To identify characteristics associated with an intention to complete advance directives (ADs) and end-of-life treatment preferences for outpatients with heart failure (HF).
Methods
A cross-sectional, analytical study. Sociodemographic and clinical data were collected from 108 patients with HF in an outpatient clinic in São Paulo, SP, Brazil. Quality of life (QoL) was assessed using the Minnesota Living with Heart Failure Questionnaire; knowledge about HF and the intention to complete ADs were assessed using a script. The relationships among variables were assessed through the chi-square and Mann–Whitney tests, with p < 0.05 considered significant.
Results
The intention to complete ADs was significantly associated with reporting adherence to pharmacological recommendations (99% vs. 88.1%, p = 0.02), worse QoL (29.7 ± 18.2 vs. 20.9 ± 11.0; p = 0.0336), perceived knowledge about HF (89.7% vs. 63.6%, p = 0.0495), not wishing the healthcare providers would decide about treatment (27.3% vs. 2.15, p = 0.0026), and considering ADs useful (91.8% vs. 27.3%, p < 0.001). End-of-life treatment preferences included living as long as possible (50.5%), not being sedated (37.1%), and staying close to family and friends for as long as possible (32.0%).
Conclusions
Characteristics associated with an intention to complete ADs and end-of-life treatment preferences were identified in patients with HF.
Implications for nursing practice
These results can help facilitate patients’ completion of their ADs or activate their intention to maximize opportunities to exercise autonomy.
目的确定与心力衰竭（HF）门诊患者填写预先医疗指示（AD）意向和临终治疗偏好相关的特征：方法：横断面分析研究。方法：这是一项横断面分析研究，收集了巴西圣保罗市一家门诊部 108 名心力衰竭患者的社会人口学和临床数据。生活质量（QoL）通过明尼苏达心力衰竭患者生活问卷进行评估；高血压知识和完成 AD 的意愿通过脚本进行评估。变量之间的关系通过卡方检验和曼-惠特尼检验（P）进行评估：完成 ADs 的意向与药物治疗建议的报告依从性（99% vs. 88.1%，p = 0.02）、更差的 QoL（29.7 ± 18.2 vs. 20.9 ± 11.0；p = 0.0336）、对心房颤动的认知程度（89.7% vs. 63.6%，p = 0.0495）、不希望由医疗服务提供者决定治疗（27.3% vs. 2.15，p = 0.0026）、认为 ADs 有用（91.8% vs. 27.3%，p 结论：在高血压患者中发现了与有意填写 ADs 和临终治疗偏好相关的特征：这些结果有助于促进患者完成临终意向书或激活他们的意向，以最大限度地增加行使自主权的机会。
{"title":"Characteristics associated with the intention to complete advance directives and end-of-life preferences in Brazilians with heart failure","authors":"Beatriz Murata Murakami PhD, MsC, BSN, Vitor Latorre Souza MSc(c), BSN, Evelise Helena Fadini Reis Brunori PhD, BSN, Eduarda Ribeiro Dos Santos PhD, MSc, BSN, Camila Takáo Lopes PhD, BSN, FNI","doi":"10.1111/2047-3095.12474","DOIUrl":"10.1111/2047-3095.12474","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify characteristics associated with an intention to complete advance directives (ADs) and end-of-life treatment preferences for outpatients with heart failure (HF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional, analytical study. Sociodemographic and clinical data were collected from 108 patients with HF in an outpatient clinic in São Paulo, SP, Brazil. Quality of life (QoL) was assessed using the Minnesota Living with Heart Failure Questionnaire; knowledge about HF and the intention to complete ADs were assessed using a script. The relationships among variables were assessed through the chi-square and Mann–Whitney tests, with <i>p</i> < 0.05 considered significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intention to complete ADs was significantly associated with reporting adherence to pharmacological recommendations (99% vs. 88.1%, <i>p</i> = 0.02), worse QoL (29.7 ± 18.2 vs. 20.9 ± 11.0; <i>p</i> = 0.0336), perceived knowledge about HF (89.7% vs. 63.6%, <i>p</i> = 0.0495), not wishing the healthcare providers would decide about treatment (27.3% vs. 2.15, <i>p</i> = 0.0026), and considering ADs useful (91.8% vs. 27.3%, <i>p</i> < 0.001). End-of-life treatment preferences included living as long as possible (50.5%), not being sedated (37.1%), and staying close to family and friends for as long as possible (32.0%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Characteristics associated with an intention to complete ADs and end-of-life treatment preferences were identified in patients with HF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>These results can help facilitate patients’ completion of their ADs or activate their intention to maximize opportunities to exercise autonomy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 2","pages":"209-218"},"PeriodicalIF":1.4,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158021","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}
Despite highly effective asthma treatments, the prevalence of asthma is increasing in children and adolescents. Despite easy access to asthma control, sufficient control and management are not achieved. Asthma management is crucial to prevent the development of asthma symptoms and attacks, reduce repeated hospitalizations, and prevent a decrease in the quality of life for both the child and caregivers. This case study aims to increase the utilization of theories, models, and classification systems by evaluating a child diagnosed with asthma for 6 years and their caregivers based on Pender's health promotion model (PHPM). Furthermore, the study aims to establish a connection with NANDA, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC), thereby formulating a nursing care plan.
