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Compromised end-of-life syndrome in cancer patients: A clinical validation study. 癌症患者临终综合征:临床验证研究
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2025-01-01 Epub Date: 2024-01-31 DOI: 10.1111/2047-3095.12462
Antônia Rios Almeida, Rosimere Ferreira Santana, Marcos Venicios de Oliveira Lopes, Thalita Gomes do Carmo, Daniel Espirito Santo da Silva, Dayana Medeiros do Amaral

Purpose: To identify the prevalence of the nursing diagnosis of compromised end-of-life syndrome in patients in end-of-life care.

Methods: This is a clinical validation based on a cross-sectional epidemiological clinical study conducted at the National Cancer Institute in Rio de Janeiro, Brazil. The defining characteristics of a syndrome diagnosis were identified, defined as a "subset of nursing diagnoses," using sensitivity and specificity measures through the application of latent class statistical methods.

Findings: The statistical results revealed seven nursing diagnoses characterizing the syndrome: imbalanced nutrition: less than body requirements, nausea, anxiety, ineffective breathing pattern, disturbed sleep pattern, ineffective thermoregulation, and fatigue. Compromised end-of-life syndrome was present in 76% of the sample.

Conclusion: The study demonstrated the presence of compromised end-of-life syndrome in most end-of-life patients from the sample.

Implications for nursing practice: Recognizing the presence of the syndrome diagnosis enables nurses to have efficient and effective clinical reasoning for implementing the nursing process in palliative care. CAAE Number: 85415618.0.3001.5274.

目的:确定临终护理患者中临终损害综合征护理诊断的患病率:这是在巴西里约热内卢国家癌症研究所开展的一项横断面流行病学临床研究基础上进行的临床验证。方法:这是一项基于巴西里约热内卢国家癌症研究所开展的横断面流行病学临床研究的临床验证,通过应用潜类统计方法,使用灵敏度和特异性测量,确定了综合征诊断的定义特征,并将其定义为 "护理诊断子集":统计结果显示,七项护理诊断具有综合征的特征:营养失衡:低于身体需要量、恶心、焦虑、无效呼吸模式、睡眠模式紊乱、无效体温调节和疲劳。76%的样本存在临终综合征:研究表明,样本中的大多数临终患者都存在临终损害综合征:对护理实践的启示:认识到临终综合征诊断的存在,可使护士在实施姑息护理的护理过程中具备高效和有效的临床推理能力。CAAE编号:85415618.0.3001.5274。
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引用次数: 0
Nursing educational framework: A new nurse-driven, conceptually guided approach. 护理教育框架:以护士为主导、概念为指导的新方法。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2025-01-01 Epub Date: 2023-12-27 DOI: 10.1111/2047-3095.12459
Ana Choperena, Virginia La Rosa-Salas, Nuria Esandi-Larramendi, Mercedes P Diez-Del-Corral, Dorothy Jones

Purpose: The aim of this article is to present the Nursing Educational Framework (NEF) as an opportunity to integrate core elements of a humanistic person/family-centered view and as guidance in structuring a relationship-based curriculum.

Data sources: Empirical and theoretical literature studies were reviewed to define the framework rationale and its components.

Data synthesis: A deductive/inductive collaborative expert-informed approach was undertaken to develop this evidence-based codesigned framework. Its mission, along with unique components, implementation strategies, and outcomes, were successively integrated into the framework to guide nursing knowledge, learning, and curriculum development. A hermeneutic collaborative process of circular reflection was used in the development process.

Conclusions: The NEF contains central guiding principles and concepts that are intended to provide structural consistency across its included programs from a humanistic person/family-centered approach.

Implications for nursing practice: This comprehensive theory-guided framework allows educators to suggest specific directions for nursing practice within the nursing discipline and articulate nursing's unique and specialized approach to promoting excellent patient care outcomes. It can assist students to develop critical lens from a person/family-centered relationship-based practice approach.

