Construção de instrumento para avaliar a acurácia diagnóstica

Abstract

RESUMENDiagnósticos precisos son importantes para la elección adecuada de las intervenciones. Este artículo se refiere al desarrollo de herramienta metodológica de investigación para estimar la precisión de los diagnósti-cos de enfermería apartir de datos escritos de la evaluación de paciente. Se elaboró la definición de la precisión y la construc-ción de los elementos que componen el instrumento, sometiéndolos a prueba del contenido y el test piloto. El instrumento fue llamado Exactitud Diagnóstica de Enfermería -EADE y estaba compuesto por 4 elementos: Presencia de pistas; Pertinencia de la pista; especificidad de la pista y la coherencia de la pista. Las respuestas de 12 enfermeros especialistas a la aplicación de EADE a los diagnósticos de 5 casos por escrito permitiran identificar los valores para cada tema y estimar la validez y la fiabilidad de EADE. DESCRIPTORESDiagnóstico de enfermería. Estúdios de validación. Reproducibilidad de resultados.

Avaliação da acurácia diagnóstica em enfermagem: papel versus sistema de apoio à decisão

“…To measure the degree of accuracy of nursing diagnoses developed by graduate students on paper and PROCEnf-USP ® , the Scale for Accuracy of Nursing Diagnoses (SAND) version 2 was used. (8) SAND varied from zero to 13.5 and the nursing diagnoses categories score: zero=null accuracy; 1=low accuracy; 2 to 5.5=moderate accuracy; and 9 to 13.5=high accuracy. The assessment of the diagnostic accuracy of students was carried out by one of the researchers of the study.…”

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

“…(4) In the practice of nursing diagnosis, the understanding of the defining characteristics of the diagnoses may be different among professionals, which may compromise the diagnostic accuracy and, consequently, the quality of nursing care and patient safety, if interventions dissonant to the actual needs are proposed and implemented. (5,6) The accuracy of the nursing interpretations about patient responses differ in a significant manner. (7) Operational and conceptual definitions provide meaning to a concept and are essential components for understanding the defining characteristics, as they describe what is being assessed and how it should be evaluated.…”

Prevalence of nursing diagnosis of decreased cardiac output and the predictive value of defining characteristics in patients under evaluation for heart transplant

“…The improvement of nursing diagnoses depends on refining the identification of observable characteristics which can guide the more precise understanding of a given phenomenon, bearing in mind that human judgment has an inherent imprecision influenced by beliefs, ethnicity, culture, philosophical tenets and implicit and explicit values (5) .…”

“…Although there is a growing quantity of validation research, decreased cardiac output in cardiac insufficiency continues to be an under-explored area (5) .…”