scholarly journals Review of nursing diagnosis validation studies: caregiver role strain

2020 ◽  
Vol 41 ◽  
Author(s):  
Tânia Marlene Gonçalves Lourenço ◽  
Rita Maria Sousa Abreu-Figueiredo ◽  
Luís Octávio de Sá
Keyword(s):  
Chronic Illness ◽  
Literature Review ◽  
Validation Study ◽  
Validation Studies ◽  
Web Of Science ◽  
Role Strain ◽  
The Elderly ◽  
Nursing Diagnosis ◽  
Different Populations ◽  
Caregiver Role

ABSTRACT Objective: To analyze the nursing diagnosis NANDA-I - Caregiver Role Strain validation studies. Methods: Integrative literature review. Research of studies carried out between 2000 and 2018 with the descriptors: caregivers, nursing diagnosis and validation study in the following databases: Web of Science, EBESCOhost, Scielo Brasil and Portugal, LILACS, RCAAP, CAPES, NANDA-I website, and in the bibliographic references of the articles. Articles in Portuguese, English or Spanish were included. Results: The sample consisted of seven validation studies, with heterogeneity in the methodologies used. The populations where the diagnosis was clinically validated focused on caregivers for the elderly and people with chronic illness. The most prevalent defining characteristics were Stress and Apprehension related to the future. Conclusions: This diagnosis requires further validation studies among different populations in search of greater accuracy and a reduction in the number of defining characteristics, facilitating the use of taxonomy.

scholarly journals CAREGIVER ROLE STRAIN IN INFORMAL CAREGIVERS FOR THE ELDERLY

2019 ◽  
Vol 28 ◽  
Author(s):  
Akeisa Dieli Ribeiro Dalla Vechia ◽  
Abigail Roxana Nina Mamani ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Annelita Almeida Oliveira Reiners ◽  
Thalita Tonial Pauletto ◽  
...  
Keyword(s):  
Informal Caregivers ◽  
Role Strain ◽  
The Elderly ◽  
Care Recipient ◽  
Future Health ◽  
Related Factors ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
The Future ◽  
Caregiver Role

ABSTRACT Objective: to analyze the frequency of the “caregiver role strain” nursing diagnosis in informal caregivers for the elderly, the defining characteristics and the related factors. Method: a cross-sectional, descriptive study carried out with 99 informal caregivers for elderly residents living in the areas covered by five units of the Family Health Strategy of Cuiabá, Mato Grasso, Brazil. Data collect took place between July and September 2017, through home interviews. A questionnaire elaborated from the literature on the diagnosis A questionnaire elaborated from the literature on the diagnosis caregiver role strain established by NANDA-International taxonomy II was used. A descriptive analysis with relative and absolute frequency was accomplished. Results: the frequency of the “caregiver role stress” nursing diagnosis found in caregivers was 98.0%. The most common defining characteristics were: difficulty in seeing the care receiver with the disease (69.1%); apprehension about the future health of the care recipient (66.0%); apprehension about the welfare of the care recipient, if the caregiver is unable to offer it (61.9%); apprehension about the future ability to provide care (60.8%); apprehension about the possible institutionalization of the care recipient (55.7%); concern with the routine care (55.7%) and social isolation (51.5%). The related factors most frequently found were: duration of care (92.8%); 24-hour a day care responsibilities (75.3%); dependence (77.3%) and alteration in the cognitive function was (73.2%) in the elderly; physical conditions (73.2%) and codependency of the caregiver (61.9%). Conclusion: the frequency of the “caregiver role strain” nursing diagnosis found in this study is high, its defining characteristics concerning mainly the caregiver's apprehension with the elderly and the related factors refer to the demands of the care provided. The nurse and other team’s professionals must pay attention to the caregivers as well as to the elderly being cared of in the health units, helping them to overcome the difficulties involved in performing their role.

scholarly journals Social support for the elderly with HIV/Aids: an integrative review