目的:本文旨在介绍护理教育框架(NEF),以此为契机整合以人为本的人/家庭观的核心要素,并为构建基于关系的课程体系提供指导:数据综述:数据综合:采用演绎/归纳的专家合作方法,制定了这一以证据为基础的编码框架。其使命以及独特的组成部分、实施策略和结果被相继纳入该框架,以指导护理知识、学习和课程开发。在开发过程中采用了诠释学合作循环反思过程:NEF 包含核心指导原则和概念,旨在从以人为本/以家庭为中心的方法出发,为其包含的课程提供结构上的一致性:这一以理论为指导的综合框架使教育者能够为护理学科内的护理实践提出具体的方向,并阐明护理的独特性和专业性,以促进卓越的患者护理效果。它可以帮助学生从以人/家庭为中心、以关系为基础的实践方法中发展批判性视角。
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引用次数: 0
Implementing standardized nursing languages in Taiwan's multilingual healthcare environment: A response to Wagner et al. 在台湾多语言医疗环境中实施标准化护理语言:对 Wagner 等人的回应
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2025-01-01 Epub Date: 2024-11-23 DOI: 10.1111/2047-3095.12498
Mei-Ling Huang, Lien-Chung Wei
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引用次数: 0
Utilization and psychometric properties of Quality of documentation of Nursing Diagnoses, Interventions, and Outcomes (Q-DIO): A scoping review. 护理诊断、干预和结果(Q-DIO)文件质量的使用和心理测量学性质:一项范围综述。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-12-31 DOI: 10.1111/2047-3095.12499
Mattia Bozzetti, Claudia Fantuzzi, Dina El Lahlah, Sara Casagrande, Ilaria Marcomini, Roberta Pendoni, Maria Müller Staub

Aims: To summarize studies using the quality of diagnoses, interventions, and outcomes (Q-DIO) and to evaluate measurement properties of different Q-DIO translations/versions. This tool assesses the quality of nursing diagnoses, interventions, and outcomes documented in nursing practice.

Design: A scoping review was carried out by using the updated methodology for scoping reviews of the Joanna Briggs Institute.

Methods: The characteristics of different Q-DIO versions were summarized, and the methodological quality and measurement properties of the instrument(s) were assessed using the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) methodology.

Data sources: In May 2024, searches across five databases and sources of gray literature were performed.

Results: Out of 14,192 articles, 35 were deemed relevant, with 12 studies included in the COSMIN analysis. Based on the evaluation results, six versions of the Q-DIO were recommended for immediate use, and one was identified as pending further validation studies before having potential for recommendation.

Conclusions: This review underscores the extensive translation, adaptation, and validation of Q-DIO instruments across various languages and cultural contexts, emphasizing their global significance and effectiveness in nursing practice. These instruments demonstrate robust psychometric properties, especially in content validity and reliability.

Impact: This scoping review sheds light on the existing knowledge, application, and validity of the Q-DIO, offering suggestions for its improvement. The results could assist nurse educators, managers, and researchers in effectively using the tool.

Reporting method: This study was reported following the guidelines provided by the PRISMA-ScR.

Patient or public contribution: No patient or public contribution.

目的:总结使用诊断、干预和结果质量(Q-DIO)的研究,并评估不同Q-DIO翻译/版本的测量特性。该工具评估护理诊断、干预措施的质量,以及护理实践中记录的结果。设计:通过使用乔安娜布里格斯研究所的范围审查的更新方法进行范围审查。方法:总结不同版本Q-DIO的特点,采用基于共识的健康测量仪器选择标准(COSMIN)方法学评价仪器的方法学质量和测量特性。数据来源:在2024年5月,对五个数据库和灰色文献来源进行了搜索。结果:在14192篇文章中,35篇被认为是相关的,其中12篇研究被纳入COSMIN分析。根据评估结果,6个版本的Q-DIO被推荐立即使用,一个版本被确定为有待进一步的验证研究,然后才有可能被推荐。结论:本综述强调了Q-DIO仪器在不同语言和文化背景下的广泛翻译、改编和验证,强调了它们在护理实践中的全球意义和有效性。这些工具显示出强大的心理测量特性,特别是在内容效度和信度方面。影响:此范围审查阐明了Q-DIO的现有知识、应用和有效性,并为其改进提供了建议。研究结果可以帮助护士教育工作者、管理人员和研究人员有效地使用该工具。报告方法:本研究按照PRISMA-ScR提供的指南进行报道。患者或公众捐款:没有患者或公众捐款。
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引用次数: 0
The effects of a home visit-supported nursing education program on certain parameters in older adults living alone at home. 家访支持护理教育计划对独居老人某些参数的影响。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-12-30 DOI: 10.1111/2047-3095.12501
Zeynep Arabacı, Havva Kaçan

Background: The rapid aging of the world population is emerging as a global public health issue, and the likelihood of living alone increases with age.