Methods
This case study evaluated a child diagnosed with asthma for 6 years and their caregivers based on PHPM. A nursing care plan was developed by establishing connections with NANDA, NIC, and NOC and based on Pender's health promotion.
Findings
By establishing connections with NANDA, NIC, and NOC, a nursing care plan of a total of six included nursing diagnoses has been created as five based on the PHPM.
Conclusion
The care plan implemented improved S.B.K.’s clinical condition. Furthermore, the mother's social support increased, and her confidence in managing asthma improved. As a result of implementing the model, the mother reached the potential to develop healthy behaviors for S.B.K. and make future-oriented plans.
Implications for nursing practice
It is recommended that NANDA-I, NIC, and NOC, along with PHPM, be used in clinical nursing care and scientific research to enhance the presentation of quality care and the individual's future health potential.
{"title":"Evaluation of child with asthma and her caregivers based on the Pender health promotion model, and linkages of NANDA, NIC–NOC: A case presentation","authors":"Müge Seval PhD, Tülay Kuzlu Ayyildiz PhD, Emine Uzuntarla Güney PhD","doi":"10.1111/2047-3095.12472","DOIUrl":"10.1111/2047-3095.12472","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Despite highly effective asthma treatments, the prevalence of asthma is increasing in children and adolescents. Despite easy access to asthma control, sufficient control and management are not achieved. Asthma management is crucial to prevent the development of asthma symptoms and attacks, reduce repeated hospitalizations, and prevent a decrease in the quality of life for both the child and caregivers. This case study aims to increase the utilization of theories, models, and classification systems by evaluating a child diagnosed with asthma for 6 years and their caregivers based on Pender's health promotion model (PHPM). Furthermore, the study aims to establish a connection with NANDA, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC), thereby formulating a nursing care plan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This case study evaluated a child diagnosed with asthma for 6 years and their caregivers based on PHPM. A nursing care plan was developed by establishing connections with NANDA, NIC, and NOC and based on Pender's health promotion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>By establishing connections with NANDA, NIC, and NOC, a nursing care plan of a total of six included nursing diagnoses has been created as five based on the PHPM.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The care plan implemented improved S.B.K.’s clinical condition. Furthermore, the mother's social support increased, and her confidence in managing asthma improved. As a result of implementing the model, the mother reached the potential to develop healthy behaviors for S.B.K. and make future-oriented plans.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>It is recommended that NANDA-I, NIC, and NOC, along with PHPM, be used in clinical nursing care and scientific research to enhance the presentation of quality care and the individual's future health potential.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 2","pages":"169-182"},"PeriodicalIF":1.4,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158117","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}
Lídia R. Oliveira MSc, RN, Josemberg P. Amaro Undergraduate Nursing, Rafaella P. Moreira PhD, MSc, RN, Rafael O. P. Lopes PhD, MSc, RN, Camila T. Lopes PhD, MSc, RN, José E. S. M. Ferreira MSc, RN, Tahissa F. Cavalcante PhD, MSc, RN
Objective
To assess clinical–causal validity evidence of the nursing diagnosis, risk for unstable blood glucose level (00179), in individuals with type 2 diabetes mellitus.
Methods
A case–control study was conducted in 5 primary healthcare units, involving 107 subjects with type 2 diabetes mellitus, 60 in the case group and 47 in the control group. Causality was determined by the association between sociodemographic and clinical factors, risk factors related to the nursing diagnosis, and the occurrence of unstable blood glucose level. An association was considered when the risk factor had a p-value of <0.05 and odds ratio >1.
Results
Risk factors, such as stress, inadequate physical activity, and low adherence to therapeutic regimen, were prevalent in the sample. Time since diagnosis between 1–5 and 6–10 years, multiracial ethnicity, and the risk factor of low adherence to therapeutic regimen increased the likelihood of the outcome. Completion of high school education was identified as a protective factor.
Conclusions
The clinical validation of the nursing diagnosis, risk for unstable blood glucose level, has been successfully established, revealing a clear association between sociodemographic and clinical factors and the risk factors inherent to the nursing diagnosis.
Implications for nursing practice
The results contribute to advancing scientific knowledge related to nursing education, research, and practice and provide support for the evolution of nursing care processes for individuals with type 2 diabetes mellitus.
{"title":"Clinical validity of the nursing diagnosis risk for unstable blood glucose level in persons with type 2 diabetes mellitus: A case–control study","authors":"Lídia R. Oliveira MSc, RN, Josemberg P. Amaro Undergraduate Nursing, Rafaella P. Moreira PhD, MSc, RN, Rafael O. P. Lopes PhD, MSc, RN, Camila T. Lopes PhD, MSc, RN, José E. S. M. Ferreira MSc, RN, Tahissa F. Cavalcante PhD, MSc, RN","doi":"10.1111/2047-3095.12475","DOIUrl":"10.1111/2047-3095.12475","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess clinical–causal validity evidence of the nursing diagnosis, risk for unstable blood glucose level (00179), in individuals with type 2 diabetes mellitus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A case–control study was conducted in 5 primary healthcare units, involving 107 subjects with type 2 diabetes mellitus, 60 in the case group and 47 in the control group. Causality was determined by the association between sociodemographic and clinical factors, risk factors related to the nursing diagnosis, and the occurrence of unstable blood glucose level. An association was considered when the risk factor had a <i>p</i>-value of <0.05 and odds ratio >1.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Risk factors, such as stress, inadequate physical activity, and low adherence to therapeutic regimen, were prevalent in the sample. Time since diagnosis between 1–5 and 6–10 years, multiracial ethnicity, and the risk factor of low adherence to therapeutic regimen increased the likelihood of the outcome. Completion of high school education was identified as a protective factor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The clinical validation of the nursing diagnosis, risk for unstable blood glucose level, has been successfully established, revealing a clear association between sociodemographic and clinical factors and the risk factors inherent to the nursing diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>The results contribute to advancing scientific knowledge related to nursing education, research, and practice and provide support for the evolution of nursing care processes for individuals with type 2 diabetes mellitus.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 2","pages":"219-228"},"PeriodicalIF":1.4,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157975","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}
This study aims to conduct a thorough analysis of the concept of insufficient health literacy (IHL) in older adults and to refine a nursing diagnosis proposal while considering the specific characteristics of this demographic.
