Conceptual validation of the defining characteristics of respiratory nursing diagnoses in neonates

Abstract

Objective: To develop and validate conceptual and operational definitions for the defining characteristics of the respiratory nursing diagnoses, ineffective breathing pattern, impaired gas exchange and impaired spontaneous ventilation, in newborns. Methods: This was a methodological study of conceptual validation of the defining characteristics of three respiratory nursing diagnoses, by consensus analysis of a committee of five specialist nurses, and then a group of five non-nursing professionals, using the Delphi technique. Results: After two rounds of evaluation, consensus was obtained that was equal to or greater than 80% on all of the definitions, which were then considered validated. Conclusion: The definitions developed for the defining characteristics of three nursing diagnoses were validated with a high level of consensus. ResumoObjetivo: Elaborar e validar definições conceituais e operacionais para as características definidoras dos diagnósticos de enfermagem respiratórios, Padrão Respiratório Ineficaz, Troca de Gases Prejudicada e Ventilação Espontânea Prejudicada em recém-nascidos. Métodos: Estudo metodológico, de validação conceitual das características definidoras dos três diagnósticos de enfermagem respiratórios por meio da análise de consenso de um comitê de cinco enfermeiras especialistas e de cinco profissionais não enfermeiros, utilizando a técnica Delphi. Resultados: Após duas rodadas de avaliação, obteve-se consenso igual ou superior a 80% na totalidade das definições, sendo consideradas validadas. Conclusão: As definições elaboradas para as características definidoras dos três diagnósticos de enfermagem foram validadas com elevado grau de consenso.

Frequency of Respiratory Nursing Diagnoses and Accuracy of Clinical Indicators in Preterm Infants

“…The data collection tool was develop for this population, and included demographic and clinical variables of the newborn, the defining characteristics or clinical indicators (signs and symptoms) of the three RNDs of the NANDA International (NANDA-I) terminology, adapted to the neonatal population, with their respective conceptual and operational definitions (Avena, Pedreira, & Gutiérrez, 2014). This instrument was evaluated through a pilot test, which consisted in the evaluation of five newborns by each pair of specialists, totaling 15 newborns.…”

Experts for Validation Studies in Nursing: New Proposal and Selection Criteria

“…Although some studies use the expert selection criteria established by Fehring in 1994 (Cavalcante et al., ; Chaves, Carvalho, & Hass, ; Chaves, Carvalho, Terra, et al., ), other researchers have used different adaptations of these criteria (Appoloni et al., ; Lucena et al., ; Seganfredo & Almeida, ; Teixeira et al., ; Zeleníková et al., ), and others use experts in other areas, such as medicine and physical therapy (Avena, Pedreira, & Gutierrez, ; Lopes et al., ; Souza et al., ).…”

“…Avena et al. () developed and validated conceptual and operational definitions for the defining characteristics of the respiratory nursing diagnoses ineffective breathing pattern, impaired gas exchange, and impaired spontaneous ventilation in newborns. The experts were “doctorally prepared nurses, intensive care specialists with more than three years in neonatal and pediatric intensive care and in the use of nursing diagnoses … developing teaching activities in pediatric and neonatal nursing,” and also “four physicians and a physical therapist, with clinical experience in respiratory care for neonates and the minimal educational level of a master's degree.”…”

“…In the study by Fehring (), there is little emphasis on clinical experience, which can compromise the results of Brazilian studies. Thus, many studies have valued the clinical nursing experience for expert selection (Avena et al., ; Lopes et al., ; Seganfredo & Almeida, ; Souza et al., ).…”

Accuracy and prevalence of defining characteristics of the diagnosis Impaired gas exchange in children

“…This instrument contemplated the main clinical manifestations related to respiratory function and the defining characteristics of the diagnosis Impaired gas exchange, according to the NANDA-I taxonomy (7) . To assist in the evaluation of the defining characteristics, validated conceptual and operational definitions were used (8) .…”