Aim: This study aims to develop healthy lifestyle behaviors, reduce loneliness levels, and increase social support capacity among older adults living alone at home.

Research model: The present study was designed as a quasi-experimental study.

Method: This study included 49 older adults aged 65 and above who agreed to participate, with 26 in the experimental group and 23 in the control group. The data collection tools used were the Introductory Information Form, the healthy lifestyle behavior scale II, the UCLA loneliness scale Short Form-6, and the multidimensional scale of Perceived Social Support. The experimental group received individualized nursing education programs through weekly 60-min home visits for 8 weeks. The study followed the CONSORT flow diagram.

Results: The results indicate a statistically significant difference between the pretest and posttest scores of the experimental group in the "Friend" dimension of the Perceived Social Support Scale. However, no difference was found in the healthy lifestyle behavior scores and the loneliness scale scores.

Conclusion: It is difficult to achieve significant improvements in short periods among older adult groups. Substantial changes may not have occurred because this study included pretest and posttest measures over an 8-week period. Therefore, future studies should consider longer durations and include follow-up processes to observe more significant effects.

Implications for nursing practice: It is anticipated that there will be a successful aging process in studies supported by long-term home visits by nurses.

背景:世界人口的迅速老龄化正在成为一个全球性的公共卫生问题,独居的可能性随着年龄的增长而增加。目的:本研究旨在帮助独居老人养成健康的生活方式,降低孤独感,提高社会支持能力。研究模式:本研究为准实验研究。方法:本研究纳入49名同意参与的65岁及以上老年人,实验组26人,对照组23人。使用的数据收集工具为介绍信息表、健康生活方式行为量表II、UCLA孤独量表短表6和感知社会支持多维量表。实验组接受个性化护理教育,每周家访60分钟,为期8周。该研究遵循CONSORT流程图。结果:实验组在感知社会支持量表“朋友”维度的前测和后测得分差异有统计学意义。然而,健康生活方式行为得分和孤独量表得分没有差异。结论:老年人群在短期内难以取得显著的改善。实质性的变化可能不会发生,因为这项研究包括了8周的测试前和测试后的测量。因此,未来的研究应考虑更长的持续时间,并包括随访过程,以观察更显著的效果。对护理实践的启示:预计在护士长期家访的支持下,将有一个成功的老龄化过程研究。
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引用次数: 0
Diagnostic validation of the 00325 Inadequate Self-Compassion. 00325自我同情不足的诊断验证。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-12-28 DOI: 10.1111/2047-3095.12502
Aarón Muñoz-Devesa, Daniel Guillén-Martínez, Adriana Caterina de Souza-Oliveira, Daniel Muñoz-Jimenez, Paloma Echevarría-Pérez, Isabel Morales-Moreno

Background: Self-compassion is an essential component of self-care. Recognizing it as a nursing diagnosis can promote interventions to address Inadequate Self-Compassion.

Aim: This study aims to clinically validate the new NANDA-I diagnosis (00325) Inadequate Self-Compassion.

Methodology: A mixed-methods study was conducted, combining quantitative and qualitative methods. A descriptive, cross-sectional, and prospective study was planned.

Participants: We used the Self-Compassion Scale (SCS) to identify individuals with Inadequate Self-Compassion among nursing students. Subsequently, we conducted a group interview with these individuals, stratified by academic year of the nursing degree.

Results: The group interview followed the structure of the new NANDA-I diagnosis, with diagnostic items serving as variables for analyzing qualitative data. The study revealed that nursing students commonly experience Inadequate Self-Compassion. Group interviews with participants who reported low self-compassion validated the diagnostic items of the new Inadequate Self-Compassion diagnosis.

Conclusion: The study validates the new NANDA-I diagnosis of 00325 Inadequate Self-Compassion clinically.