2019 ◽  
Vol 22 (2) ◽  
Author(s):  
Marcelo Caetano de Azevedo Tavares ◽  
Márcia Carréra Campos Leal ◽  
Ana Paula de Oliveira Marques ◽  
Rogério Dubosselard Zimmermann
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Literature Review ◽  
Chronic Condition ◽  
Web Of Science ◽  
Final Analysis ◽  
The Elderly ◽  
Elderly Persons ◽  
Hiv Aids

Abstract Objective: The present integrative literature review aimed to verify the scientific knowledge produced about social support for elderly persons with HIV/Aids. Method: A search was carried out in the Lilacs, Medline, Scopus and Web of Science databases for studies published in the last ten years. The final analysis consisted of seven articles. Results: It was found that social support is extremely important in the life of the elderly with HIV/Aids, and a real need for this support was identified. Such support can both contribute to quality of life in many ways, as well as impair the care of those who live with the disease, as the diagnosis, treatment and the entire stigma surrounding this chronic condition directly influence the type and quality of support provided. Conclusion: It is hoped that the results of this review will contribute to are flection on health practices for the elderly with HIV/Aids.

scholarly journals THE NURSING DIAGNOSIS 'IMPAIRED WALKING' IN ELDERLY: SYSTEMATIC LITERATURE REVIEW

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Cristina Maria Alves Marques-Vieira ◽  
Luís Manuel Mota de Sousa ◽  
Lisete Maria Ribeiro de Sousa ◽  
Sílvia Maria Alves Caldeira Berenger
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Search Strategy ◽  
The Elderly ◽  
Related Factors ◽  
Nursing Knowledge ◽  
Nursing Diagnosis ◽  
Ebsco Host ◽  
Practice Education

ABSTRACT Walk is an activity that requires different skills and can be highly complex particularly for the elderly. The aim was to identify the defined characteristics and related factors of the nursing diagnosis impaired walking in elderly. A Systematic literature review, based on a search done between January and March 2014, in the electronic platforms EBSCO Host (r) , SCOPUS and ISI, and using the search strategy walk* OR gait AND Nurs*. A sample of 36 studies was obtained. A total of 17 defined characteristics and 34 related factors were identified. Among all, nine defined characteristics and 20 related factors are not listed in the diagnosis of NANDA International. This research identified new defined characteristics and related factors not listed in NANDA International. This study is a contribution to the development of the taxonomy of NANDA International, which should represent nursing knowledge, and this highlights some implications for clinical practice, education and further research.

scholarly journals Análise sobre estudos de validação de intervenções de enfermagem

2020 ◽  
Vol 14 ◽  
Author(s):  
Erika Christiane Marocco Duran ◽  
Larissa Costa Figueiredo ◽  
Ráisa Camilo Ferreira
Keyword(s):  
Literature Review ◽  
Nursing Care ◽  
Validation Studies ◽  
Time Frame ◽  
Scientific Production ◽  
Integrative Review ◽  
Nursing Interventions ◽  
Nursing Diagnosis ◽  
Nursing Processes ◽  
Diagnosis Classification