Methods
A comprehensive concept analysis was undertaken using Walker & Avant's method as a framework.
Findings
A systematic search across seventeen databases yielded 29 relevant studies for inclusion. Through analysis, we identified 15 antecedents, 3 attributes, and 7 consequents associated with IHL in older adults.
Conclusions
The concept analysis brought clarity to the understanding of IHL within older adults, facilitating the refinement of a diagnosis proposal. This process was instrumental in establishing a diagnostic structure that accounts for the unique needs and challenges faced by older adults.
Implications for nursing practice
The structured diagnosis derived from the concept analysis provides a solid theoretical foundation for nurses specializing in Gerontology. By tailoring care interventions to address the specific requirements of older adults, this framework enhances the quality of nursing practice and contributes to improved patient outcomes in geriatric care settings.
{"title":"Concept analysis of “Insufficient health literacy” in older adults and refinement of a diagnosis proposal","authors":"Rachel da Silva Serejo Cardoso PhD, MSc, RN, Rosimere Ferreira Santana PhD, MSc, RN, Tallita Mello Delphino PhD, MSc, RN, Marcos Antônio Gomes Brandão PhD, MSc, RN, Priscilla Alfradique de Souza PhD, MSc, RN, Camila Takáo Lopes PhD, MSc, BSN, FNI","doi":"10.1111/2047-3095.12469","DOIUrl":"10.1111/2047-3095.12469","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aims to conduct a thorough analysis of the concept of insufficient health literacy (IHL) in older adults and to refine a nursing diagnosis proposal while considering the specific characteristics of this demographic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive concept analysis was undertaken using Walker & Avant's method as a framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>A systematic search across seventeen databases yielded 29 relevant studies for inclusion. Through analysis, we identified 15 antecedents, 3 attributes, and 7 consequents associated with IHL in older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The concept analysis brought clarity to the understanding of IHL within older adults, facilitating the refinement of a diagnosis proposal. This process was instrumental in establishing a diagnostic structure that accounts for the unique needs and challenges faced by older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>The structured diagnosis derived from the concept analysis provides a solid theoretical foundation for nurses specializing in Gerontology. By tailoring care interventions to address the specific requirements of older adults, this framework enhances the quality of nursing practice and contributes to improved patient outcomes in geriatric care settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 2","pages":"136-146"},"PeriodicalIF":1.4,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089113","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}
Nurses’ clinical reasoning skills regarding impaired swallowing can help prevent patient complications and maintain quality of life. Clinical reasoning skills need content-validated defining characteristics (DCs). We aimed to validate the content of these DCs for nursing diagnosis “impaired swallowing.”
Methods
Content validation of the DCs was performed by 275 dysphagia nursing experts in Japan, using 3 rounds of the Delphi technique and Fehring's Diagnostic Content Validation (DCV) model. Three rounds of questionnaires on 84 DCs were completed via printed mail.
Findings
The valid response rates for each round were as follows: round 1, 90.2%; round 2, 77.8%; and round 3, 71.3%. Of the 84 DCs, 77 that met the consensus criteria were categorized as major (n = 18), minor (n = 45), and excluded (n = 14). There were four minor DCs other than the oral, pharyngeal, and esophageal phases. DCs listed from outside NANDA-I included 12 major, 16 minor, and 3 excluded characteristics. Of the NANDA-I DCs, 5 were no consensus and 11 were excluded. The total DCV score for the 63 major and minor DCs was 0.8.
Conclusions
Our results recommend the addition of 28 DCs and the exclusion of 11 for the NANDA-I nursing diagnosis “impaired swallowing” (00103). Major DCs were prominent indicators of impaired swallowing and signs of aspiration or pharyngeal residuals. Minor DCs included not only the three phases but also other signs necessary for a comprehensive understanding of impaired swallowing.
Implications for nursing practice
This validation study strengthens the clinical usefulness of the DCs for impaired swallowing, which can improve nurses’ clinical reasoning skills. Major and minor DCs can increase the awareness of impaired swallowing and enable accurate intervention, thereby preventing patient complications and maintaining quality of life.
