scholarly journals Content validation of the nursing diagnosis Risk for disturbed maternal-fetal dyad

2021 ◽  
Vol 55 ◽  
Author(s):  
Ryanne Carolynne Marques Gomes Mendes ◽  
Cecília Maria Farias de Queiroz Frazão ◽  
Ana Catarina Torres de Lacerda ◽  
Marcos Venícios de Oliveira Lopes ◽  
Francisca Márcia Pereira Linhares ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nursing Practice ◽  
Clinical Validation ◽  
Content Validation ◽  
Validity Index ◽  
Analysis Study ◽  
Nursing Diagnosis ◽  
Populations At Risk ◽  
Associated Conditions ◽  
Five Elements

ABSTRACT Objective: To validate the content of the diagnosis Risk for disturbed maternal-fetal dyad in high-risk pregnant women. Method: Nursing diagnosis content analysis study in which 48 nurses evaluated agreement regarding title, definition, class, and domain of the studied nursing diagnosis, as well as the relevance of its antecedents. The items were considered relevant when the Confidence Interval of the Content Validity Index was 0.8 or higher. When lower, the item was modified or excluded according to the experts’ suggestions. Results: Out of 21 antecedents, 14 were considered relevant. The labels of five elements considered irrelevant were changed, and one item was excluded. The experts did not choose the title and definition proposed by NANDA-I, preferring instead the ones suggested in this study. The experts agreed with the class and domain proposed by the taxonomy. Conclusion: Ten risk factors, four populations at risk, and six associated conditions for this nursing diagnosis were maintained; these may provide a basis for nursing practice. The phase of clinical validation is suggested to be conducted to corroborate this study’s results.

scholarly journals Validation of the definitions of nursing diagnoses for individuals with Aids

2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Vinicius Lino de Souza Neto ◽  
Rayanne Teresa da Silva Costa ◽  
Wenysson Noleto dos Santos ◽  
Sâmara Fontes Fernandes ◽  
Dhyanine Morais de Lima ◽  
...  
Keyword(s):  
Content Validity ◽  
Nursing Practice ◽  
Content Validation ◽  
Methodological Study ◽  
Validation Process ◽  
Validity Index ◽  
Predictive Capacity ◽  
Nursing Diagnosis ◽  
Hospital School ◽  
Nursing Diagnoses

ABSTRACT Objectives: to develop and validate conceptual and operational definitions of nursing diagnoses of the International Classification for Nursing Practice for people living with Aids. Methods: methodological study with 100 individuals with Aids, in a hospital school. In addition, 19 nurses selected from the Lattes platform acted as experts in the validation process. The research was conducted, using three moments: identification and validation of the nursing diagnoses; construction of the conceptual and operational definitions of the diagnoses, and content validation, using the content validity index. Results: a total of 35 diagnoses were identified and 18 had their conceptual and operational definitions validated, with validity index of ≥ 0.8. Conclusions: the construction of the conceptual and operational definitions enables nurses to analyze the clinical inferences and endorse the nursing diagnosis, contributing to its predictive capacity.

scholarly journals Clinical validation of nursing diagnosis Fragile Elderly Syndrome

2021 ◽  
Vol 74 (suppl 2) ◽  
Author(s):  
Fabiana Maria Rodrigues Lopes de Oliveira ◽  
Natalia Pessoa da Rocha Leal ◽  
Fabíola de Araújo Leite Medeiros ◽  
Jacira dos Santos Oliveira ◽  
Maria Miriam Lima da Nóbrega ◽  
...  
Keyword(s):  
Professional Practice ◽  
Frail Elderly ◽  
Cultural Context ◽  
Clinical Validation ◽  
Research Committee ◽  
Hospitalized Elderly ◽  
Nursing Diagnosis ◽  
Populations At Risk ◽  
Associated Conditions ◽  
Diagnostic Validation

ABSTRACT Objective: to clinically validate the nursing diagnosis of NANDA-I Frail Elderly Syndrome in hospitalized elderly. Method: a methodological study, guided by the STROBE instrument, composed of 40 elderly people admitted to a teaching hospital in Paraíba, Brazil. The last phase of Hoskins’ Nursing Diagnostic Validation Model: clinical validation was adopted. Data collection took place from August to December 2018. The data were analyzed using univariate descriptive statistics. It was approved by the hospital’s ethics and research committee. Results: nine defining characteristics were validated; seven risk factors; six populations at risk and two associated conditions. Conclusion: the validation of the nursing diagnosis of the Frail Elderly Syndrome in our socio-cultural context was considered appropriate, being an important step for critical thinking that underlies the decision-making of nurses in the care of the frail elderly, as well as professional practice.

scholarly journals Validation by experts of Risk of suicide Nursing Diagnosis in the elderly

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 111-118 ◽  
Author(s):  
Girliani Silva de Sousa ◽  
Jaqueline Galdino Albuquerque Perrelli ◽  
Suzana de Oliveira Mangueira ◽  
Everton Botelho Sougey
Keyword(s):  
Risk Factors ◽  
Chronic Pain ◽  
Clinical Practice ◽  
Early Detection ◽  
The Elderly ◽  
Descriptive Statistics ◽  
Binomial Test ◽  
Test Results ◽  
Content Validation ◽  
Nursing Diagnosis

