Validation of The “Assessment, Diagnosis, Intervention and Evaluation” (ADIE) Nursing Care Documentation Model

Abstract

Care documentation provides a stable means of communication among professionals to improve patient outcomes. However, proper documentation is a challenge in nursing for which models of documentation are sometimes blamed. This study validated the ‘assessment, diagnosis, intervention and evaluation’ (ADIE) model of nursing care documentation. A cohort study and structured retrospective review of 715 ADIE care sheets was performed for content validity, criterion validity, interrater reliability, and inter-item correlation. One hundred and forty-three nurses from two purposefully drawn hospitals in Yenagoa successfully filled the ADIE patient care sheet. A six-step validation method was employed: preparing content validation form, selecting expert review panel, conducting content validation, reviewing domains/items, providing score on each item, and calculating content validation index. Content validity of ADIE is high (S-CVI/Ave = 0.833), criterion validity is good (mean rating = 0.833), interrater reliability is strong and reliable (Intraclass r = 0.759, p < 0.05, and model inter-item correlations were average/weak. ADIE nursing care documentation model is valid and reliable and helps nurses document care. Hospitals should implement and enforce ADIE to improve documentation and care quality.