目的：护士在吞咽功能受损方面的临床推理技能有助于预防患者的并发症并保持生活质量。临床推理技能需要经过内容验证的定义特征（DCs）。我们旨在验证护理诊断 "吞咽功能受损 "的定义特征的内容：日本的 275 名吞咽困难护理专家采用德尔菲技术和 Fehring 诊断内容验证（DCV）模型，对 DCs 的内容进行了三轮验证。通过印刷邮件完成了对 84 个 DC 的三轮问卷调查：每轮问卷的有效回复率如下：第一轮，90.2%；第二轮，77.8%；第三轮，71.3%。在 84 个区议会中，符合共识标准的 77 个区议会被分为主要区议会（18 个）、次要区议会（45 个）和排除区议会（14 个）。除口腔、咽部和食道阶段外，还有 4 个轻微 DC。NANDA-I 以外的 DC 包括 12 个主要 DC、16 个次要 DC 和 3 个排除 DC。在 NANDA-I DC 中，5 个未达成共识，11 个被排除在外。63 个主要和次要 DC 的 DCV 总分为 0.8：我们的结果建议在 NANDA-I 护理诊断 "吞咽功能受损"（00103）中增加 28 个 DCs，排除 11 个 DCs。主要 DC 是吞咽功能受损的显著指标，以及吸入或咽部残留物的迹象。次要DC不仅包括这三个阶段，还包括全面了解吞咽功能受损所需的其他体征：这项验证研究加强了吞咽障碍 DCs 的临床实用性，可提高护士的临床推理能力。主要和次要的吞咽功能障碍指标可提高对吞咽功能障碍的认识，从而进行准确的干预，防止患者出现并发症，维持患者的生活质量。
{"title":"Content validation of the defining characteristics of the nursing diagnosis “impaired swallowing” using the Delphi technique: A study with dysphagia nursing experts in Japan","authors":"Kazuyoshi Nishizawa MHS, RN, Ikumi Honda PhD, RN, MW, Tomoko Doi PhD, RN","doi":"10.1111/2047-3095.12471","DOIUrl":"10.1111/2047-3095.12471","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Nurses’ clinical reasoning skills regarding impaired swallowing can help prevent patient complications and maintain quality of life. Clinical reasoning skills need content-validated defining characteristics (DCs). We aimed to validate the content of these DCs for nursing diagnosis “impaired swallowing.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Content validation of the DCs was performed by 275 dysphagia nursing experts in Japan, using 3 rounds of the Delphi technique and Fehring's Diagnostic Content Validation (DCV) model. Three rounds of questionnaires on 84 DCs were completed via printed mail.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The valid response rates for each round were as follows: round 1, 90.2%; round 2, 77.8%; and round 3, 71.3%. Of the 84 DCs, 77 that met the consensus criteria were categorized as major (<i>n</i> = 18), minor (<i>n</i> = 45), and excluded (<i>n</i> = 14). There were four minor DCs other than the oral, pharyngeal, and esophageal phases. DCs listed from outside NANDA-I included 12 major, 16 minor, and 3 excluded characteristics. Of the NANDA-I DCs, 5 were no consensus and 11 were excluded. The total DCV score for the 63 major and minor DCs was 0.8.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our results recommend the addition of 28 DCs and the exclusion of 11 for the NANDA-I nursing diagnosis “impaired swallowing” (00103). Major DCs were prominent indicators of impaired swallowing and signs of aspiration or pharyngeal residuals. Minor DCs included not only the three phases but also other signs necessary for a comprehensive understanding of impaired swallowing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>This validation study strengthens the clinical usefulness of the DCs for impaired swallowing, which can improve nurses’ clinical reasoning skills. Major and minor DCs can increase the awareness of impaired swallowing and enable accurate intervention, thereby preventing patient complications and maintaining quality of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 2","pages":"158-168"},"PeriodicalIF":1.4,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066185","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}
Gülendam Hakverdioğlu Yönt RN, PhD, Süreyya Bulut RN, PhD, Maria Müller-Staub RN, PhD, Hüseyin Kizilirmak MSc, Nurse
Purpose
Physical restraint (PR) is applied for patients’ safety and to prevent the removal of inserted devices. No matter how well applied, PR causes undesired effects and discomfort to patients. Because PR-Guidelines are not yet implemented in Turkey, an observational study was performed to get baseline data on the type and number of PR-activities and on patients’ complications in intensive care unit (ICU) patients.
Methods
An observational pilot study was conducted in anesthesia and reanimation adult ICUs in a midsized general hospital in Turkey. Included were 31 patients and two data collection tools: a basic form (patient demographics, medical information, and complications) and a PR observation guide on nurses’ PR-activities. Descriptive statistics (frequencies, percentages, and mean and standard deviation) were used for data evaluation.
Findings
Most patients (61.3%) were male, and 74.2% were aged 60–79 years. Almost a third was unconscious (Glasgow Coma Scale <9) and at risk for falling. Of the total 33 activities of the Nursing Interventions Classification (NIC), 13 were never applied in 33% of patients. The most applied activity was “provide sufficient staff to assist with the safe application of physical restraining devices or manual restraints” (96.8%). Least applied were “explain inpatient and significant others the behaviors necessary for the termination of the intervention,” “Provide the dependent patient with a means of summoning help” (6.5%), and “Teach family the risks and benefits of restraint reduction” (3.2%). Overall, 58.1% of patients had PR complications.
Conclusions
For the first time, PR NIC activities were evaluated in a Turkish ICU. Findings show low performance of NIC activities and a high complication rate.
Implications for nursing practice
The findings provide the basis to implement a PR-Guideline in Turkish ICUs to enhance patients’ safety and comfort.