Objetivo: analisar a produção científica sobre a validação de intervenções de enfermagem. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa de literatura, no recorte temporal de 2007 a 2016, na MEDLINE, CINAHL e Bibliotecas Virtual de Saúde e COCHRANE. Organizaram-se os estudos, categorizando-os e os analisando de modo descritivo. Resultados: encontraram-se 147 artigos e, após a leitura dos resumos e dos textos na íntegra, foram incluídos oito artigos. Conclusão: identificou-se, por meio da revisão integrativa, a produção científica referente à validação de intervenções de enfermagem na literatura, evidenciando um aumento da produção desses estudos, o que contribui para a prática de Enfermagem no Brasil. Descritores: Cuidados de Enfermagem; Estudos de Validação; Processo de Enfermagem; Diagnóstico de Enfermagem; Classificação; Enfermagem.AbstractObjective: to analyze the scientific production on the validation of nursing interventions. Method: this is a bibliographic, descriptive, integrative literature review, in the time frame from 2007 to 2016, in MEDLINE, CINAHL and Virtual Health Libraries and COCHRANE. The studies were organized, categorized, and analyzed in a perspective descriptive. Results: 147 articles were researched and, after reading the abstracts and texts in full, eight articles were included. Conclusion: it was identified, through the integrative review, the scientific production referring to the validation of nursing interventions in the literature, showing an increase in the production of these studies, which contributes to the practice of Nursing in Brazil. Descriptors: Nursing Care; Validation Studies; Nursing Processes; Nursing Diagnosis; Classification; Nursing.ResumenObjetivo: analizar la producción científica sobre la validación de las intervenciones de enfermería. Método: se trata de una revisión bibliográfica, descriptiva, integradora de la literatura, en el período de 2007 a 2016, en MEDLINE, CINAHL y Bibliotecas Virtuales de Salud y COCHRANE. Se organizaron los estudios, categorizándolos y analizándolos de manera descriptiva. Resultados: se encontraron 147 artículos y, después de leer los resúmenes y textos completos, se incluyeron ocho artículos. Conclusión: a través de la revisión integradora, se identificó la producción científica relacionada con la validación de las intervenciones de enfermería en la literatura, mostrando un aumento en la producción de estos estudios, lo que contribuye a la práctica de Enfermería en Brasil. Descriptores: Atención de Enfermería; Estudios de Validación; Proceso de Enfermería; Diagnóstico de Enfermería; Clasificación; Enfermería.

scholarly journals Clinical indicators for nursing diagnosis Ineffective protection in adolescents with cancer

2017 ◽  
Vol 70 (6) ◽  
pp. 1330-1336 ◽  
Author(s):  
Marília Mendes Nunes ◽  
Tânia Alteniza Leandro ◽  
Marcos Venícios de Oliveira Lopes ◽  
Viviane Martins da Silva
Keyword(s):  
Literature Review ◽  
Childhood Cancer ◽  
Web Of Science ◽  
Scientific Evidence ◽  
National Institutes Of Health ◽  
National Library ◽  
Clinical Indicators ◽  
Factors Associated ◽  
Nursing Diagnosis

ABSTRACT Objective: To investigate scientific evidence related to the term protection and clinical indicators and etiologic factors for nursing diagnosis Ineffective protection in adolescents with cancer. Method: Integrative literature review in the databases of Scopus, Web of Science, National Library of Medicine and National Institutes of Health (PubMed) and Cochrane; by intersection of the descriptors protection and childhood cancer, which resulted in seven articles. These were insufficient for a comprehension of the term protection and aspects related to its impairment, therefore it was necessary to include a further three reference books. Results: Five clinical indicators and three etiologic factors associated to Ineffective protection were identified some of which were not cited in NANDA-International. Conclusions: There are clinical and etiologic factors important for the identification of ineffective protection in adolescents with cancer.

Statistical Methods for the Validation of Questionnaires

2006 ◽  
Vol 45 (04) ◽  
pp. 409-413 ◽  
Author(s):  
M. E. Schmidt ◽  
K. Steindorf
Keyword(s):  
Literature Review ◽  
Statistical Methods ◽  
Validation Study ◽  
Validation Studies ◽  
Correlation Coefficients ◽  
Epidemiological Data ◽  
Epidemiological Studies ◽  
Evaluation Methods ◽  
Theory And Practice ◽  
Systematic Bias

Summary Objectives: Questionnaires used in epidemiological studies should be validated. However, unclarity exists about the appropriate statistical methods and interpretation of validation studies. Thus, we investigated the theory and practice of statistical evaluation approaches. Methods: Using three platforms, a literature review, own simulations, and a validation study performed by ourselves, we worked out relevant limitations, advantages, and new important aspects of evaluation methods. Results: Our systematic literature review, based on physical activity questionnaires, revealed that correlation coefficients are still the common approach in validation studies, found in 41 of 46 reviewed publications (89.1%). This practice has been criticized in the theoretically oriented literature for more than 20 years. Appropriate evaluation methods as recommended by Bland and Altman were found in only ten publications (21.7 %).We showed that serious bias in questionnaires can be revealed by Bland-Altman plots but may remain undetected by correlation coefficients. With our simulations we refuted the argument that correlation coefficients properly investigate whether a questionnaire ranks the subjects sufficiently well. Further, with Bland-Altman analyses we could evaluate differential errors with respect to case-control status in our validation study. Yet, this was not possible with correlation coefficients, because they generally do not identify systematic bias. In addition, we show a potential pitfall in the interpretation of Bland-Altman plots that might occur in specific rare instances. Conclusions: The commonly used correlation approach can yield misleading conclusions in validation studies. A more frequent and proper use of the Bland-Altman methods would be desirable to improve epidemiological data quality.

