Purpose To analyze the unidimensionality of the nursing diagnoses low situational self‐esteem and low chronic self‐esteem proposed by NANDA‐I. Desing and methods Diagnostic accuracy study carried out with 180 patients with depressed mood in a psychiatric hospital in northeastern Brazil. Findings The analysis of the latent class considered the hypothesis of low self‐esteem as a unique construct and included the indicators: Excessive seeking of reassurance, repeatedly unsuccessfulness in life events, rejection of positive feedback, insomnia, solitude, and nonassertive behavior. Practice implications The recognition of low self‐esteem as a unique diagnostic construct allows nurses to be more assertive in the provision of care.
Aim: To validate the clinical indicators for the nursing diagnosis of impaired memory among patients with a stroke. Methods: A sample of 123 patients who had been admitted with a stroke was evaluated by using a questionnaire that was designed to identify the presence of the clinical indicators for the diagnosis of impaired memory, according to the NANDA International taxonomy. Measures of sensitivity and specificity were calculated for each clinical indicator by using random-effects latent class analysis. Results: The clinical indicators that demonstrated high levels of diagnostic accuracy included the following: an inability to learn new skills and an inability to retain new skills. The inability to learn new skills and the inability to carry out previously learned skills were identified as the clinical indicators with high sensitivity and specificity in the latent class model with adjustment for age. The inability to retain new skills indicator showed better diagnostic accuracy in individuals with lower educational levels. Conclusion: The clinical indicators of the impaired memory diagnosis were observed frequently in patients with a stroke; in these patients, impaired memory was characterized by the inability to learn or retain new skills and was influenced by the age and educational level.
Objective: To analyze the opinion of nursing professionals on the design, practicality of use and the usefulness of color-coded drug labeling in a pediatric intensive care unit. Methods: A cross-sectional study with 42 nursing professionals. A structured questionnaire was used based on a five-level Likert scale. To assess the proportions, a binomial test was used. Results: Concordance ratio >0.8 for all propositions related to design, practicality and most of the propositions related to error prevention. Conclusion: According to the opinion of the nursing team, the implemented technology has an adequate design, as well as being practical and useful in the prevention of medication errors in the population at the ICU.
Objective. To identify the relationships between nursing diagnoses proposed by NANDA-I taxonomy II and the priority themes (PT) of the National Policy for Health Promotion (PNPS in Portuguse). Methods. An integrative literature review was carried out in the Scopus, Cinahl and SciELO databases, using the descriptors: health promotion, food habits, traffic accidents, drugs abuse, environment and public health. The search considered scientific articles published between 2000 and 2016. Results. Twelve articles were selected to identify and explore nursing actions related to PT. It was identified that although the said taxonomy offers a Domain called Health promotion, there is a need to relate the diagnoses of other domains to include the health actions described in the aforementioned Policy. It was observed that there is an attention and concern of the nursing professionals to address topics such as the training of managers and the promotion of healthy eating. In relation to the priority themes promotion of safe mobility and sustainable development, no nursing diagnoses were identified due to the scarcity of diagnoses related to them in the mentioned taxonomy. Conclusion. Although the NANDA-I taxonomy presents a specific domain on health promotion, these are not sufficient to meet the needs of the priority themes proposed by PNPS.Descriptors: health promotion; nursing diagnosis; public health policy. Diagnósticos de Enfermería relacionados con la política nacional de promoción de la salud brasileraObjetivo. Identificar las relaciones entre los diagnósticos de enfermería propuestas por la Taxonomía II de la NANDA-I y los temas prioritarios (TP) de la Política Nacional de Promoción de la Salud (PNPS). Métodos. Revisión integrativa de la literatura en las bases de datos Scopus, CINAHL y SciELO, utilizando los términos: health promotion, foods habits, accidents traffic, abuse drugs, environment and public health. La búsqueda consideró artículos científicos publicados entre 2000 y 2016. Resultados. Se seleccionaron 12 artículos para identificar y explorar las acciones de enfermería relacionados con el TP. Se encontró que, a pesar de que la taxonomía referida ofrece un dominio titulado Promoción de la Salud, hay necesidad de relacionar los diagnósticos de otros dominios para 79 Invest Educ Enferm. 2017; 35 (1) Nursing diagnoses associated with the national policy for health promotion complementar las acciones de salud descritas en la PNPS. Se observó que existe una preocupación de los profesionales de enfermería por abordar temas como la formación de gestores y la promoción de la alimentación saludable. En relación con los temas prioritarios de la promoción de movilidad segura y desarrollo sostenible, no fueron identificados los diagnósticos de enfermería en la taxonomía utilizada. Conclusión. Aunque la taxonomía de la NANDA-I presenta un dominio particular de diagnósticos de promoción de la salud, estos no son suficientes para satisfacer las necesidades de los temas prioritarios propuestos por PNPS.Descriptores: promoció...
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