Beatriz Pera Almeida‐Hamasaki, Bruna Cristina Ribeiro, Suellen Cristina Dias Emidio, Simoní Saraiva Bordignon, Dorothy A. Jones, Elenice Valentim Carmona
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引用次数: 0
摘要
目的 基于文献和专家共识,回顾和验证护理诊断(ND)"母乳分泌不足"(00216)的要素,并为其定义特征(DCs)构建操作定义(ODs)。第一阶段是范围审查,第二阶段是专家委员会对要素内容进行审查。对内容效度指数≥0.8 的项目进行了相关性、清晰度和精确度验证。在就所有评估项目和标准达成共识之前,委员会一直在进行讨论。研究结果最终的范围界定审查样本包括 61 篇文章,19 位专家对 ND 的内容进行了评估。修订了所有 DC。增加了三个高危人群、三个相关条件和一个相关因素。三个要素的类别发生了变化,一个要素被删除。专家还验证了为所有 DC 制定的 OD。本研究通过文献和专家共识改进了 ND。本研究基于科学证据和临床专业知识对 ND 进行了改进,并通过 OD 潜在地提高了护士的诊断准确性。
Content validation of the nursing diagnosis “Insufficient breast milk production (00216)”
PurposeTo review and validate the elements of the nursing diagnosis (ND) “Insufficient breast milk production” (00216) based on the literature and expert consensus, and to construct operational definitions (ODs) for its defining characteristics (DCs).MethodsIt is a methodological study carried out in two phases. In the first phase, a scoping review was conducted, and in the second, a committee of experts reviewed the elements’ content. Items with a Content Validity Index ≥0.8 were validated for relevance, clarity, and precision. Discussions were conducted until a consensus was reached on all items and criteria evaluated. The Ethics Committee approved the study.FindingsThe final scoping review sample consisted of 61 articles, and 19 experts evaluated the content of the ND. All DCs were revised. Three at‐risk populations, three associated conditions, and one related factor were added. Three elements had their category changed, and an element was deleted. Experts also validated ODs developed for all DCs.Conclusion“Insufficient breast milk production (00216)” was validated by experts. This study improved the ND through literature and expert consensus. New elements were added, and existing ones were revised.Implications for Nursing PracticeThis study improves this ND based on scientific evidence and clinical expertise and potentially improves nurses’ diagnostic accuracy through ODs.
期刊介绍:
The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge.
The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages.
The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy.
The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.