Implications for nursing practice: The present study raises the level of diagnostic evidence from level 2.1. Conceptual validity to level 2.3.1a. Qualitative validity, increasing the strength of the evidence for diagnostic validity.

背景:自我同情是自我照顾的重要组成部分。认识到这是一种护理诊断,可以促进干预,以解决自我同情不足。目的:本研究旨在临床验证新NANDA-I诊断(00325)自我同情不足。方法学:采用定量与定性相结合的混合方法研究。计划进行描述性、横断面和前瞻性研究。研究对象:采用自我同情量表(SCS)对护理学生中自我同情不足的个体进行识别。随后,我们对这些人进行了分组访谈,按护理学位的学年进行分层。结果:小组访谈采用新NANDA-I诊断结构,以诊断项作为定性数据分析变量。研究表明,护理专业的学生普遍缺乏自我同情。与自我同情程度低的参与者进行的小组访谈证实了新的自我同情不足诊断的诊断项目。结论:本研究对00325自我同情不足的新NANDA-I诊断进行了临床验证。对护理实践的启示:本研究将诊断证据的水平从2.1级提高。概念效度达到2.3.1a级。定性效度,增加诊断效度证据的强度。
{"title":"Diagnostic validation of the 00325 Inadequate Self-Compassion.","authors":"Aarón Muñoz-Devesa, Daniel Guillén-Martínez, Adriana Caterina de Souza-Oliveira, Daniel Muñoz-Jimenez, Paloma Echevarría-Pérez, Isabel Morales-Moreno","doi":"10.1111/2047-3095.12502","DOIUrl":"https://doi.org/10.1111/2047-3095.12502","url":null,"abstract":"<p><strong>Background: </strong>Self-compassion is an essential component of self-care. Recognizing it as a nursing diagnosis can promote interventions to address Inadequate Self-Compassion.</p><p><strong>Aim: </strong>This study aims to clinically validate the new NANDA-I diagnosis (00325) Inadequate Self-Compassion.</p><p><strong>Methodology: </strong>A mixed-methods study was conducted, combining quantitative and qualitative methods. A descriptive, cross-sectional, and prospective study was planned.</p><p><strong>Participants: </strong>We used the Self-Compassion Scale (SCS) to identify individuals with Inadequate Self-Compassion among nursing students. Subsequently, we conducted a group interview with these individuals, stratified by academic year of the nursing degree.</p><p><strong>Results: </strong>The group interview followed the structure of the new NANDA-I diagnosis, with diagnostic items serving as variables for analyzing qualitative data. The study revealed that nursing students commonly experience Inadequate Self-Compassion. Group interviews with participants who reported low self-compassion validated the diagnostic items of the new Inadequate Self-Compassion diagnosis.</p><p><strong>Conclusion: </strong>The study validates the new NANDA-I diagnosis of 00325 Inadequate Self-Compassion clinically.</p><p><strong>Implications for nursing practice: </strong>The present study raises the level of diagnostic evidence from level 2.1. Conceptual validity to level 2.3.1a. Qualitative validity, increasing the strength of the evidence for diagnostic validity.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Content validation of the nursing diagnosis "Frail Elderly Syndrome (00257)". 《老年体弱综合征(00257)》护理诊断内容验证。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-12-28 DOI: 10.1111/2047-3095.12505
Elena Rodado-Domínguez, Edinson Fabian Ardila-Suarez, Ana María Porcel-Gálvez

Objective: To increase the level of evidence available for the nursing diagnosis "Frail Elderly Syndrome 000257" through content validation by nurses with expertise in caring for the elderly.

Method: Diagnostic content validation study in accordance with Fehring's proposal composed of two stages: integrative review of the literature according to Whittemore and Knafl's guidelines, which allowed us to update the diagnostic components, and, subsequently, expert consensus study by means of the Delphi method. A total of 61 nurses who met the inclusion criteria were included. A Likert-type questionnaire was used to identify levels of agreement with the respective components. Data distribution analysis was performed. Components >0.80 on the content validity index (CVI) were validated.

Results: Twelve defining characteristics, 10 related factors, 6 risk populations, and 2 associated conditions were validated by experts. Global CVI was determined for clinical indicators.