scholarly journals CLINICAL VALIDATION OF THE NANDA-I "CAREGIVER ROLE STRAIN" NURSING DIAGNOSIS IN THE CONTEXT OF PALLIATIVE CARE

2021 ◽  
Vol 30 ◽  
Author(s):  
Tânia Marlene Gonçalves Lourenço ◽  
Rita Maria de Sousa Abreu-Figueiredo ◽  
Luís Octávio Sá
Keyword(s):  
Palliative Care ◽  
Characteristic Curve ◽  
Role Strain ◽  
Clinical Validation ◽  
Cross Sectional ◽  
Predictive Values ◽  
Nursing Diagnosis ◽  
Study Results ◽  
Care Situation ◽  
Caregiver Role

ABSTRACT Objective: to clinically validate the defining characteristics of the “Caregiver Role Strain” Nursing diagnosis for caregivers of people in a palliative care situation. Method: a cross-sectional, quantitative, descriptive and analytical study. It was developed based on Fehring's Clinical Validation Model and on the diagnostic accuracy measures (sensitivity, specificity, predictive values and Receiver Operating Characteristic curve). The data collection instrument used was a form, applied in 2017 by two nurses to a sample of 111 caregivers of people in a palliative care situation, in Portugal. The caregivers were divided into two groups (with and without the diagnosis), being identified by the simultaneity of three criteria, namely: Zarit Burden Interview values greater than 56; agreement of two nurses about the diagnosis; and caregiver's perception of the presence of signs and symptoms. The defining characteristics were classified as major, secondary and irrelevant, according to the models used. Results: the prevalence of diagnosis was 42.3%. Of the 29 characteristics subjected to the validation process, 9 were considered major, 13 secondary and 7 irrelevant. Ineffective coping, depressive mood, frustration, worsening of previous diseases, stress and fatigue were the characteristics which proved to be more associated with the diagnosis in both analyses. The overall score of the diagnosis was 0.68. Conclusion: the study results contribute to the improvement of the diagnosis, making it more accurate. In addition, they enable better clinical decision in Nursing, allowing nurses to make a diagnostic judgment supported by scientific evidence.

scholarly journals CAREGIVER ROLE STRAIN - CONTENT VALIDATION OF NURSING DIAGNOSIS IN SLOVAKIA AND THE CZECH REPUBLIC

2011 ◽  
Vol 4 (2) ◽  
pp. 27-32 ◽  
Author(s):  
Mária Tabaková ◽  
Renáta Zeleníková ◽  
Věra Kolegarová
Keyword(s):  
Czech Republic ◽  
Role Strain ◽  
Content Validation ◽  
The Czech Republic ◽  
Nursing Diagnosis ◽  
Caregiver Role

scholarly journals Impaired physiological equilibrium syndrome in potential organ donors: identification of defining characteristics

2019 ◽  
Vol 18 (3) ◽  
pp. 643-693
Author(s):  
Luciana Nabinger Menna Barreto ◽  
Natália Chies ◽  
Éder Marques Cabral ◽  
Aline Tsuma Gaedke Nomura ◽  
Miriam de Abreu Almeida
Keyword(s):  
Literature Review ◽  
Web Of Science ◽  
Organ Donor ◽  
Organ Donors ◽  
Physiological Changes ◽  
Nursing Knowledge ◽  
Potential Organ Donor ◽  
Nursing Diagnosis ◽  
Acute Condition ◽  
Nursing Diagnoses

