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Abstract
Introduction : l’évocation de plus en plus fréquente de la complexité par différents acteurs de santé interroge sur la mesure de ce construit. Le COMID fournit une définition multidimensionnelle et opérationnelle de la complexité et aide les infirmières à domicile au repérage et à l’analyse des situations complexes.
Contexte : une étude d’acceptabilité a montré un intérêt marqué pour le COMID de la part des infirmières, cependant ses propriétés psychométriques n’ont pas encore été examinées. Objectif : cet article présente deux études testant la fidélité de l’échelle.
Méthode : la première étude porte sur 5401 COMID complétés par des infirmières à domicile dans leur pratique usuelle. La consistance interne a été estimée à l’aide d’un alpha de Cronbach. La seconde étude porte sur 38 COMID, complétés par des infirmières à domicile (juges 1) et des infirmières spécialisées (juges 2). L’accord inter-juges a été examiné par un coefficient de corrélation intra-classe (CCI).
Résultats : le COMID possède une consistance interne acceptable α=0.797 et un accord inter-juges excellent CCI=0.839.
Discussion : les propriétés métrologiques du COMID mériteront d’être complétées par une analyse de sa validité pour le repérage de la complexité dans les soins infirmiers à domicile.
Conclusion : le COMID possède une bonne précision de mesure.
Introduction : The increasingly frequent mention of complexity by different health care actors challenges the measurement of this construct. The COMID, a tool that helps home nurses to identify complex situations, provides a multidimensional and operational definition of complexity. Context : While an acceptability study showed that nurses took a keen interest in the COMID, its psychometric properties have not yet been examined. Objective : This article reports on two studies testing the reliability of the scale. Method : Study 1 focuses on 5,401 COMIDs completed by home care nurses in their usual practice. The internal consistency was estimated using Cronbach’s alpha. Study 2 focuses on 38 COMIDs, completed by home care nurses (rater group 1) and specialized nurses (rater group 2). Inter-rater agreement was examined using an intraclass correlation coefficient (ICC). Results : The COMID has an acceptable internal consistency α = 0.797 and an excellent inter-rater agreement ICC = 0.839. Discussion : The metrological properties of the COMID will need to be complemented by an analysis of its validity. Conclusion : The COMID has good measurement accuracy and therefore has good potential for identifying complexity in nursing practice.
Introduction : The increasingly frequent mention of complexity by different health care actors challenges the measurement of this construct. The COMID, a tool that helps home nurses to identify complex situations, provides a multidimensional and operational definition of complexity. Context : While an acceptability study showed that nurses took a keen interest in the COMID, its psychometric properties have not yet been examined. Objective : This article reports on two studies testing the reliability of the scale. Method : Study 1 focuses on 5,401 COMIDs completed by home care nurses in their usual practice. The internal consistency was estimated using Cronbach’s alpha. Study 2 focuses on 38 COMIDs, completed by home care nurses (rater group 1) and specialized nurses (rater group 2). Inter-rater agreement was examined using an intraclass correlation coefficient (ICC). Results : The COMID has an acceptable internal consistency α = 0.797 and an excellent inter-rater agreement ICC = 0.839. Discussion : The metrological properties of the COMID will need to be complemented by an analysis of its validity. Conclusion : The COMID has good measurement accuracy and therefore has good potential for identifying complexity in nursing practice.