Evidence of internal structure validity of the nursing outcome “Mechanical Ventilation Weaning Response: Adult (0412)” for critically ill COVID‐19 patients Article Swipe
Aline Batista Maurício
,
Viviane Martins da Silva
,
Águeda Maria Ruiz Zimmer Cavalcante
,
Larissa Giardini Bruni
,
Sue Moorhead
,
Elizabeth Swanson
,
Karen Dunn Lopez
,
Marcos Venícios de Oliveira Lopes
,
Alba Lúcia Bottura Leite de Barros
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/2047-3095.70020
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/2047-3095.70020
Purpose To evaluate the evidence of internal structure validity of the nursing outcome (NO) “Mechanical Ventilation Weaning Response: Adult (0412)” of the NOs classification for critically ill COVID‐19 patients. Methods A methodological study focused on internal structural validation, part of a multicenter study, was carried out in the intensive care units of two hospitals in Brazil, from 2020 to 2021. Patients in critical condition due to COVID‐19 subjected to mechanical ventilation for more than 24 h and with an invasive device attached to the ventilator in the final phase of the weaning process were evaluated. The researchers used an instrument containing sociodemographic and clinical data and a physical examination of the clinical conditions based on the indicators of the NO. An exploratory factor analysis was performed, using the Kaiser–Meyer–Olkin method, in addition to other additional adjustment indexes. Reliability was assessed using McDonald's omega, Cronbach's alpha, and Gutmann's lambda 6 coefficients. Findings Among the 20 indicators evaluated, 6 were included in the final structure organized into two factors, the first being composed of spontaneous respiratory rhythm, spontaneous respiratory depth, discomfort, and difficulty breathing on own, and the second of anxiety and fear. This two‐dimensional structure explains about 62.9% of the total variance. The final structure showed good internal consistency, suggesting that the indicators were measuring the same construct. Conclusions The structure proposed for the NO was shown to be reliable and valid for practice and research to evaluate patients with COVID‐19 in the final phase of ventilatory weaning. Implications for nursing practice The findings are expected to provide robust evidence for clinical nursing practice. The proposal to organize this NO into dimensions could facilitate the nurse's clinical reasoning and make the monitoring of indicators more organized and faster for the evaluation of patients in ventilatory weaning.
Related Topics
Concepts
Mechanical ventilation
Cronbach's alpha
Weaning
Medicine
Intensive care unit
Intensive care
Internal validity
Nursing care
Construct validity
Exploratory factor analysis
Anxiety
Intensive care medicine
Psychology
Emergency medicine
Nursing
Anesthesia
Clinical psychology
Internal medicine
Psychometrics
Psychiatry
Pathology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/2047-3095.70020
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/2047-3095.70020
- OA Status
- hybrid
- References
- 42
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4413052466
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4413052466Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/2047-3095.70020Digital Object Identifier
- Title
-
Evidence of internal structure validity of the nursing outcome “Mechanical Ventilation Weaning Response: Adult (0412)” for critically ill COVID‐19 patientsWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-08-08Full publication date if available
- Authors
-
Aline Batista Maurício, Viviane Martins da Silva, Águeda Maria Ruiz Zimmer Cavalcante, Larissa Giardini Bruni, Sue Moorhead, Elizabeth Swanson, Karen Dunn Lopez, Marcos Venícios de Oliveira Lopes, Alba Lúcia Bottura Leite de BarrosList of authors in order
- Landing page
-
https://doi.org/10.1111/2047-3095.70020Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/2047-3095.70020Direct link to full text PDF
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/2047-3095.70020Direct OA link when available
- Concepts
-
Mechanical ventilation, Cronbach's alpha, Weaning, Medicine, Intensive care unit, Intensive care, Internal validity, Nursing care, Construct validity, Exploratory factor analysis, Anxiety, Intensive care medicine, Psychology, Emergency medicine, Nursing, Anesthesia, Clinical psychology, Internal medicine, Psychometrics, Psychiatry, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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42Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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