{"title":"Physical restraint intervention in the intensive care unit: An observational pilot study","authors":"Gülendam Hakverdioğlu Yönt RN, PhD, Süreyya Bulut RN, PhD, Maria Müller-Staub RN, PhD, Hüseyin Kizilirmak MSc, Nurse","doi":"10.1111/2047-3095.12468","DOIUrl":"10.1111/2047-3095.12468","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Physical restraint (PR) is applied for patients’ safety and to prevent the removal of inserted devices. No matter how well applied, PR causes undesired effects and discomfort to patients. Because PR-Guidelines are not yet implemented in Turkey, an observational study was performed to get baseline data on the type and number of PR-activities and on patients’ complications in intensive care unit (ICU) patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An observational pilot study was conducted in anesthesia and reanimation adult ICUs in a midsized general hospital in Turkey. Included were 31 patients and two data collection tools: a basic form (patient demographics, medical information, and complications) and a PR observation guide on nurses’ PR-activities. Descriptive statistics (frequencies, percentages, and mean and standard deviation) were used for data evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Most patients (61.3%) were male, and 74.2% were aged 60–79 years. Almost a third was unconscious (Glasgow Coma Scale <9) and at risk for falling. Of the total 33 activities of the Nursing Interventions Classification (NIC), 13 were never applied in 33% of patients. The most applied activity was “provide sufficient staff to assist with the safe application of physical restraining devices or manual restraints” (96.8%). Least applied were “explain inpatient and significant others the behaviors necessary for the termination of the intervention,” “Provide the dependent patient with a means of summoning help” (6.5%), and “Teach family the risks and benefits of restraint reduction” (3.2%). Overall, 58.1% of patients had PR complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>For the first time, PR NIC activities were evaluated in a Turkish ICU. Findings show low performance of NIC activities and a high complication rate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>The findings provide the basis to implement a PR-Guideline in Turkish ICUs to enhance patients’ safety and comfort.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 2","pages":"125-135"},"PeriodicalIF":1.4,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899628","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}
متدولوژی: تجزیه و تحلیل مفهوم با استفاده از مدل هیبرید که به ترتیب شامل سه مرحله نظری، کار میدانی و تحلیل نهایی است، انجام شد. پس از بررسی گسترده ادبیات به منظور توصیف ویژگی ها و تعریف مفهوم، مرحله کار میدانی به منظور تبیین تجربی مفهوم خودغفلتی در سالمندان انجام شد. در مرحله سوم ویژگی های خودغفلتی در سالمندان از فاز اول و دوم استخراج شد.
نتیجه: خودغفلتی در سالمندان به صورت “رفتارهای پرخطر عینی و ذهنی که به صورت عمدی و غیر عمدی، توسط فرد سالمند در حوزه های سلامت جسمی، معنوی، اختلال در روابط اجتماعی، غفلت از محیط زندگی و عدم رعایت بهداشت فردی بروز می کند که به واسطه ی عواملی چون برخی ویژگی های فردی، عملکرد جسمانی ضعیف، ابتلا به اختلالات روانشناختی شایع دوران سالمندی، مشکلات و چالش های مالی، استرس های آسیب رسان، روابط اجتماعی ناموفق، عدم دسترسی به منابع حمایتی، ناکافی بودن منابع آموزشی در دسترس سالمند و باورهای نامتعارف فرهنگی ایجاد می شود و منجر به اختلال در سلامت جسمی، روانشناختی، افزایش خطر سوء رفتار و کیفیت زندگی پایین فرد سالمند و همچنین افزایش بار مراقبتی- درمانی و اختلال در امنیت روانی جامعه می شود” تعریف می شود.
نتیجه گیری: با توجه به اینکه مفهوم خودغفلتی در سالمندان یک پدیده ی نسبتا ناشناخته و جدید در کشورمان است، نتایج این مطالعه می تواند با واضح سازی این مفهوم، راه را برای انجام فعالیت های گسترده تر تحقیقاتی و ساخت ابزارهای پژوهشی در جهت مداخلات بهتر هموار سازد و همچنین نقش مهمی در ارتقاء کیفیت مراقبت های پرستاری داشته باشد.
پیامدها برای کار پرستاری: خودغفلتی در سالمندان به عنوان مفهومی که منجر به بسیاری از اختلالات در ابعاد سلامت سالمندان مقیم در جامعه میشود، نیاز به توجه جدی دارد. پرستاران نمی توانند با یک پدیده ناشناخته بدون کاوش و شناسایی معنای دقیق آن مقابله کنند. بنابراین برای ایجاد بینشی عمیق در پرستاران و شناسایی به موقع و انجام مداخلات مناسب در این افراد، شفاف سازی ابعاد مختلف این مفهوم ضرورت دارد.
