Abstract：
A valid and reliable nursing assessment is essential for identifying required care and ensuring patient safety. The convenience of conducting a comprehensive assessment of the patient has led to a significant increase in assessment tools that may slow down the process. Nevertheless, the possibility of consolidating various instruments that measure common or similar constructs into a meta-instrument is considered an alternative that could enhance assessment efficiency. A meta-instrument can be defined as a measurement tool that consolidates other instruments based on measuring related constructs and sharing dimensions or items, aiming to achieve a more parsimonious measurement. Literature on such assessment tools is scarce, and there are numerous options for their construction and initial validation. Additionally, it is advisable to confirm their psychometric properties and ensure that they maintain, at the very least, the same diagnostic capacity as the original instruments. This article presents a proposal for the phases to follow in constructing meta-instruments, along with various methodological alternatives that can be employed based on the characteristics of the original instruments and the purpose of creating the meta-instrument. Furthermore, special attention is given to the checklists that should be used to study the psychometric properties and diagnostic capacity of the meta-instruments. Finally, future lines of research and challenges in the development of nursing assessment meta-instruments are discussed.
摘要：
有效和可靠的护理评估对于确定所需的护理和确保患者安全至关重要。对患者进行全面评估的便利性导致评估工具的显着增加，这可能会减慢该过程。然而，将测量共同或类似结构的各种工具合并为元工具的可能性被认为是可以提高评估效率的替代方案。元仪器可以定义为基于测量相关构造和共享尺寸或项目来合并其他仪器的测量工具，旨在实现更简约的测量。关于这种评估工具的文献很少，并有许多选择为他们的建设和初步验证。此外,建议确认他们的心理测量特性，并确保他们保持，至少,与原始仪器相同的诊断能力。本文提出了在构建元仪器时应遵循的阶段的建议，以及可以根据原始工具的特征和创建元工具的目的采用的各种方法替代方案。此外，特别注意应用于研究元仪器的心理测量特性和诊断能力的检查表。最后,讨论了护理评估元工具开发中的未来研究方向和挑战。
