A Nurse Believes That Patient Acuity Is a Poor Measure

A nurse believes that patient acuity is a poor measure of patient fragility. Consequently, this nurse and another nurse construct an instrument that measures patient fragility. Of the various steps of scale testing, conceptual definition, scale construction, instrument validation, and qualitative exploration, in what order should these occur?

A) Scale testing, qualitative exploration, scale construction, conceptual definition, instrument validation
B) Conceptual definition, qualitative exploration, scale construction, scale testing, instrument validation
C) Scale construction, conceptual definition, instrument validation, scale testing, qualitative exploration
D) Instrument validation, qualitative exploration, scale construction, conceptual definition, scale testing