Concept analysis of Perioperative Thirst for the development of a new nursing diagnosis

Nascimento, Leonel Alves do; Garcia, Aline Korki Arrabal; Conchon, Marilia Ferrari; Lopes, Marcos Venícios de Oliveira; Fonseca, Lígia Fahl

doi:10.1590/0034-7167-2020-0065

Cited by 11 publications

(12 citation statements)

References 33 publications

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“…In case of disagreement, a third reviewer was evaluated. Data extraction was done by an instrument composed of items related to the identification of the study, methodological characteristics, results, and conclusions of the research (Nascimento et al., 2021).…”

Section: Methodsmentioning

confidence: 99%

Construction and validation of conceptual and operational definitions of the defining characteristics of the nursing diagnosis “Ineffective health self‐management” in people living with HIV/AIDS

Júnior

Rodrigues

Menezes

et al. 2021

Int J of Nursing Knowl

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Purpose Build and validate the content of conceptual and operational definitions of the defining characteristics of the nursing diagnosis of NANDA‐I “Ineffective health self‐management” in people living with HIV/AIDS. Methods Methodological study, with a quantitative approach. The validation was performed by 26 specialist nurses selected through the Lattes do Brazil platform. The process followed two steps: (a) proposal of new defining characteristics to the Nursing Diagnosis “Ineffective Health Self‐Management” and elaboration of conceptual and operational definitions; (b) content validation of the new defining characteristics of the Nursing Diagnosis “Ineffective Health Self‐Management” and the conceptual and operational definitions. Data were collected between October 2020 and May 2021. Findings The researchers included six defining characteristics as components of the diagnosis, adding to the 10 already existing in the NANDA‐I version (2021–2023). Then, the experts judged these components and 13 defining characteristics were validated using the binominal test with adequacy ratio above 85% and p value <0.05. After this stage, the conceptual and operational definitions of these defining characteristics were constructed, validating them by the content validation index ≥0.80 by the expert nurses. Conclusions Three new defining characteristics for Ineffective health self‐management were proposed and validated by specialists. Conceptual and operational definitions of the new and current defining characteristics were elaborated and validated for people living with HIV/AIDS. Implications for nursing practice The knowledge and study of the conceptual and operational definitions of nursing diagnoses can contribute to good nursing practices, assisting in the care and evaluation of nurses in the provision of care to people living with HIV/AIDS, and can avoid misunderstandings and inappropriate interpretations and can guarantee assertive clinical judgment. Search terms Nursing diagnosis, validation studies, nursing processes, acquired immunodeficiency syndrome.

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Section: Methodsmentioning

confidence: 99%

Construction and validation of conceptual and operational definitions of the defining characteristics of the nursing diagnosis “Ineffective health self‐management” in people living with HIV/AIDS

Júnior

Rodrigues

Menezes

et al. 2021

Int J of Nursing Knowl

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“…The third part dealt with the components of the ND proposal for perioperative thirst: defining characteristics (16 items), related factors (10 items), and associated conditions (six items) (Table 1). These components resulted from a previous study that analyzed the concept of perioperative thirst and developed a diagnostic structure for perioperative thirst (Nascimento et al, 2021).…”

Section: Variablesmentioning

confidence: 99%

“…Others pointed out that dry mouth may indeed be present in both categories. The concept analysis pointed out that dry mouth is one of the main characteristics that the patient reports when describing thirst, while studies that explore the physiology of thirst include dry mouth as an important stimulus for the occurrence of thirst as well (Nascimento et al, 2021).…”

Section: Population At Riskmentioning

confidence: 99%

“…Thus, there is a need to make the perioperative thirst a new nursing diagnosis. In a previous study (Nascimento et al, 2021), the authors carried out an analysis of the concept of thirst, resulting in the elaboration of its diagnostic structure. Perioperative thirst was defined as "Sensory, physiological and subjective experience that refers to the desire to ingest water in order to restore homeostasis of body fluids, generating intense discomfort when not attended".…”

Section: Introductionmentioning

confidence: 99%

“…The associated conditions include: diabetes insiptus after pituitary surgery, anesthetics that cause vasodilation and induce states of hypovolemia, intubation, water restriction, use of muscarinic and nicotinic anticholinergics, and nasal buffer. Finally, as a population at risk, patients with diabetes mellitus, extremes of age and need for fasting were considered (Nascimento et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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Development and validation of a new nursing diagnosis: Perioperative thirst

Nascimento

Lopes

Fonseca

2021

Int J of Nursing Knowl

Self Cite

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Purpose: To develop and validate the content of the nursing diagnosis proposal for perioperative thirst.Methods: A content analysis by 34 judges. An online Delphi panel was used in one round, evaluating criteria of relevance, clarity and precision. Wilcoxon's one-tailed test was used and the content validity index to maintain the item was set to 0.80. Findings:The content validity index in relation to the evaluated items reached levels between 0.87-1.00. The final components of the diagnosis proposal included the following items as defining characteristics: dry mouth, dry throat, dry lips, thick saliva, thick tongue, constant swallowing of saliva, desire to drink water, bad taste in the mouth, and caregiver's report. Related factors are as follows: pre-and postoperative fasting, oral breathing, dehydration, hypovolemia, insensitive loss of hydration by breathing, dry mouth, habit of drinking water, high room temperature. Associated conditions: intubation, use of muscarinic and nicotinic anticholinergics and water restriction. Conclusions:All components of the nursing diagnosis were validated in relation to relevance, clarity, and accuracy, demonstrating high levels of agreement between experts.Qualitative observations were found to be fundamental for both combining and excluding some items.Implications for Nursing Practice: Improvement of refinement and clarity levels of this nursing diagnosis proposal aiding its inclusion in the NANDA International taxonomy and thus enabling greater understanding of the phenomenon of thirst in surgical patients. This study helps to explain and facilitate the identification of defining characteristics, related factors, and associated conditions for nurses, nursing students, and researchers on this subject.

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Use of Transcutaneous Electrical Nerve Stimulation to Alleviate Thirst After Surgery: A Randomized Controlled Trial

Yang¹,

Liu²,

Tsay³

et al. 2023

Journal of PeriAnesthesia Nursing

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Concept analysis of Perioperative Thirst for the development of a new nursing diagnosis

Cited by 11 publications

References 33 publications

Construction and validation of conceptual and operational definitions of the defining characteristics of the nursing diagnosis “Ineffective health self‐management” in people living with HIV/AIDS

Construction and validation of conceptual and operational definitions of the defining characteristics of the nursing diagnosis “Ineffective health self‐management” in people living with HIV/AIDS

Development and validation of a new nursing diagnosis: Perioperative thirst

Use of Transcutaneous Electrical Nerve Stimulation to Alleviate Thirst After Surgery: A Randomized Controlled Trial

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