Conclusion: The components of the nursing diagnosis validated by experts in caring for the elderly provide an overview of the phenomenon of frailty in the elderly in hospital settings.

Implication for clinical practice: This study will provide nurses responsible for elderly care with the necessary tools to FES, enabling them guide and appropriate interventions to prevent complications, minimize risk, enhance the quality of life for older.

Descriptors: Syndrome; frailty; elderly; nursing, validation study; nursing diagnosis.

目的:通过老年护理专业护士的内容验证,提高护理诊断“体弱老年综合征000257”的证据水平。方法:根据Fehring的建议进行诊断内容验证研究,包括两个阶段:根据Whittemore和Knafl的指南对文献进行综合回顾,使我们能够更新诊断成分,随后通过德尔菲法进行专家共识研究。符合纳入标准的护士共61名。李克特式问卷用于确定与各自组成部分的同意程度。进行数据分布分析。对内容效度指数(CVI)的>0.80分量进行验证。结果:12个定义特征、10个相关因素、6个危险人群和2个相关条件经专家验证。确定临床指标的总体CVI。结论:护理诊断的组成部分在照顾老年人的专家验证提供了老年人在医院设置的虚弱现象的概述。对临床实践的启示:本研究将为负责老年护理的护士提供必要的FES工具,使他们能够指导和适当的干预措施,以预防并发症,降低风险,提高老年人的生活质量。描述符:综合症;脆弱;老年人;护理,验证性研究;护理诊断。
{"title":"Content validation of the nursing diagnosis \"Frail Elderly Syndrome (00257)\".","authors":"Elena Rodado-Domínguez, Edinson Fabian Ardila-Suarez, Ana María Porcel-Gálvez","doi":"10.1111/2047-3095.12505","DOIUrl":"https://doi.org/10.1111/2047-3095.12505","url":null,"abstract":"<p><strong>Objective: </strong>To increase the level of evidence available for the nursing diagnosis \"Frail Elderly Syndrome 000257\" through content validation by nurses with expertise in caring for the elderly.</p><p><strong>Method: </strong>Diagnostic content validation study in accordance with Fehring's proposal composed of two stages: integrative review of the literature according to Whittemore and Knafl's guidelines, which allowed us to update the diagnostic components, and, subsequently, expert consensus study by means of the Delphi method. A total of 61 nurses who met the inclusion criteria were included. A Likert-type questionnaire was used to identify levels of agreement with the respective components. Data distribution analysis was performed. Components >0.80 on the content validity index (CVI) were validated.</p><p><strong>Results: </strong>Twelve defining characteristics, 10 related factors, 6 risk populations, and 2 associated conditions were validated by experts. Global CVI was determined for clinical indicators.</p><p><strong>Conclusion: </strong>The components of the nursing diagnosis validated by experts in caring for the elderly provide an overview of the phenomenon of frailty in the elderly in hospital settings.</p><p><strong>Implication for clinical practice: </strong>This study will provide nurses responsible for elderly care with the necessary tools to FES, enabling them guide and appropriate interventions to prevent complications, minimize risk, enhance the quality of life for older.</p><p><strong>Descriptors: </strong>Syndrome; frailty; elderly; nursing, validation study; nursing diagnosis.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychometric properties of the revised quality of nursing diagnosis, interventions, and outcomes instrument: A validation study. 修订后护理诊断、干预和结果工具质量的心理测量特性:一项验证研究。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-12-26 DOI: 10.1111/2047-3095.12504
Mattia Bozzetti, Ilaria Marcomini, Maddalena Parma, Elisa Dordoni, Elisa Magna, Maria Müller Staub, Roberta Pendoni

Aim: The aim of this study was to evaluate the psychometric properties of the revised quality of nursing diagnosis, interventions, and outcomes (Q-DIO R) instrument, designed to measure the quality of nursing documentation, in an Italian healthcare setting.

Methods: The study followed a multi-phase validation process that included translation and cultural adaptation of the tool, expert evaluations to assess content and face validity, and a cross-sectional study to test reliability. Data were collected from nursing documentation in two hospitals in northern Italy, with 389 patient plans analyzed.

