Validação clínica do resultado de enfermagem mobilidade em pacientes com acidente vascular cerebral

Moreira, Rafaella Pessoa; Araújo, Thelma Leite de; Lopes, Marcos Venícios de Oliveira; Cavalcante, Tahissa Frota; Guedes, Nirla Gomes; Chaves, Emília Soares; Portela, Regiane Campos; Holanda, Rose-Eloíse

doi:10.1590/1983-1447.2016.04.54688

Cited by 13 publications

(22 citation statements)

References 7 publications

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“…Considering agreement between pairs of evaluators (with and without CD and OD), there was substantial or excellent agreement on a significant number of indicators when the evaluators used the NO with definitions. Thus, the devised CDs, ODs, and definitions of magnitudes for the Likert scales promoted greater standardization between the evaluators, which was also observed in other studies (Barreto, Swanson, & Almeida Mde, ; de Souza Oliveira et al., ; Moreira et al., ; Santos & Lucena, ).…”

Section: Discussionsupporting

confidence: 73%

“…Another limitation might be the number of nursing experts used or the criteria used to determine expertise ( Quatrini Carvalho Passos Guimarães, Pena, Lopes, Lopes, & Bottura Leite de Barros, ). However, the definition and required number of experts remain controversial, and researchers use a variety of methods and references, in light of the lack of consensus (Barreto et al., ; de Souza Oliveira et al., ; Moreira, ; Moreira et al., ; Santos & Lucena, 2016; Seganfredo & Almeida, ). In addition, the lack of research on outcome validation for maternal–infant care, especially with the use of psychometrics, also hindered the discussion of the findings.…”

Section: Discussionmentioning

confidence: 99%

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Validation of Nursing Outcomes Related to Breastfeeding Establishment

Emídio¹,

Moorhead

Oliveira

et al. 2019

Int J of Nursing Knowl

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PURPOSE To clinically validate indicators of the nursing outcomes “Breastfeeding establishment: Infant (1000)” and “Breastfeeding establishment: maternal (1001)”, and their conceptual and operational definitions in infants admitted to a neonatal unit and their mothers. METHOD This study utilized several methods in a stepwise approach including an integrative review of the literature, content validation, and clinical validation. The content validity index was performed by eight experts, who evaluated revised content of the studied nursing outcomes. In the clinical validation, 61 mother–infant dyads were evaluated by two pairs of nurses: one pair used an instrument with developed definitions, whereas the other used an instrument without definitions. The evaluations were compared using Fleiss’ kappa and weighted kappa. RESULTS The agreement between all evaluators was considered excellent for almost all nursing outcome indicators related to the mothers. The pair of evaluators using the definitions had an agreement greater than 0.80 for most indicators. For the pair that did not use the definitions, agreement was poor. CONCLUSION There was an increase in uniformity and accuracy between the assessments when using the conceptual and operational definitions for the nursing outcome indicators related to Breastfeeding establishment. IMPLICATIONS FOR NURSING PRACTICE This study contributed to the development of terms within the Nursing Outcomes Classification, and enriched the body of nursing knowledge.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Validation of Nursing Outcomes Related to Breastfeeding Establishment

