Conceptual validation of the defining characteristics of respiratory nursing diagnoses in neonates

OBJECTIVE: To develop and validate conceptual and operational definitions for the defining characteristics of the respiratory nursing diagnoses, ineffective breathing pattern, impaired gas exchange and impaired spontaneous ventilation, in newborns.METHODS: This was a methodological study of conceptual validation of the defining characteristics of three respiratory nursing diagnoses, by consensus analysis of a committee of five specialist nurses, and then a group of five non-nursing professionals, using the Delphi technique.RESULTS: After two rounds of evaluation, consensus was obtained that was equal to or greater than 80% on all of the definitions, which were then considered validated.CONCLUSION: The definitions developed for the defining characteristics of three nursing diagnoses were validated with a high level of consensus.

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Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1950.2954 ◽

2017 ◽

Vol 25 (0) ◽

Cited By ~ 1

Author(s):

Deborah Hein Seganfredo ◽

Beatriz Amorim Beltrão ◽

Viviane Martins da Silva ◽

Marcos Venícios de Oliveira Lopes ◽

Stela Maris de Jezus Castro ◽

...

Keyword(s):

Intensive Care ◽

Correspondence Analysis ◽

Oxygen Therapy ◽

Latent Class ◽

Breathing Pattern ◽

Multiple Correspondence Analysis ◽

Two Dimensions ◽

Latent Class Models ◽

Spontaneous Ventilation ◽

Nursing Diagnoses

ABSTRACT Objective: to analyze the manifestation of the defining characteristics of the nursing diagnoses of ineffective breathing pattern and impaired spontaneous ventilation, of the NANDA International and the defining characteristics identified in the literature for the concept of “ventilation” in adult patients hospitalized in an intensive care unit with use of oxygen therapy. Method: clinical diagnostic validation study, conducted with 626 patients in intensive care using oxygen therapy, in three different modalities. Multiple correspondence analysis was used to verify the discriminative capacity of the defining characteristics and latent class analysis to determine the diagnostic accuracy of them, based on the severity level defined by the ventilatory mode used. Results: in the multiple correspondence analysis, it was demonstrated that the majority of the defining characteristics presented low discriminative capacity and low percentage of explained variance for the two dimensions (diagnoses). Latent class models, separately adjusted for the two diagnoses, presented a worse fit, with sharing of some defining characteristics. Models adjusted by level of severity (ventilation mode) presented better fit and structure of the component defining characteristics. Conclusion: clinical evidence obtained in the present study seems to demonstrate that the set of defining characteristics of the two nursing diagnoses studied fit better in a single construct.

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Nursing diagnoses, results, and interventions in the care for Covid-19 patients in critical condition

Revista da Escola de Enfermagem da USP ◽

10.1590/1980-220x-reeusp-2020-0499 ◽

2021 ◽

Vol 55 ◽

Author(s):

Harlon França de Menezes ◽

Jéssica Lima Moura ◽

Sylvia Silva de Oliveira ◽

Michelle Carneiro Fonseca ◽

Paulino Artur Ferreira de Sousa ◽

...

Keyword(s):

Critical Care ◽

Delphi Technique ◽

Nursing Practice ◽

Nursing Interventions ◽

Methodological Study ◽

Human Needs ◽

Basic Human Needs ◽

Specialist Nurses ◽

Nursing Diagnoses ◽

Brazilian Method

ABSTRACT Objective: To develop and validate a terminological subset of the International Classification for Nursing Practice for COVID-19 patients in critical care. Method: This is a methodological study, which followed the guidelines of the Brazilian method, using the Basic Human Needs as a theoretical model. Content validation was performed by 25 specialist nurses using the Delphi technique. Results: A total of 73 diagnoses and their respective nursing results were prepared. Of these, 62 statements had a Content Validity Index ≥ 0.80, with the need for oxygenation having the highest number of statements. Of the 210 nursing interventions developed, and after suggestions from experts, 150 interventions reached an index ≥ 0.80 and comprised the terminological subset. Conclusion: The terminological subset developed showed statements that were validated by specialist nurses and, therefore, are relevant to the nurse's clinic in the critical care scenario associated with Covid-19.

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An Analysis of Past Florence Nightingale Medal Recipients: Insights Into Exceptional Nurses and the Evolution of Nursing

SAGE Open Nursing ◽

10.1177/2377960820988392 ◽

2021 ◽

Vol 7 ◽

pp. 237796082098839

Author(s):

Qian Wang ◽

Ruifang Zhu ◽

Zhiguang Duan

Keyword(s):

Nursing Education ◽

Red Cross ◽

Statistical Validation ◽

Award Recipient ◽

Culturally Sensitive Care ◽

Descriptive Research ◽

Florence Nightingale ◽

Specialist Nurses ◽

High Level ◽

Disaster Aid

Aim To examine past Florence Nightingale Medal recipients’ parallels with the evolving nature of the nursing field as a whole. Design Descriptive research. Method The professional and demographic characteristics of 1,449 Florence Nightingale Medal recipients between 1920 and 2015 were analyzed to develop a high-level overview of the award recipient characteristics. Result Medal recipients were primarily female (98.07%), with 36% being Specialist nurses. Awards were mainly conferred for aid work (30.4%) in the context of war or armed conflict followed by Nursing education (17.2%) and disaster aid (14.9%). The majority of recipients were affiliated with the Red Cross and the majority of recipients were those conducting Red Cross duties. Conclusion Our results offer statistical validation for the dedication of these exceptional individuals, while also highlighting overall parallels with the ongoing development of the nursing field as it expands to better deliver culturally-sensitive care and to overcome outdated stereotypes that would otherwise constrain innovation.

