Nursing diagnoses validated in cardiology in Brazil: integrative literature review

Abstract

Objective: To identify nursing diagnoses (ND) currently appearing in the NANDA-I taxonomy, validated in the area of cardiology in Brazil. Methods: An integrative literature review, guided by the following question: what nursing diagnoses were validated in Brazil? Eleven works were analyzed: three content validations and eight clinical validations. Results: The NDs validated were: activity intolerance, decreased cardiac output, spiritual distress, deficient knowledge, excessive fluid volume, ineffective airway clearance, ineffective peripheral tissue perfusion, fear, anxiety, and pain. The highlights were the production of the graduate programs in public institutions, the validation of defining characteristics, models of validation and the modified Fehring criteria for selection of experts . The clinical validation model was used for NDs of the psychobiological sphere; the content validation model was used mainly for NDs in the psychosocial and psychospiritual spheres. Conclusion: The knowledge produced can provide a basis for future studies on the relevance of the content of nursing outcomes in the evaluation of the effectiveness of nursing interventions in the country. Keywords: Validation studies; Nursing diagnosis; Cardiology Objetivo: Identificar diagnósticos de enfermería (DEs) que se encuentran actualmente en la taxonomía de la NANDA, validados en el área de Cardiología en el Brasil. Métodos: Revisión integrativa de literatura, orientada por la siguiente pregunta:qué diagnósticos de enfermería fueron validados en el Brasil. Fueron analizados 11 trabajos: tres validaciones de contenido y ocho validaciones clínicas. Resultados: Los DEs validados fueron Intolerancia a la Actividad, Débito Cardiaco Disminuído, Angustia Espiritual, Conocimiento deficiente, Volumen Excesivo de Líquidos, Desobstrucción Ineficaz de Vías Aéreas, Perfusión Tisular Periférica Ineficaz, Miedo, Ansieda y dolor. Se destacaron la producción del Postgrado de instituciones públicas, la validación de las características definitorias, modelos de validación y criterios de selección de experts de Fehring modificados. El modelo de validación clínica fue usado para DEs de la esfera psicobiológica; el modelo de validación de contenido fue utilizado, sobre todo para DEs de las esferas psicosocial y psicoespiritual. El conocimiento producido puede ser fundamentación de futuros estudios sobre la pertinencia del contenido de los resultados de enfermería en la evaluación de la eficacia de las intervenciones de enfermería en el País. Descriptores: Estudios de validación; Diagnóstico de enfermería; Cardiología

Necessidades de aprendizagem acerca da cirurgia cardíaca na perspectiva de pacientes e enfermeiros

“…Uma pesquisa nacional sobre validação clínica do Diagnóstico de Enfermagem "Conhecimento deficiente" apontou que mais de 75,0% dos pacientes o apresentavam, similar ao achado em outros trabalhos [19][20][21] . Esse percentual é próximo da perspectiva dos enfermeiros do presente estudo acerca do pouco conhecimento dos pacientes sobre a cirurgia cardíaca.…”

Nursing Diagnoses for Heart Failure Patients in Coronary Care Unit and Evaluation of NANDA Compliance

“…'nın KYBÜ'de (ünitede yatan tüm kardiyak tanılı hastalar ele alınmış) yaptıkları prospektif çalışmada (n=20), en fazla belirlenen tanılarınsırasıyla "enfeksiyon riski", "kanama riski", "öz bakım eksikliği" ve "kalp debisinde azalma riski"olduğu saptanmıştır. [14] Bu çalışmada ise, hemşirelik planlarında en çok kaydedilen tanıların "enfeksiyon riski", "öz bakım eksikliği", "bilgi eksikliği" ve "kanama riski" olduğu belirlendi.…”

“…'nın KYBÜ'de yaptıkları çalışmada; hastaların biyolojik ihtiyaçlarının ön planda tutulduğu, sosyal ve spiritual alanların göz ardı edildiği saptanmıştır. [14] İlçe ve ark. 'nın çalışmasında da, 25 farklı hemşirelik tanısı saptanmış; bu tanıların büyük çoğunluğu fizyolojik gereksinimlere göre belirlenmiştir.…”

Defining Characteristics and Related Factors of Decreased Cardiac Tissue Perfusion: Proposal of a New Nursing Diagnosis

“…Several studies aimed to validate NDs or refine their DC by using Fehring's (1987) clinical validation method (Lopes, Carneiro, Santos, & Barros, 2012). This model consists of assessing a given number of patients with the preestablished diagnosis by two clinical experts, both observing for the presence or absence of each DC.…”

“…A prediagnosis should be made by a nurse other than the researcher, his/her correctness preferably being tested through a valid and reliable measurement tool (Fehring, ). However, such a valid and reliable measurement tool is frequently not used (Lopes et al., ). The method used in our study goes beyond Fehring's proposal by using a gold standard for diagnostic validation, identifying and comparing the most prevalent DCs, and investigating their sensitivity and specificity.…”