2.50
Hdl Handle:
http://hdl.handle.net/10755/160516
Type:
Presentation
Title:
Concept Representation: Testing International Terminology Approaches
Abstract:
Concept Representation: Testing International Terminology Approaches
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Harris, Marcelline,
P.I. Institution Name:Mayo Clinic
Title:
Contact Address:200 First Street, SW, Rochester, MN, 55905, USA
Contact Telephone:507.285.7473
This is the third of four papers examining international initiatives and related methodological issues associated with health terminology and data standards. This paper compares two approaches to concept representation: concept-based terminologies and measurement. Psychometric estimates of the reliability and validity with which instruments provide consistent and comparable concept representation from one subject or event to another are well established. However there are have been no studies to determine whether those estimates are reproducible using concept-based terminologies. This study determined whether the estimates of reliability and validity obtained using measurement approaches to concept representation could be obtained using concept-based terminology approaches. Theories of terminology and testing and measurement provided the framework for the study. A descriptive, correlational design was used. Concept-based terminologies and models included the ICNP, SNOMED CT, the ISO/TC215/WG3/N099 draft reference terminology model for nursing, and a 2001 Nursing Terminology Summit workgroup model. Instruments included the MMSE, ADL scale, SF-36, QWB scale, and POMS. Instrument panels of 50 subjects participating in a larger study of 122 older adults were randomly selected. The responses for each subject were represented using each of the terminology approaches. Five clinicians blinded to the original data but experienced in the use of the instruments were then instructed to fill in blank instruments based on their interpretation of the information presented in each terminology representation. Results were not available at the time of this abstract submission. Analyses in progress include estimates of internal consistency (Cronbach's alpha), interrater agreement (coefficient Kappa), and content coverage provided by the terminologies for concepts in the instruments (percents). Implications for concept representation in electronic health records and international nursing initiatives around concept-based terminologies will be discussed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleConcept Representation: Testing International Terminology Approachesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160516-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Concept Representation: Testing International Terminology Approaches</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Harris, Marcelline, </td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Mayo Clinic</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value"> </td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">200 First Street, SW, Rochester, MN, 55905, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">507.285.7473</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mharris@winona.msus.edu</td></tr><tr><td colspan="2" class="item-abstract">This is the third of four papers examining international initiatives and related methodological issues associated with health terminology and data standards. This paper compares two approaches to concept representation: concept-based terminologies and measurement. Psychometric estimates of the reliability and validity with which instruments provide consistent and comparable concept representation from one subject or event to another are well established. However there are have been no studies to determine whether those estimates are reproducible using concept-based terminologies. This study determined whether the estimates of reliability and validity obtained using measurement approaches to concept representation could be obtained using concept-based terminology approaches. Theories of terminology and testing and measurement provided the framework for the study. A descriptive, correlational design was used. Concept-based terminologies and models included the ICNP, SNOMED CT, the ISO/TC215/WG3/N099 draft reference terminology model for nursing, and a 2001 Nursing Terminology Summit workgroup model. Instruments included the MMSE, ADL scale, SF-36, QWB scale, and POMS. Instrument panels of 50 subjects participating in a larger study of 122 older adults were randomly selected. The responses for each subject were represented using each of the terminology approaches. Five clinicians blinded to the original data but experienced in the use of the instruments were then instructed to fill in blank instruments based on their interpretation of the information presented in each terminology representation. Results were not available at the time of this abstract submission. Analyses in progress include estimates of internal consistency (Cronbach's alpha), interrater agreement (coefficient Kappa), and content coverage provided by the terminologies for concepts in the instruments (percents). Implications for concept representation in electronic health records and international nursing initiatives around concept-based terminologies will be discussed.</td></tr></table>en_GB
dc.date.available2011-10-26T23:01:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:01:07Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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