Results: The Q-DIO R demonstrated strong content validity, with experts agreeing on the importance of all items. The tool showed high reliability in assessing the quality of nursing diagnosis, interventions, and outcomes. Regression analyses between these components revealed that accurate nursing diagnoses were associated with improved care interventions and patient outcomes.

Conclusion: The revised Q-DIO R proved to be a valid and reliable tool for assessing the quality of nursing documentation in Italy. Its use can help improve nursing practices by supporting more accurate diagnosis and better care planning, ultimately leading to enhanced patient outcomes. Further research is recommended to explore other factors that may influence the quality of nursing care planning.

目的:本研究的目的是评估在意大利医疗保健机构中设计用于测量护理文件质量的护理诊断、干预和结果质量(Q-DIO R)仪器的心理测量学特性。方法:研究遵循多阶段验证过程,包括工具的翻译和文化适应,评估内容和面部效度的专家评估,以及测试信度的横断面研究。数据收集自意大利北部两家医院的护理文件,分析了389名患者的计划。结果:Q-DIO R表现出很强的内容效度,专家们对所有项目的重要性都持一致意见。该工具在评估护理诊断、干预措施和结果的质量方面显示出高可靠性。这些成分之间的回归分析显示,准确的护理诊断与改善护理干预和患者预后有关。结论:修订后的Q-DIO R被证明是评估意大利护理文件质量的有效和可靠的工具。它的使用可以通过支持更准确的诊断和更好的护理计划来帮助改进护理实践,最终提高患者的治疗效果。建议进一步研究可能影响护理计划质量的其他因素。
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引用次数: 0
Clinical validation of the excessive sedentary behavior nursing diagnosis in university students. 大学生过度久坐行为护理诊断的临床验证。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-12-26 DOI: 10.1111/2047-3095.12500
Renata M Fernandes, Ana C C Carino, Juliane R Dantas, Maria I C D Fernandes, Marcos Venícios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira

Purpose: To evaluate the accuracy of clinical indicators and etiological factors associated with the nursing diagnosis of excessive sedentary behavior among university students.

Method: This study employed a cross-sectional diagnostic accuracy design. The sample comprised 108 students from a Brazilian public university. Fisher's exact and chi-square tests were utilized to determine associations. A latent class analysis model was applied to assess the sensitivity and specificity of clinical indicators and the prevalence of the diagnosis. The odds ratio for etiological factors was calculated using univariate logistic regression. The research ethics committee of the responsible institution approved the study.

Results: The prevalence of the nursing diagnosis excessive sedentary behavior among university students was 16.3%. The sensitive clinical indicators identified were 'inadequate sleep quality' (0.9999), while the specific indicators included 'lack of physical fitness' (0.9998) and 'cardiovascular alterations' (0.9557). The etiological factor 'physical activity in frequency, intensity and duration lower than recommended' was associated with the diagnosis. Additionally, statistical associations were found between the diagnosis and the following variables: body composition, muscle capacity, flexibility, scores from the International Physical Activity Questionnaire (with emphasis on the days of the week of vigorous physical activity), minutes per week of vigorous activity, days of the week of walking, hours of sleep per night, and average sleep quality.

Conclusion: There is evidence of construct validity for the nursing diagnosis excessive sedentary behavior in university students, supported by one sensitive clinical indicator and two specific indicators.

Implications for nursing practice: Increased knowledge of the nursing diagnosis Excessive sedentary behavior in university students can enhance clinical reasoning among nurses and contribute to the elevation of evidence levels and the continuous improvement of the NANDA-I taxonomy.

