Utilization and psychometric properties of quality of documentation of nursing diagnoses, interventions, and outcomes (Q-DIO): A scoping review.

Abstract

AimsTo summarize studies using the quality of diagnoses, interventions, and outcomes (Q-DIO) and to evaluate measurement properties of different Q-DIO translations/versions. This tool assesses the quality of nursing diagnoses, interventions, and outcomes documented in nursing practice.DesignA scoping review was carried out by using the updated methodology for scoping reviews of the Joanna Briggs Institute.MethodsThe characteristics of different Q-DIO versions were summarized, and the methodological quality and measurement properties of the instrument(s) were assessed using the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) methodology.Data sourcesIn May 2024, searches across five databases and sources of gray literature were performed.ResultsOut of 14,192 articles, 35 were deemed relevant, with 12 studies included in the COSMIN analysis. Based on the evaluation results, six versions of the Q-DIO were recommended for immediate use, and one was identified as pending further validation studies before having potential for recommendation.ConclusionsThis review underscores the extensive translation, adaptation, and validation of Q-DIO instruments across various languages and cultural contexts, emphasizing their global significance and effectiveness in nursing practice. These instruments demonstrate robust psychometric properties, especially in content validity and reliability.ImpactThis scoping review sheds light on the existing knowledge, application, and validity of the Q-DIO, offering suggestions for its improvement. The results could assist nurse educators, managers, and researchers in effectively using the tool.Reporting methodThis study was reported following the guidelines provided by the PRISMA-ScR.Patient or public contributionNo patient or public contribution.