Clinical validation of the nursing diagnosis of ineffective protection in haemodialysis patients

Abstract

Results: The clinical indicator of "fatigue" had high sensitivity (p = .999) and specificity (p = 1.000) for the identification of "ineffective protection." Additionally, "maladaptive response to stress" (p = .711) and "coagulation change" (p = .653) were sensitive indicators. The main indicators that showed high specificity were "fever" (p = .987), "increased number of hospitalisations" (p = .911), "weakness" (p = .937), "infected vascular access" (p = .962) and "vascular access dysfunction" (p = .722).Conclusion: A set of nine clinical indicators of "ineffective protection" were accurate and statistically significant for haemodialysis patients. Three clinical indicators showed sensitivity, and six indicators showed specificity.Relevance to clinical practice: Accurate measures for nursing diagnoses can help nurses confirm or rule out the probability of the occurrence of "ineffective protection" in patients undergoing haemodialysis.

Clinical validation of nursing diagnoses: literature review / Validação clínica de diagnósticos de enfermagem: revisão de literatura

“…Nine studies used the accuracy method [7][8][9][10][11][12][13][14][15] for clinical validation of the studied phenomena. Of these, six (35.29%) used the latent classes analysis as a statistical approach [7][8][9][10][11][12] and the other three (17.64%) used the accuracy measures. [13][14][15] Accuracy represents the ability of a given test to correctly point out whether or not an individual has the disease.…”

Responses Presented by Adult Patients with COVID-19, Based on the Formulated Nursing Diagnoses: A Scoping Review

“…It is clear that standardized nursing taxonomies ensure an adequate organization and structuring of the human responses identified by the nurse [10], and also that nursing diagnoses are essential when planning care and documenting human responses [11]. In this sense, a proper identification, planning, and resolution of a given situation can only be considered after a clear and accurate assessment by the nurse.…”

“…In this sense, a proper identification, planning, and resolution of a given situation can only be considered after a clear and accurate assessment by the nurse. In fact, substantiated nursing diagnoses will contribute to interventions which are appropriate for each patient and focused on each individual need [11,12]. Furthermore, their correct documentation allows reinforcing the nurse's focus on the human responses, providing visibility, and strengthening the stimulus for the continuous improvement of nursing care [10].…”

“…Furthermore, their correct documentation allows reinforcing the nurse's focus on the human responses, providing visibility, and strengthening the stimulus for the continuous improvement of nursing care [10]. Likewise, the thoughtful identification of nursing diagnoses will contribute to increasing care effectiveness, the quality of nursing interventions and its expected outcomes, and, consequently, to reducing hospital costs [10,11].…”