目的:评价大学生过度久坐行为护理诊断的临床指标及相关病因的准确性。方法:本研究采用横断面诊断准确性设计。样本包括来自巴西一所公立大学的108名学生。使用Fisher精确检验和卡方检验来确定相关性。应用潜在分类分析模型评估临床指标的敏感性和特异性以及诊断的患病率。病因因素的优势比采用单变量logistic回归计算。负责机构的研究伦理委员会批准了这项研究。结果:护理诊断的大学生过度久坐行为患病率为16.3%。确定的敏感临床指标是“睡眠质量不足”(0.9999),而具体指标包括“缺乏身体素质”(0.9998)和“心血管改变”(0.9557)。病因因素“体力活动频率、强度和持续时间低于推荐值”与诊断有关。此外,还发现诊断与以下变量之间存在统计学关联:身体组成、肌肉容量、柔韧性、国际体育活动问卷得分(强调每周进行剧烈体育活动的天数)、每周剧烈活动的分钟数、每周步行的天数、每晚睡眠时间和平均睡眠质量。结论:1个临床敏感指标和2个特异性指标支持大学生过度久坐行为护理诊断的结构效度。大学生过度久坐行为可以提高护士的临床推理能力,有助于证据水平的提高和NANDA-I分类的不断完善。
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引用次数: 0
"Ineffective breastfeeding (00104)" and "Readiness for enhanced breastfeeding (00106)": Clinical validation. "无效母乳喂养(00104)"和 "准备加强母乳喂养(00106)":临床验证。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-11-19 DOI: 10.1111/2047-3095.12496
Natália Aparecida de Godoy, Suellen Cristina Dias Emidio, Dorothy A Jones, Elenice Valentim Carmona

Purpose: To clinically validate the NANDA International (NANDA-I), nursing diagnoses (ND) of "Ineffective breastfeeding (00104)" and "Readiness for enhanced breastfeeding (00106)" in postpartum women and their infants, and to determine the sensitivity, specificity, and predictive value of their elements.

Methods: Cross-sectional study was conducted from June 2023 to April 2024. Recruitment happened at a public teaching hospital, approaching dyads from the neonatology outpatient clinic and the rooming-in. The researcher applied the tool, assessed the dyad and medical records. Statistical analysis was based on accuracy measures and inferential statistics. The study was approved by the Ethics Committee.

Findings: The sample comprised 205 Brazilian dyads: 57 (27.80%) presented "Ineffective breastfeeding (00104)," whereas 203 (99.02%) presented the "Readiness for enhanced breastfeeding (00106)." "Unsustained sucking on the breast" was the most sensitive defining characteristic (DC) for the "Ineffective breastfeeding (00104)." All the DCs of "Readiness for enhanced breastfeeding (00106)" showed relevant sensitivity.

Conclusions: Findings validated the presence of NANDA-I ND "Ineffective breastfeeding (00104)" and "Readiness for enhanced breastfeeding (00106)" in a sample of dyads, demonstrating accuracy in such population.

Implications for nursing practice: This is an essential step to raise the level of evidence of the studied ND from NANDA-I terminology. Furthermore, this study has potential to contribute to improving nurse's clinical reasoning on breastfeeding, as well as to highlight that women can present simultaneously the two diagnoses, so naming them is useful to identify mothers more likely to breastfeed and those who will need more differentiated interventions.

目的:在产后妇女及其婴儿中临床验证 NANDA 国际(NANDA-I)的护理诊断(ND)"无效母乳喂养(00104)"和 "准备加强母乳喂养(00106)",并确定其敏感性、特异性和预测价值:横断面研究于 2023 年 6 月至 2024 年 4 月进行。研究人员在一家公立教学医院进行了招募,从新生儿科门诊和住院病房中招募研究对象。研究人员使用该工具,对二人组和医疗记录进行评估。统计分析基于准确性测量和推理统计。该研究获得了伦理委员会的批准:样本包括 205 个巴西夫妇:57对(占27.80%)显示 "母乳喂养效果不佳(00104)",而203对(占99.02%)显示 "已做好加强母乳喂养的准备(00106)"。"持续吸吮乳房 "是 "无效母乳喂养(00104)"最敏感的定义特征(DC)。所有 "准备加强母乳喂养(00106)"的定义特征都显示出相关的敏感性:结论:研究结果验证了 NANDA-I ND "无效母乳喂养(00104)"和 "加强母乳喂养的准备(00106)"在双亲样本中的存在,证明了其在此类人群中的准确性:这是将所研究的 ND 从 NANDA-I 术语提升到证据级别的重要一步。此外,这项研究有可能有助于提高护士在母乳喂养方面的临床推理能力,并强调妇女可能同时出现这两种诊断,因此命名这两种诊断有助于识别更有可能进行母乳喂养的母亲和需要更有区别的干预措施的母亲。
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引用次数: 0
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International Journal of Nursing Knowledge
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