Nursing diagnoses related to skin: operational definitions

Abstract

Objective: to validate the operational definitions of the defining characteristics and risk factors of the three NANDA International (NANDA-I) nursing diagnoses and to revise these diagnoses' definitions. Method: content validation of nursing diagnosis. 146 defining characteristics and risk factors were identified in the literature in Brazilian and international databases. This was followed by content validation of the definitions of these diagnoses (presented by NANDA-I) and of the operational definitions (developed by the researchers) of the defining characteristics and risk factors, carried out by six expert nurses, regarding relevance, clarity and comprehensiveness.Result: of the 146 defining characteristics and risk factors, 22 were considered redundant and were excluded. The experts proposed changing the definitions of the diagnoses of Impaired Tissue Integrity and Risk for Impaired Skin Integrity. It was possible to identify various defining characteristics and risk factors which are not present in the NANDA-I taxonomy but which are indicated in the literature. Conclusion: the process attained its objective of producing valid operational definitions for defining characteristics and risk factors, which will permit the undertaking of validation studies for these diagnoses. The study's contribution to advancing scientific knowledge consists in its presenting clearer operational definitions for these diagnoses and a higher number of defining characteristics and risk factors, which will assist the nurses in the identification and use of the same with greater accuracy in clinical practice. Diagnósticos de enfermería relacionados a la piel: definiciones operacionalesObjetivo: validar las definiciones operacionales de las características definidoras y factores de riesgo de los tres diagnósticos de enfermería relacionados a la piel de la NANDA International (NANDA-I) y revisar las definiciones de eses diagnósticos. Método: validación de contenido de diagnóstico de enfermería. Se identificaron 146 características definidoras y factores de riesgo en la literatura en las bases de datos nacionales e internacionales. Enseguida, se realizó la validación de contenido de las definiciones de estos diagnósticos, presentadas por la NANDA-I y de las definiciones operacionales, elaboradas por las investigadoras, de las características definidoras y factores de riesgo, por seis enfermeras expertas, en cuanto a la pertinencia, clareza y abarcamiento. Resultado: de las 146 características definidoras y factores de riesgo, 22 fueron considerados redundantes y excluidos. Los peritos propusieron alterar la definición de los diagnósticos de Integridad Tisular Dañada y Riesgo de Integridad de la Piel Dañada. Fue posible identificar varias características definidoras y factores de riesgo que no están presentes en la taxonomía de la NANDA-I, pero, que fueron apuntados por la literatura. Conclusión: el proceso alcanzó el objetivo de producir definiciones operacionales válidas para características definidoras y factores de riesgo, lo que...

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