Emídio¹,

Moorhead

Oliveira

et al. 2019

Int J of Nursing Knowl

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“…It is defined as an "extension of the number of postoperative days required to initiate and perform activities that maintain life, health, and well-being" (Herdman & Kamitsuru, 2014, p. 404). The need to conceptually analyse a diagnosis comes from the fact that some concepts are often used mistakenly or are misunderstood by nursing professionals due to confusing terminology or how the concepts have been developed (Moreira et al, 2014). Thus, there is a need for strategies that can help develop them so that they can be clearly explained in terms of their representation of reality (Andrade, Fernandes, Nóbrega, Garcia, & Costa, 2012;Moreira et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…The need to conceptually analyse a diagnosis comes from the fact that some concepts are often used mistakenly or are misunderstood by nursing professionals due to confusing terminology or how the concepts have been developed (Moreira et al, 2014). Thus, there is a need for strategies that can help develop them so that they can be clearly explained in terms of their representation of reality (Andrade, Fernandes, Nóbrega, Garcia, & Costa, 2012;Moreira et al, 2014). Therefore, concept analysis can be defined as a method used to specify or clarify an existing concept and it has the purpose of outlining the attributes or characteristics of the phenomenon studied (Walker & Avant, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…In order to provide qualified assistance, addressing the needs of the surgical patient, it is necessary for nursing professionals to correctly identify the nursing diagnoses in this area (Moreira et al, 2014). Accurate and precise identification of the nursing diagnosis «delayed surgical recovery» is an essential tool to promote the proper guidance for full recovery, the correct use of surgical dressing, prevention of infection, proper food and to resume routine activities.…”

Section: Introductionmentioning

confidence: 99%

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Concept clarification of «delayed surgical recovery» for clinical practice implementation

Delphino¹,

Santana²,

Souza

2015

Rev. Enf. Ref

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Context: While the concept of "delayed surgical recovery" has a high estimated occurrence in surgical nursing practice, the lack of specificity of critical attributes has interfered with diagnostic accuracy and consequent application in clinical practice. There is thus a need for concept clarification. Objectives: To analyse of the concept of the nursing diagnosis «delayed surgical recovery», using the method of Walker and Avant, 2011. Main topics under analysis: Critical attributes were identified and antecedents and consequences were pointed out. Model, contrary, and illegitimate cases are presented. Suture dehiscence, hyperaemia, presence of secretion in the surgical wound, prolonged postoperative time, and reporting that more time is needed for recovery were the key critical attributes for diagnosis. Conclusion: The concept analysis made it possible to establish the boundaries of the defining attributes and provide the basis to develop the cases that explain the circumstances surrounding the diagnosis of «delayed surgical recovery».

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The Nurse–Patient Outcome Content Validation Method

Ferreira

Moorhead

Butcher

2020

Int J of Nursing Knowl

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PURPOSE To describe a new method of validating nursing outcomes and indicators that incorporates nurses’ and patients’ perspectives. METHODS The Nurse–Patient Outcome Content Validation Method was developed in light of the experience of conducting the content validation of the nursing outcome Knowledge: Heart Failure Management (1835). It was developed based on Fehring's content validation model used for the validation of NANDA International nursing diagnoses. It expands the concept of who is an expert in the validation of nursing outcomes. FINDINGS The Nurse–Patient Outcome Content Validation Method is a new method in which the concept of experts is expanded to gather patients’ as well as healthcare professionals’ perspectives on the importance of indicators to measure an outcome. Based on the importance ratios, the indicators are grouped into three categories: critical, supplemental, or unnecessary. To validate the outcome, importance ratios of critical and supplemental indicators are summed and divided by the total number of the indicators to calculate the outcome content validity (OCV) score of the nursing outcome. CONCLUSION The Nurse–Patient Outcome Content Validation Method is a new method of content validation of nursing outcome and indicators that incorporates the patient perspective. IMPLICATIONS FOR NURSING PRACTICE The Nurse–Patient Outcome Content Validation Method provides a mechanism to include nurses’ and patients’ perspectives to content validity research of nursing outcomes. It supports patient empowerment since the patient is viewed as an expert regarding the experience of living and managing his/her clinical condition.

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Validação clínica do resultado de enfermagem mobilidade em pacientes com acidente vascular cerebral

Abstract: The constitutive and operational definitions submitted to the validation process provide greater accuracy in assessing the cerebrovascular accident patient's mobility state.

Cited by 13 publications

References 7 publications

Validation of Nursing Outcomes Related to Breastfeeding Establishment

Validation of Nursing Outcomes Related to Breastfeeding Establishment

Concept clarification of «delayed surgical recovery» for clinical practice implementation

The Nurse–Patient Outcome Content Validation Method

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