville, Debra L. ; Wiggs, Carol ; Winegardner, Sherri. / Systems Thinking for Transitions of Care : Reliability Testing for a Standardized Rubric. In: Clinical Nurse Specialist. 2019 ; Vol. 33, No. 3. pp. 128-135.
@article{bcc6aa74553b428989a283a03fdda363,
title = "Systems Thinking for Transitions of Care: Reliability Testing for a Standardized Rubric",
abstract = "Purpose: The purpose of this study was to develop a standardized rubric for systems thinking across transitions of care for clinical nurse specialists. Design: The design was a mixed-methods study using the Systems Awareness Model as a framework for bridging theory to practice. Methods: Content validity was determined using a content validity index. Reliability was established using statistical analysis with Cronbach's and intraclass correlation coefficient. Usability of the rubric was established using content analysis from focus group discussions about their experiences in using the rubric. Results: Content validity was established with a content validity ratio of 1.0. Statistical analysis showed a high interrater reliability ( = 0.99), and sections of the rubric showed a strong degree of reliability with 's ranging from 0.88 to 1.00. Content analysis revealed several overall themes for usability of the rubric: clarity, objectivity, and detail. The area for improvement included adding more detail in the scholarly writing section. Conclusion: The research team recommends using the rubric to reflect application of systems thinking across transitions of care.",
keywords = "clinical nurse specialist, standardized rubric, systems thinking, transitions of care",
author = "Phillips, {Janet M.} and Stalter, {Ann M.} and Ruggiero, {Jeanne S.} and Bonnett, {Pamela L.} and Josette Brodhead and Merriam, {Deborah H.} and Scardaville, {Debra L.} and Carol Wiggs and Sherri Winegardner",
year = "2019",
month = "5",
day = "1",
doi = "10.1097/NUR.0000000000000443",
language = "English (US)",
volume = "33",
pages = "128--135",
journal = "Clinical Nurse Specialist",
issn = "0887-6274",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Systems Thinking for Transitions of Care

T2 - Reliability Testing for a Standardized Rubric

AU - Phillips, Janet M.

AU - Stalter, Ann M.

AU - Ruggiero, Jeanne S.

AU - Bonnett, Pamela L.

AU - Brodhead, Josette

AU - Merriam, Deborah H.

AU - Scardaville, Debra L.

AU - Wiggs, Carol

AU - Winegardner, Sherri

PY - 2019/5/1

Y1 - 2019/5/1

N2 - Purpose: The purpose of this study was to develop a standardized rubric for systems thinking across transitions of care for clinical nurse specialists. Design: The design was a mixed-methods study using the Systems Awareness Model as a framework for bridging theory to practice. Methods: Content validity was determined using a content validity index. Reliability was established using statistical analysis with Cronbach's and intraclass correlation coefficient. Usability of the rubric was established using content analysis from focus group discussions about their experiences in using the rubric. Results: Content validity was established with a content validity ratio of 1.0. Statistical analysis showed a high interrater reliability ( = 0.99), and sections of the rubric showed a strong degree of reliability with 's ranging from 0.88 to 1.00. Content analysis revealed several overall themes for usability of the rubric: clarity, objectivity, and detail. The area for improvement included adding more detail in the scholarly writing section. Conclusion: The research team recommends using the rubric to reflect application of systems thinking across transitions of care.

AB - Purpose: The purpose of this study was to develop a standardized rubric for systems thinking across transitions of care for clinical nurse specialists. Design: The design was a mixed-methods study using the Systems Awareness Model as a framework for bridging theory to practice. Methods: Content validity was determined using a content validity index. Reliability was established using statistical analysis with Cronbach's and intraclass correlation coefficient. Usability of the rubric was established using content analysis from focus group discussions about their experiences in using the rubric. Results: Content validity was established with a content validity ratio of 1.0. Statistical analysis showed a high interrater reliability ( = 0.99), and sections of the rubric showed a strong degree of reliability with 's ranging from 0.88 to 1.00. Content analysis revealed several overall themes for usability of the rubric: clarity, objectivity, and detail. The area for improvement included adding more detail in the scholarly writing section. Conclusion: The research team recommends using the rubric to reflect application of systems thinking across transitions of care.

KW - clinical nurse specialist

KW - standardized rubric

KW - systems thinking

KW - transitions of care

UR - http://www.scopus.com/inward/record.url?scp=85064239712&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064239712&partnerID=8YFLogxK

U2 - 10.1097/NUR.0000000000000443

DO - 10.1097/NUR.0000000000000443

M3 - Article

VL - 33

SP - 128

EP - 135

JO - Clinical Nurse Specialist

JF - Clinical Nurse Specialist

SN - 0887-6274

IS - 3

ER -