Introducción: La mayor parte de los diagnósticos de enfermería sobre los potenciales donantes de órganos están relacionados a alteraciones fisiológicas. Es común que estos pacientes presenten todos los diagnósticos citados para esta población. Pero todavía no existe en NANDA International un diagnóstico único que sea capaz de plantear este severo caso. Objetivo: Identificar en la literatura las posibles características definitorias para la propuesta de diagnóstico Síndrome del equilibrio fisiológico deteriorado en pacientes con muerte encefálica y potenciales donantes de órganos. Método: Revisión integrativa de la literatura con estudios publicados entre el 1997 y el 2017 en las bases de datos Web of Science, LILACS y PubMed.Resultados: La muestra constó de 37 artículos, de los cuales se identificó 44 posibles características distintas para el diagnóstico de enfermería en desarrollo. Se dividieron las características definitorias en cinco grupos principales: alteraciones endocrino-metabólicas; alteraciones hemodinámicas y/o cardiovasculares; alteraciones respiratorias; alteraciones nutricionales y alteraciones de la coagulación, inflamatorias e/o inmunológicas. Conclusiones: El desarrollo de este diagnóstico puede colaborar con la calificación de la taxonomía de NANDA Internacional, así como ampliar el conocimiento de la enfermería en el campo de mantenimiento del posible donante de órganos, lo que contribuye a la enseñanza e investigación. El empleo de este diagnóstico puede mejorar la sistematización del cuidado, auxilia en el mantenimiento del potencial donante y, en consecuencia, mejora la viabilidad de órganos para trasplante. Introduction: Most of nursing diagnoses for potential organ donors is related to physiological changes. These patients often have all diagnoses cited for this population. However, NANDA International does not have a diagnosis to address this acute condition. Objective: To identify possible defining characteristics for the diagnosis of impaired physiological equilibrium syndrome for brain death patients and for potential organ donors in the literature. Method: Integrative literature review including articles published between 1997 and 2017 in the databases Web of Science, LILACS and PubMed.Results: The sample consisted of 37 articles identifying 44 possible defining characteristics for the nursing diagnosis to be developed. The defining characteristics were divided into five major groups of changes: endocrine-metabolic changes, hemodynamic and/or cardiovascular changes, ventilatory changes, nutritional changes, coagulation changes, inflammatory and/ or immune changes.Conclusions: Developing this diagnosis can collaborate to the taxonomy of NANDA International, as well as to extend the nursing knowledge of the area of maintenance of the potential organ donor, contributing to teaching and research. The practical use of this diagnosis purpose can provide a better systematization of care, enabling the proper maintenance of the potential organ donor and consequently improving the viability of organs for transplantation. Introdução: A maior parte dos diagnósticos de enfermagem prevalentes para potenciais doadores de órgãos está relacionada com alterações fisiológicas. Não raro estes pacientes apresentam todos os diagnósticos citados para esta população. Todavia, não existe na NANDA International um diagnóstico único que aborde este quadro agudo. Objetivo: Identificar na literatura possíveis características definidoras para a proposta de diagnóstico Síndrome do equilíbrio fisiológico prejudicado para pacientes em morte encefálica e potenciais doadores de órgãos. Método: Revisão integrativa da literatura incluindo artigos publicados entre 1997 e 2017 nas bases de dados Web of Science, LILACS e PubMed.Resultados: A amostra foi constituída por 37 artigos identificando 44 possíveis características definidoras para o diagnóstico de enfermagem em desenvolvimento. As características definidoras foram divididas em cinco grandes grupos: alterações endócrino-metabólicas, alterações hemodinâmicas e/ou cardiovasculares, alterações ventilatórias, alterações nutricionais e alterações de coagulação, inflamatórias e/ou imunológicas.Conclusões: O desenvolvimento deste diagnóstico pode colaborar com a qualificação da taxonomia da NANDA International, além de ampliar o conhecimento da enfermagem na área de manutenção do potencial doador de órgãos contribuindo para o ensino e pesquisa. O uso desta proposta de diagnóstico na prática pode proporcionar uma melhor sistematização do cuidado, auxiliando a adequada manutenção do potencial doador e consequentemente melhor viabilidade dos órgãos ofertados para transplantes.

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