{"title":"Concept analysis of self-neglect in the elderly: a hybrid model","authors":"Farzaneh Alimohammadi-Gusheh PhD, Farahnaz Mohammadi-Shahboulaghi , Kian Nourozi Tabrizi , Masoud Fallahi-Khoshknab PhD, Maryam Rassouli PhD","doi":"10.1111/2047-3095.12466","DOIUrl":"10.1111/2047-3095.12466","url":null,"abstract":"<p>چکیده</p><p>هدف: شفاف سازی مفهوم خودغفلتی در سالمندان</p><p>متدولوژی: تجزیه و تحلیل مفهوم با استفاده از مدل هیبرید که به ترتیب شامل سه مرحله نظری، کار میدانی و تحلیل نهایی است، انجام شد. پس از بررسی گسترده ادبیات به منظور توصیف ویژگی ها و تعریف مفهوم، مرحله کار میدانی به منظور تبیین تجربی مفهوم خودغفلتی در سالمندان انجام شد. در مرحله سوم ویژگی های خودغفلتی در سالمندان از فاز اول و دوم استخراج شد.</p><p>نتیجه: خودغفلتی در سالمندان به صورت “رفتارهای پرخطر عینی و ذهنی که به صورت عمدی و غیر عمدی، توسط فرد سالمند در حوزه های سلامت جسمی، معنوی، اختلال در روابط اجتماعی، غفلت از محیط زندگی و عدم رعایت بهداشت فردی بروز می کند که به واسطه ی عواملی چون برخی ویژگی های فردی، عملکرد جسمانی ضعیف، ابتلا به اختلالات روانشناختی شایع دوران سالمندی، مشکلات و چالش های مالی، استرس های آسیب رسان، روابط اجتماعی ناموفق، عدم دسترسی به منابع حمایتی، ناکافی بودن منابع آموزشی در دسترس سالمند و باورهای نامتعارف فرهنگی ایجاد می شود و منجر به اختلال در سلامت جسمی، روانشناختی، افزایش خطر سوء رفتار و کیفیت زندگی پایین فرد سالمند و همچنین افزایش بار مراقبتی- درمانی و اختلال در امنیت روانی جامعه می شود” تعریف می شود.</p><p>نتیجه گیری: با توجه به اینکه مفهوم خودغفلتی در سالمندان یک پدیده ی نسبتا ناشناخته و جدید در کشورمان است، نتایج این مطالعه می تواند با واضح سازی این مفهوم، راه را برای انجام فعالیت های گسترده تر تحقیقاتی و ساخت ابزارهای پژوهشی در جهت مداخلات بهتر هموار سازد و همچنین نقش مهمی در ارتقاء کیفیت مراقبت های پرستاری داشته باشد.</p><p>پیامدها برای کار پرستاری: خودغفلتی در سالمندان به عنوان مفهومی که منجر به بسیاری از اختلالات در ابعاد سلامت سالمندان مقیم در جامعه میشود، نیاز به توجه جدی دارد. پرستاران نمی توانند با یک پدیده ناشناخته بدون کاوش و شناسایی معنای دقیق آن مقابله کنند. بنابراین برای ایجاد بینشی عمیق در پرستاران و شناسایی به موقع و انجام مداخلات مناسب در این افراد، شفاف سازی ابعاد مختلف این مفهوم ضرورت دارد.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"90-105"},"PeriodicalIF":1.4,"publicationDate":"2024-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140678402","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}
This research quantitatively explored the prevalence of NANDA-I nursing diagnoses related to the care of patients experiencing heart failure.
Design
A systematic review and meta-analysis were conducted with the systematic review protocol registered in PROSPERO (registration number: CRD42022382565).
Methods
Systematic searches were performed between March and April 2022, including peer review for selection, quality assessment, data extraction, and analysis of all included studies. A subsequent meta-analysis was performed, focusing on the proportion of nursing diagnoses in patients with heart failure. The logistic random effects model with maximum likelihood estimation assessed the combined proportion, and heterogeneity between studies was evaluated using the I2 statistic. The goodness-of-fit of the meta-analysis results was assessed using the leave-one-out method and by evaluating publication bias through contour-enhanced funnel plots.
Data sources
PubMed, SCOPUS, CINAHL, WOS, and Embase were used.
Results
Of the 11 studies that met the eligibility criteria, 44 nursing diagnoses were identified as most frequently occurring in patients experiencing heart failure, and only 16 diagnoses appeared in more than one publication. The combined mean proportion was 35.73% (95% CI = [26.67%; 48.56%]), indicating the presence of heterogeneity based on the I2 value. However, no publication bias was observed.
Conclusion
The results of the meta-analysis suggest priority diagnoses in individuals with heart failure, such as deficient knowledge (00126). Additionally, secondary diagnoses, such as activity intolerance (00092), excess fluid volume (00026), and ineffective breathing pattern (00032), were identified as responses to decreased cardiac output (00029). Less prevalent nursing diagnoses were associated with deterioration of health status and the need for hospitalization.