ABSTRACT Objective: to validate the conceptual and operational definitions content of factors for Risk of suicide Nursing Diagnosis in the elderly. Method: this is validation of the conceptual and operational definitions content of factors for Risk of suicide in the elderly, performed by 15 experts, from November 2015 to March 2016. Risk factors were classified into three hierarchical chuncks. The data were analyzed by descriptive statistics and binomial test. Results: of the 54 validated risk factors, only eight presented problems regarding clarity, simplicity and accuracy: chronic pain, vision problems, retirement, frustration, medication neglect and depression. Only rigidity was not validated as relevant for the study diagnosis. Conclusion: content validation of the risk factors for Nursing Diagnosis can guide the clinical practice of the nurse in the early detection of risk of suicide in the elderly.

scholarly journals Nursing diagnoses related to skin: operational definitions

2012 ◽  
Vol 20 (5) ◽  
pp. 863-872 ◽  
Author(s):  
Maria Andréia Silva Ribeiro ◽  
Julieth Santana Silva Lages ◽  
Maria Helena Baena Moraes Lopes
Keyword(s):  
Risk Factors ◽  
Clinical Practice ◽  
Scientific Knowledge ◽  
Validation Studies ◽  
Content Validation ◽  
Tissue Integrity ◽  
Nursing Diagnosis ◽  
Skin Integrity ◽  
Expert Nurses ◽  
Nursing Diagnoses

OBJECTIVE: to validate the operational definitions of the defining characteristics and risk factors of the three NANDA International (NANDA-I) nursing diagnoses and to revise these diagnoses' definitions. METHOD: content validation of nursing diagnosis. 146 defining characteristics and risk factors were identified in the literature in Brazilian and international databases. This was followed by content validation of the definitions of these diagnoses (presented by NANDA-I) and of the operational definitions (developed by the researchers) of the defining characteristics and risk factors, carried out by six expert nurses, regarding relevance, clarity and comprehensiveness. RESULT: of the 146 defining characteristics and risk factors, 22 were considered redundant and were excluded. The experts proposed changing the definitions of the diagnoses of Impaired Tissue Integrity and Risk for Impaired Skin Integrity. It was possible to identify various defining characteristics and risk factors which are not present in the NANDA-I taxonomy but which are indicated in the literature. CONCLUSION: the process attained its objective of producing valid operational definitions for defining characteristics and risk factors, which will permit the undertaking of validation studies for these diagnoses. The study's contribution to advancing scientific knowledge consists in its presenting clearer operational definitions for these diagnoses and a higher number of defining characteristics and risk factors, which will assist the nurses in the identification and use of the same with greater accuracy in clinical practice.

scholarly journals The Nursing Diagnosis of risk for pressure ulcer: content validation

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Cássia Teixeira dos Santos ◽  
Miriam de Abreu Almeida ◽  
Amália de Fátima Lucena
Keyword(s):  
Risk Factors ◽  
Pressure Ulcer ◽  
Serum Albumin Level ◽  
Surface Friction ◽  
Tissue Perfusion ◽  
Albumin Level ◽  
Content Validation ◽  
Pressure Surface ◽  
Nursing Diagnosis ◽  
Impaired Circulation

Abstract Objective: to validate the content of the new nursing diagnosis, termed risk for pressure ulcer. Method: the content validation with a sample made up of 24 nurses who were specialists in skin care from six different hospitals in the South and Southeast of Brazil. Data collection took place electronically, through an instrument constructed using the SurveyMonkey program, containing a title, definition, and 19 risk factors for the nursing diagnosis. The data were analyzed using Fehring's method and descriptive statistics. The project was approved by a Research Ethics Committee. Results: title, definition and seven risk factors were validated as "very important": physical immobilization, pressure, surface friction, shearing forces, skin moisture, alteration in sensation and malnutrition. Among the other risk factors, 11 were validated as "important": dehydration, obesity, anemia, decrease in serum albumin level, prematurity, aging, smoking, edema, impaired circulation, and decrease in oxygenation and in tissue perfusion. The risk factor of hyperthermia was discarded. Conclusion: the content validation of these components of the nursing diagnosis corroborated the importance of the same, being able to facilitate the nurse's clinical reasoning and guiding clinical practice in the preventive care for pressure ulcers.

scholarly journals Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident

2013 ◽  
Vol 21 (spe) ◽  
pp. 250-258 ◽  
Author(s):  
Tahissa Frota Cavalcante ◽  
Thelma Leite de Araújo ◽  
Rafaella Pessoa Moreira ◽  
Nirla Gomes Guedes ◽  
Marcos Venicios de Oliveira Lopes ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Cerebrovascular Accident ◽  
Prospective Cohort ◽  
Clinical Validation ◽  
Nursing Process ◽  
Respiratory Aspiration ◽  
Cerebrovascular Accidents ◽  
Physical Mobility ◽  
Nursing Diagnosis

