• J Nurs Manag · Mar 2020

    The transcultural adaptation and the validity and reliability of the Turkish Version of Perroca's Patient Classification Instrument.

    • Guzin Ayan and Emine Türkmen.
    • Critical Care Nurse, American Hospital, Istanbul, Turkey.
    • J Nurs Manag. 2020 Mar 1; 28 (2): 259-266.

    AimThis study examines the transcultural adaptation and the reliability and validity of the Turkish version of Perroca's Patient Classification Instrument.BackgroundNurse managers need valid and reliable patient classification tools for determining patients' acuity or dependency levels on nursing care for measuring nursing workloads.MethodsThis study was conducted in two stages in a private hospital in Istanbul, Turkey. First, the instrument was translated, and its content validation was analysed. In the second stage, data were gathered from 300 hospitalized patients and were analysed by factor analyses, Cronbach's alpha and Cohen's kappa.ResultsValidity testing with ten experts revealed a scale-content validity index of 0.93. Exploratory factor analysis revealed a two-dimensional instrument with distinct factor loadings and a variance of 66.97%. The confirmatory factor analysis revealed that the fit indices were satisfactory. This instrument had an overall Cronbach's alpha coefficient of .86 and Cohen's kappa coefficient of .826.ConclusionThe study provides evidence that the Turkish version of Perroca's Patient Classification Instrument is a valid and reliable tool to determine patients' acuity levels on nursing care.Implications For Nursing ManagementThis instrument may be used by nurse managers to determine acuity levels of patients and measure nursing workload.© 2020 John Wiley & Sons Ltd.

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