Objetivo
Investigar cuantitativamente la prevalencia de diagnósticos de enfermería NANDA-I asociados
目的本研究定量探讨了与心力衰竭患者护理相关的NANDA-I护理诊断的流行情况。方法在2022年3月至4月期间进行了系统检索，包括同行评审筛选、质量评估、数据提取和所有纳入研究的分析。随后进行了荟萃分析，重点关注心力衰竭患者的护理诊断比例。采用最大似然估计的逻辑随机效应模型评估了合并比例，并使用 I2 统计量评估了研究之间的异质性。数据来源采用了PubMed、SCOPUS、CINAHL、WOS和Embase。结果在符合资格标准的11项研究中，有44项护理诊断被确定为心力衰竭患者最常出现的诊断，只有16项诊断出现在一篇以上的文献中。综合平均比例为 35.73%（95% CI = [26.67%; 48.56%]），根据 I2 值显示存在异质性。结论荟萃分析的结果表明，心力衰竭患者应优先诊断，如知识不足（00126）。此外，活动不耐受（00092）、液体量过大（00026）和无效呼吸模式（00032）等次要诊断被确定为对心排血量下降的反应（00029）。目标定量研究与心衰患者护理相关的 NANDA-I 护理诊断的流行程度。方法2022年3月至4月期间进行了系统检索，并对所有纳入研究的选择、质量评估、数据提取和分析进行了同行评审。随后进行了荟萃分析，重点关注心力衰竭患者的护理诊断比例。采用最大似然估计的随机效应逻辑模型评估了汇总比例，并使用 I2 统计量评估了研究之间的异质性。数据来源PubMed、SCOPUS、CINAHL、WOS、Embase。结果在符合资格标准的11项研究中，共发现了44项护理诊断，但只有16项诊断出现在一篇以上的文献中。汇总的平均比例为 35.73%（95% CI = [26.67%; 48.56%]），I2 值表明存在异质性，但不存在发表偏倚。结论这项荟萃分析的结果表明，心力衰竭患者中存在优先诊断，如知识贫乏（00126）。此外，其他护理诊断也被确定为次要诊断：活动不耐受（00092）、液体量过大（00026）和无效呼吸模式（00032），这将是心输出量减少（00029）的反应。此外，还有与健康状况恶化和住院需求相关的不太常见的护理诊断。
{"title":"Prevalence of NANDA-I Nursing Diagnoses in patients with heart failure: A systematic review and meta-analysis","authors":"Inmaculada Paneque-Sánchez-Toscano PhD, RN, Ana-María Porcel-Gálvez PhD, RN, Regina Allande-Cussó PhD, RN, María-Reyes Carrión-Camacho PhD, RN","doi":"10.1111/2047-3095.12467","DOIUrl":"10.1111/2047-3095.12467","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This research quantitatively explored the prevalence of NANDA-I nursing diagnoses related to the care of patients experiencing heart failure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A systematic review and meta-analysis were conducted with the systematic review protocol registered in PROSPERO (registration number: CRD42022382565).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Systematic searches were performed between March and April 2022, including peer review for selection, quality assessment, data extraction, and analysis of all included studies. A subsequent meta-analysis was performed, focusing on the proportion of nursing diagnoses in patients with heart failure. The logistic random effects model with maximum likelihood estimation assessed the combined proportion, and heterogeneity between studies was evaluated using the <i>I</i><sup>2</sup> statistic. The goodness-of-fit of the meta-analysis results was assessed using the leave-one-out method and by evaluating publication bias through contour-enhanced funnel plots.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data sources</h3>\u0000 \u0000 <p>PubMed, SCOPUS, CINAHL, WOS, and Embase were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 11 studies that met the eligibility criteria, 44 nursing diagnoses were identified as most frequently occurring in patients experiencing heart failure, and only 16 diagnoses appeared in more than one publication. The combined mean proportion was 35.73% (95% CI = [26.67%; 48.56%]), indicating the presence of heterogeneity based on the <i>I</i><sup>2</sup> value. However, no publication bias was observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results of the meta-analysis suggest priority diagnoses in individuals with heart failure, such as deficient knowledge (00126). Additionally, secondary diagnoses, such as activity intolerance (00092), excess fluid volume (00026), and ineffective breathing pattern (00032), were identified as responses to decreased cardiac output (00029). Less prevalent nursing diagnoses were associated with deterioration of health status and the need for hospitalization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objetivo</h3>\u0000 \u0000 <p>Investigar cuantitativamente la prevalencia de diagnósticos de enfermería NANDA-I asociados ","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"106-119"},"PeriodicalIF":1.4,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/2047-3095.12467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140596380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To identify and synthesize evidence regarding the documented relationship between the standardized nursing terminologies and the unfinished nursing care phenomenon.
Data sources
A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature Complete databases were last consulted on November 27, 2023. The review included primary quantitative studies that reported an association between recognized standardized nursing terminologies and unfinished nursing care. Two researchers completedtitle and abstract and full-text screening.
Data synthesis
Our search identified 149 citations. A full-text review of one paper was undertaken. No studies met our inclusion criteria. We report an empty review.
Conclusions
Standardized nursing terminologies and Unfinished Care are two sides of the same coin: despite their potential commonalities, no studies have documented their potential links. Digital systems, such as electronic health records and decision support systems, could foster this linkage.
Implications for nursing practice
This review suggests that linking the conceptual frameworks can promote the diffusion of standardized nursing terminologies in clinical practice and increase accuracy in the measurement of Unfinished Care. This synergy could promote the contribution of nursing knowledge to patient care, nursing visibility, and be beneficial to clinical nurses, managers, and healthcare systems to international level.