OBJECTIVE: the study's objective was the clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced cerebrovascular accidents (CVA). METHOD: a prospective cohort study was conducted with 24 patients hospitalized due to a CVA. The instrument used to collect the data addressed the risk factors for respiratory aspiration, validated by concept analysis and by experts. RESULTS: the most frequent risk factors for respiratory aspiration were: dysphagia (54.2%) and impaired physical mobility (41.7%). The prevalence of the nursing diagnosis Risk for Aspiration was 58.3% and the prevalence of respiratory aspiration over the span of 48 hours (monitoring period) was 37.5%. Risk factors for dysphagia and impaired physical mobility were significantly associated with respiratory aspiration. CONCLUSION: the risk factors dysphagia and impaired physical mobility are good predictors of the nursing diagnosis Risk for Aspiration. This study contributed to improving the NANDA-I Taxonomy and the systematization of the nursing process.

scholarly journals Cohort study of institutionalized elderly people: fall risk factors from the nursing diagnosis

2015 ◽  
Vol 23 (6) ◽  
pp. 1130-1138 ◽  
Author(s):  
Karine Marques Costa dos Reis ◽  
Cristine Alves Costa de Jesus
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Elderly People ◽  
Nursing Practice ◽  
Federal District ◽  
The Elderly ◽  
Intrinsic Factors ◽  
Clinical Nursing ◽  
Nursing Diagnosis ◽  
Fall Risk Factors

Objective: to determine the incidence of falls in elderly residents of long-stay institutions of the Federal District, to identify the aspects involved in the falls, in terms of risk factors, from the application of scales and the Taxonomy II of NANDA-I, and to define the level of accuracy with its sensitivity and specificity for application in the clinical nursing practice. Method: this was a cohort study with the evaluation of 271 elderly people. Cognition, functionality, mobility and other intrinsic factors were evaluated. After six months, the elderly people who fell were identified, with significance analysis then performed to define the risk factors. Results: the results showed an incidence of 41%. Of the 271 patients included, 69 suffered 111 episodes of falls during the monitoring period. Risk factors were the presence of stroke with its sequelae (OR: 1.82, 95% CI 1.01 - 3.28, p=.045), presenting more than five chronic diseases (OR: 2.82, 95% CI 1.43 - 5.56, p=.0028), foot problem (OR: 2.45, 95% CI 1.35 - 4.44, p=.0033) and motion (OR: 2.04, 95% CI 1.15 - 3.61, p=.0145). Conclusion: the taxonomy has high validity regarding the detection of elderly people at risk of falling and should be applied consistently in the clinical nursing practice.

scholarly journals Content validity of the nursing diagnosis powerlessness in women during natural childbirth

2021 ◽  
Vol 55 ◽  
Author(s):  
Fernanda Rocha Apolônio ◽  
Cleide Maria Pontes ◽  
Jaqueline Galdino Albuquerque Perrelli ◽  
Santana de Maria Alves de Sousa ◽  
Ryanne Carolynne Marques Gomes Mendes ◽  
...  
Keyword(s):  
At Risk ◽  
Content Validity ◽  
Nursing Process ◽  
Related Factors ◽  
Natural Childbirth ◽  
Nursing Diagnosis ◽  
Populations At Risk ◽  
Associated Conditions ◽  
Definition Of ◽  
Two Populations

ABSTRACT Objective: To validate the content of the nursing diagnosis powerlessness in women during natural childbirth. Method: A nursing diagnosis content validation, in which 29 experts analyzed the definition of powerlessness and assessed the relevance of related factors, populations at risk, associated conditions and defining characteristics. These elements were considered relevant when the Content Validity Index was greater than or equal to 0.9. Results: Experts considered the definition resulting from the concept analysis more appropriate for the diagnosis under study. Regarding the assessment of diagnostic elements, 10 related factors, two populations at risk, three associated conditions and 10 defining characteristics were considered relevant. Conclusion: The new definition for powerlessness and 25 elements have been validated by experts. These can support the operationalization of the Nursing Process for parturient women.

Comparison of clinical and cost effectiveness of accelerated study of sterility of intravascular catheters and drains

2021 ◽  
pp. 44-47
Author(s):  
V. G. Kormilitsyna ◽  
V. G. Zaletaeva ◽  
S. O. Sharapchenko ◽  
R. Sh. Saidgareev ◽  
M. Yu. Sinyak ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cost Effectiveness ◽  
Hospital Mortality ◽  
Human Body ◽  
External Environment ◽  
Invasive Procedure ◽  
Central Venous ◽  
Life Threatening ◽  
Associated Conditions ◽  
Intravascular Catheters

The results of a new method for detecting the contamination of intravascular catheters and drains are presented to assess its clinical and cost-effectiveness. Catheters are one of the most widely used devices in critically ill patients. The insertion of a catheter into the central venous system is an invasive procedure that can potentially lead to life-threatening complications for the patient. Catheters are a gateway for infection as they connect the external environment to the internal parts of the human body, causing catheter-associated infections. More than 15 % of patients with an established IVC develop complications, of which the most frequent and requiring removal of the vascular catheter are infectious (5–26 %) and mechanical (up to 25 %). Risk factors for catheter-associated conditions are crucial for hospital mortality.

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