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Physiological Effects of Exercising at Different Intensities Wearing TNT or Double-layer Cotton Facemasks Compared to Not Wearing a Mask

10.1101/2020.12.11.20203224 ◽

2020 ◽

Author(s):

Fabrício Braga ◽

Gabriel Espinosa ◽

Amanda Monteiro ◽

Beatriz Marinho ◽

Eduardo Drummond

Keyword(s):

Gas Exchange ◽

Double Layer ◽

Breathing Pattern ◽

Pulmonary Ventilation ◽

Effect Sizes ◽

Moderate Intensity ◽

List Type ◽

Physiological Effects ◽

Physiological Dead Space ◽

End Tidal

Abstract We compared the physiological differences between exercising wearing a TNT or a double-layer-cotton (DLC) facemask (FM) and not wearing a mask (NM). Sixteen volunteers underwent 4 sets (S) of 2 sequential bouts (B). B1 and B2 corresponded to light and moderate intensity cycling, respectively. FMs were used as follows: S1: NM; S2: TNT or DLC; S3: DLC or TNT; and S4: NM. Metabolic, pulmonary, and perceptual variables were collected. The main results are expressed as effect sizes and confidence intervals (ES [95%CI]) for TNT and DLC unless otherwise indicated. Compared to NM, FM increased the duty cycle (B1=1.11[0.58-1.61] and 1.53[0.81-2.18]; B2=1.27[0.63-1.84] and 1.93[0.97-2.68]) and decreased breath frequency (B1=0.59[0.23-0.94] and 1.43[0.79-2.07], B2=0.39[0.05-0.71] and 1.33[0.71-1.94]). Only B1 tidal volume increased (0.33[0.09-0.56] and 0.62[0.18-1.05]) enough to avoid a ventilation reduction with TNT but not with DLC (B1=0.52[0.23-0.79]; B2=0.84[0.44-1.22]). Both FMs reduced oxygen saturation in B1 (0.56 [0.07-1.03] and 0.69 [0.09-1.28]) but only DLC did so in B2 (0.66 [0.11-1.13]). Both end tidal CO2 (B1=0.23[0.05-0.4] and 0.71[0.38-1.02]; B2=0.56[0.2-0.9] and 1.20[0.65-1.68]) and mixed-expired-CO2 (B1=0.74[0.38-1.08] 1.71[1.03-2.37], B2=0.94[0.45-1.38] and 1.78[0.97-2.42]) increased with FMs. Ventilatory adaptations imposed during FM exercising influenced blood-lung gas exchange. Larger ESs were seen with DLC. No adverse changes to human health were observed. Novelty Bullets Facemasks affect the breathing pattern by changing the frequency and amplitude of pulmonary ventilation. The augmented ventilatory work increases VO2, VCO2, and RPE and promotes non-concerning drops in SpO2 and CO2 retention. Increased inspiratory and expiratory pressure can account for the reduction in pulmonary physiological dead space.

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Knowledge of nursing professionals of a surgical center regarding malignant hyperthermia

Revista Gaúcha de Enfermagem ◽

10.1590/1983-1447.2014.03.44643 ◽

2014 ◽

Vol 35 (3) ◽

pp. 43-48 ◽

Cited By ~ 1

Author(s):

Cristina Silva Sousa ◽

Ana Lucia Mirancos Cunha

Keyword(s):

Malignant Hyperthermia ◽

Test Items ◽

Significant Difference ◽

Student’S T ◽

Definition Of ◽

High Level ◽

Nursing Professionals ◽

The City ◽

Insufficient Knowledge ◽

Student’S T Test

The objective of this study was to assess the knowledge of the nursing professionals in a surgical center about malignant hyperthermia. This is a descriptive exploratory study on malignant hyperthermia conducted with mid- and high-level nursing professionals in the surgical center of an institution located in the city of São Paulo, where the research was conducted between August and September 2013. Analysis of the data was descriptive and the average of the correct answers was compared using Student's t-test. Among the 96 participants, the two items in which at least 70% of the team showed knowledge were: the definition of malignant hyperthermia and the professionals involved in the health care provided. With respect to all test items, 70% of nurses answered 50% correctly. The same percentage of mid-level professionals answered only 20% correctly. There was no statistically significant difference between the professional categories. This study revealed insufficient knowledge on the part of the nursing team about malignant hyperthermia.

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Stress, Burnout, and Low Self-Efficacy of Nursing Professionals: A Qualitative Inquiry

Healthcare ◽

10.3390/healthcare8040424 ◽

2020 ◽

Vol 8 (4) ◽

pp. 424

Author(s):

Luis Miguel Dos Santos

Keyword(s):

Self Efficacy ◽

Personal Development ◽

Sampling Strategy ◽

Qualitative Inquiry ◽

The Self ◽

Snowball Sampling ◽

The Public ◽

The Social ◽

High Level ◽

Nursing Professionals

Nursing professionals face a high level of stress and burnout due to overloaded responsibilities, which may cause a low level of self-efficacy. From the perspective of nursing professionals, the research aims to understand what are the sources of stress and burnout which would reduce the self-efficacy and the unbalanced patient ratio and how would nursing professionals describe their experiences, sources of stress and burnout, and self-efficacy. Based on the snowball sampling strategy, 60 nursing professionals were invited for qualitative research data collection. Based on the lens of the self-efficacy approach, the results indicated that the environmental factors, including workplace bullying, family stress, misunderstanding of public members, and personal development and career enhancement took important roles in increasing their stress and burnout and in reducing their self-efficacy. The outcomes of this study discovered the social status and discrimination toward nursing professionals. Government leaders, policymakers, and researchers should take this research as an opportunity to reform their policy for human resource management and education for the respectfulness of medical and nursing professionals in the public health system.

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