Caregiver role strain: bi-national study of content validation

  • Leidy Johanna Rueda Diaz Nurse, Ph.D. Professor, Escuela de Enfermería de la Universidad Industrial de Santander. Bucaramanga, Colômbia. email:
  • Diná de Almeida Lopes Monteiro da Cruz Nurse, Ph.D. Professor, Escola de Enfermagem da Universidade de São Paulo. SP, Brasil. email:
  • Rita de Cassia Gengo e Silva Nurse, Ph.D. Professor, Escola de Enfermagem da Universidade de São. São Paulo, SP, Brasil. email:
Keywords: Nursing, caregivers, validation studies.


Objective. To estimate content validity of the diagnosis Caregiver Role Strain.

Methods. Content validation of the defining characteristics according to Fehring’s model was undertaken by 6 Colombian nurses and 9 Brazilian counterparts. The relevance of each defining characteristic for the diagnosis was assessed using 5-point Likert type scale. The Mann-Whitney test was used to estimate differences in assessing the relevance of defining characteristics between Brazilian and Colombian nurses.

Results. From 36 defining characteristics, 22 were identified as major, 13 as secondary and one as irrelevant (rash). The content validity index (sum of weighted averages divided by the total number of defining characteristics) was 0.79, considered adequate.

Conclusion. Most of the defining characteristics were considered relevant to the nursing diagnosis Caregiver Role Strain. These findings reflect consensus among specialists from two different countries in relation to the relevance of the defining characteristics for this diagnosis.


How to cite this article: Rueda LJ, Cruz DALM, Silva RCG. Caregiver role strain: bi-national study of content validation. Invest. Educ. Enferm. 2016; 34(2):

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How to Cite
Rueda Diaz L. J., Lopes Monteiro da Cruz D. de A., & de Cassia Gengo e Silva R. (2016). Caregiver role strain: bi-national study of content validation. Investigación Y Educación En Enfermería, 34(2). Retrieved from