International Journal of Nursing Knowledge最新文献

Purpose: This study aimed to establish the content validity of the proposed nursing diagnosis (ND) "Adult Disuse Syndrome" and all its components.

Method: This is an exploratory descriptive study of diagnostic content validation under Fehring's proposal. Forty three expert nurses with clinical, teaching, and research experience analyzed the components of the diagnosis. The representativeness and relevance of the components of the diagnosis under study were evaluated through a Likert-type questionnaire. Data distribution analysis was carried out, and the components were validated if their content validity index (CVI) was over 0.80. The overall CVI was obtained for the clinical indicators.

Findings: A total of 12 defining characteristics (DCs) were validated, 3 etiological factors were highly related, 6 risk populations were confirmed, and 11 conditions were considered associated. Most validated DCs refer to the physical dimension, but those focusing on the psychological and social dimensions were also validated. The etiological factors were related to the effects of immobility. The risk populations were validated in different contexts or situations, and associated conditions were mainly oriented toward chronic conditions.

Conclusions: This study validated the content of the elements of the proposed ND "Adult Disuse Syndrome." These were considered relevant and appropriate by both academic and clinical experts.

Implications for nursing practice: The content validation by experts of the components of the ND "Adult Disuse Syndrome" provides nurses with a tool for the identification of the phenomenon that exceeds the risk and occurs frequently in patients exposed to the effects of immobility. At the same time, it will guide the results pursued in the care plan and the application of the respective nursing and interdisciplinary interventions that favor the reduction of the complications derived from disuse.

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.

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.

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.

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.

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.

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.

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.

Purpose: To evaluate the accuracy of clinical indicators and etiological factors associated with the nursing diagnosis of ineffective overweight self-management among university students.

Method: A diagnostic accuracy study with a cross-sectional design was conducted with 108 university students. A latent class analysis model with random effects was used to establish sensitivity and specificity measures of clinical indicators, estimate the prevalence of the diagnosis, and calculate posterior probabilities for the diagnosis. Odds ratios for etiological factors were calculated using univariate logistic regression. The study was approved by the Research Ethics Committee of the responsible institution.

Results: The nursing diagnosis of ineffective overweight self-management had an estimated prevalence of 38.1% in the sample. Sensitive clinical indicators included excessive calorie consumption (0.9514) and dissatisfaction with body image (0.8834). Specific indicators included negative self-perception of health (0.9999), inadequate eating behavior (0.9990), and impaired emotional health (0.8273). A personal history of overweight (OR = 2.78; p-value = 0.018) increased the likelihood of developing ineffective overweight self-management by approximately two and a half times.

Conclusion: Ineffective overweight self-management is prevalent among university students and is characterized by two sensitive clinical indicators, three specific indicators, and a population at risk that increases the likelihood of this diagnosis.

Implications for nursing practice: Accurate clinical indicators and the identification of etiological factors for the diagnosis of ineffective overweight self-management support nurses' clinical reasoning in practice. Moreover, verifying accurate components for diagnosing ineffective overweight self-management contributes to the development of interventions aimed at promoting the health of university students.