目的：确定并综合有关标准化护理术语与未完成护理现象之间关系的文献证据：根据《系统综述和元分析首选报告项目》指南进行系统综述。PubMed、Scopus 和 Cumulative Index to Nursing and Allied Health Literature Complete 数据库的最后查询日期为 2023 年 11 月 27 日。该综述纳入了报告公认的标准化护理术语与未完成护理之间存在关联的主要定量研究。两名研究人员完成了标题、摘要和全文筛选：我们的检索发现了 149 篇引文。我们对一篇论文进行了全文综述。没有研究符合我们的纳入标准。我们报告了一篇空白综述：标准化护理术语和 "未完成护理 "是一枚硬币的两面：尽管它们有潜在的共同点，但没有研究记录了它们之间的潜在联系。电子健康记录和决策支持系统等数字化系统可以促进这种联系：本综述表明，将概念框架联系起来可以促进标准化护理术语在临床实践中的推广，并提高未完成护理测量的准确性。这种协同作用可以促进护理知识对患者护理的贡献，提高护理知名度，并使临床护士、管理者和医疗保健系统受益于国际水平。
{"title":"Exploring the nexus between the standardized nursing terminologies and the unfinished nursing care phenomenon: An empty systematic review","authors":"Luca Bertocchi PhD, RN, Stefania Chiappinotto PhD, RN, Professor Alvisa Palese PhD, RN","doi":"10.1111/2047-3095.12465","DOIUrl":"10.1111/2047-3095.12465","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To identify and synthesize evidence regarding the documented relationship between the standardized nursing terminologies and the unfinished nursing care phenomenon.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data sources</h3>\u0000 \u0000 <p>A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature Complete databases were last consulted on November 27, 2023. The review included primary quantitative studies that reported an association between recognized standardized nursing terminologies and unfinished nursing care. Two researchers completedtitle and abstract and full-text screening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data synthesis</h3>\u0000 \u0000 <p>Our search identified 149 citations. A full-text review of one paper was undertaken. No studies met our inclusion criteria. We report an empty review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Standardized nursing terminologies and Unfinished Care are two sides of the same coin: despite their potential commonalities, no studies have documented their potential links. Digital systems, such as electronic health records and decision support systems, could foster this linkage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>This review suggests that linking the conceptual frameworks can promote the diffusion of standardized nursing terminologies in clinical practice and increase accuracy in the measurement of Unfinished Care. This synergy could promote the contribution of nursing knowledge to patient care, nursing visibility, and be beneficial to clinical nurses, managers, and healthcare systems to international level.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"81-89"},"PeriodicalIF":1.4,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337414","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}
Gabrielle P Silva MSN, Ryanne C. M. G. Mendes PhD, Camila T Lopes PhD, Marcos VO Lopes PhD, Jaqueline GA Perrelli PhD, Suzana O Mangueira PhD, Francisca MP Linhares PhD
Purpose
To analyze evidence of content validity of the nursing diagnosis (ND) Risk for Unstable Blood Pressure in incarcerated women.
Method
A methodological study assessing the content validity of an ND, was performed in Brazil, between June and September 2022, with 49 nurses as experts. The label, definition, and relevance of the 19 risk factors of the ND Risk for Unstable Blood Pressure were appraised. Based on the predictive diversity model, the content validity index (CVI) and respective 95% confidence intervals were calculated for each risk factor. A CVI ≥ 0.8 was considered adequate evidence of content validity.
Findings
The label and the definition of the diagnosis was reformulated. The relevance of 19 etiological factors showed a CVI ≥ 0.8. According to the recommendation of the panel of experts, one of the etiological factors was split in two and two label of etiological factors were changed.
Conclusions
A new label (Risk for Imbalanced Blood Pressure), new definition, and 20 etiological factors (11 risk factors, five associated conditions, and four at-risk populations) of the ND Risk for Unstable Blood Pressure in incarcerated women were considered valid.
Implications for nursing practice
NANDA-I accepted the proposal for this nursing diagnosis; hence this study contributed to updating the classification based on scientific evidence. This evidence will favor diagnostic reasoning and recognition of the diagnosis during clinical assessment, and support studies assessing the clinical validity of these elements in incarcerated women.
{"title":"Evidence of content validity of the nursing diagnosis risk for unstable blood pressure","authors":"Gabrielle P Silva MSN, Ryanne C. M. G. Mendes PhD, Camila T Lopes PhD, Marcos VO Lopes PhD, Jaqueline GA Perrelli PhD, Suzana O Mangueira PhD, Francisca MP Linhares PhD","doi":"10.1111/2047-3095.12464","DOIUrl":"10.1111/2047-3095.12464","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To analyze evidence of content validity of the nursing diagnosis (ND) Risk for Unstable Blood Pressure in incarcerated women. </p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A methodological study assessing the content validity of an ND, was performed in Brazil, between June and September 2022, with 49 nurses as experts. The label, definition, and relevance of the 19 risk factors of the ND Risk for Unstable Blood Pressure were appraised. Based on the predictive diversity model, the content validity index (CVI) and respective 95% confidence intervals were calculated for each risk factor. A CVI ≥ 0.8 was considered adequate evidence of content validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The label and the definition of the diagnosis was reformulated. The relevance of 19 etiological factors showed a CVI ≥ 0.8. According to the recommendation of the panel of experts, one of the etiological factors was split in two and two label of etiological factors were changed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A new label (Risk for Imbalanced Blood Pressure), new definition, and 20 etiological factors (11 risk factors, five associated conditions, and four at-risk populations) of the ND Risk for Unstable Blood Pressure in incarcerated women were considered valid.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>NANDA-I accepted the proposal for this nursing diagnosis; hence this study contributed to updating the classification based on scientific evidence. This evidence will favor diagnostic reasoning and recognition of the diagnosis during clinical assessment, and support studies assessing the clinical validity of these elements in incarcerated women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"73-80"},"PeriodicalIF":1.4,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974125","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}
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