Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review

Gomes, Ryanne Carolynne Marques; Lopes, Marcos Venícios de Oliveira; Perrelli, Jaqueline Galdino Albuquerque; Pontes, Cleide Maria; Linhares, Francisca Márcia Pereira; Mangueira, Suzana de Oliveira

doi:10.1590/0034-7167-2019-0649

Cited by 6 publications

(19 citation statements)

References 40 publications

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“…Other diagnoses were rarely mentioned by the authors of the studies included in the review: risk of impaired fatherhood or motherhood, ineffective health management, insufficient knowledge, interrupted family processes, the risk of disturbed mother-fetus dyad, and the risk of constipation. These diagnoses align with a review on high-risk pregnancies ( 42) and the concept of the mother-fetus dyad (43).…”

Section: Discussionsupporting

confidence: 73%

Nursing Diagnoses and Interventions in Women with Hypertensive Disorders of Pregnancy: A Scoping Review

et al. 2022

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Objective: To map the diverse scientific evidence on nursing diagnoses and interventions in women with pregnancy hypertensive disorders under Primary Health Care. Materials and method: A scoping review was conducted through nine stages in seven databases and the thesis and dissertation catalog of the Coordinating Office for Improving Higher Education Personnel. The search was performed from January to March 2021. Results: A total of 2,505 articles were retrieved, of which five were included in the final review. Nine primary diagnoses from the 2009-2011 version of NANDA-I were identified. Each diagnosis was classified according to physical, psychological, behavioral, and environmental characteristics. The interventions were related to controlling pain, anxiety, hemodynamic dysfunctions, self-esteem level, fluid replacement, patient/environment hygiene, and sleep-rest ratio. Conclusions: The nursing diagnoses and interventions presented in this study corroborate the clinical practice and aid nursing professionals’ reasoning.

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Section: Discussionsupporting

confidence: 73%

Nursing Diagnoses and Interventions in Women with Hypertensive Disorders of Pregnancy: A Scoping Review

et al. 2022

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“…When identifying risk factors, populations at risk, and conditions associated to the ND in the concept analysis (11) , a previous phase in this study, it was necessary to check these items' relevance with the experts. The NANDA-I Taxonomy is emphasized not to include elements focused on biopsychosocial aspects.…”

Section: Discussionmentioning

confidence: 99%

“…The second contained the elements of nursing diagnosis Risk for disturbed maternal-fetal dyad to be evaluated according to their relevance. These elements, obtained in the previous phase (concept analysis), were risk factors, populations at risk, and associated conditions (11) , as well as title, definition, class, and domain, whose agreement was to be evaluated. The experts have then analyzed the elements' relevance through a Likert scale: 1=completely disagree; 2=partially disagree; 3=indifferent 4= partially agree; 5=completely agree.…”

Section: Data Collectionmentioning

confidence: 99%

Content validation of the nursing diagnosis Risk for disturbed maternal-fetal dyad

Mendes

Frazão

Lacerda

et al. 2021

Rev. esc. enferm. USP

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Objective: To validate the content of the diagnosis Risk for disturbed maternal-fetal dyad in high-risk pregnant women. Method: Nursing diagnosis content analysis study in which 48 nurses evaluated agreement regarding title, definition, class, and domain of the studied nursing diagnosis, as well as the relevance of its antecedents. The items were considered relevant when the Confidence Interval of the Content Validity Index was 0.8 or higher. When lower, the item was modified or excluded according to the experts’ suggestions. Results: Out of 21 antecedents, 14 were considered relevant. The labels of five elements considered irrelevant were changed, and one item was excluded. The experts did not choose the title and definition proposed by NANDA-I, preferring instead the ones suggested in this study. The experts agreed with the class and domain proposed by the taxonomy. Conclusion: Ten risk factors, four populations at risk, and six associated conditions for this nursing diagnosis were maintained; these may provide a basis for nursing practice. The phase of clinical validation is suggested to be conducted to corroborate this study’s results.

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“…It is defined as "at risk for disruption of the symbiotic maternal-fetal dyad as a result of comorbidity or pregnancy-related conditions" (Herdman et al, 2021). This ND can be identified among high-risk pregnant women, as they are more susceptible to gestational risks, potentially leading to unfavorable outcomes for the mother-fetus dyad (Gomes et al, 2020;Mendes et al, 2021). NDs must be clearly defined and present elements that favor the nurses' diagnostic reasoning and clinical judgment for this condition to be accurately identified (Lopes & Silva, 2016).…”

Section: Introductionmentioning

confidence: 99%

Clinical validation of the nursing diagnosis risk for disturbed maternal–fetal dyad in high‐risk pregnancy: A case–control study

Mendes,

Morais,

Pontes

et al. 2023

Int J of Nursing Knowl

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PurposeTo obtain evidence of the clinical validity of the nursing diagnosis (ND) risk for disturbed maternal–fetal dyad in high‐risk pregnancy.MethodCausal validation of the ND through a case–control study performed in a university hospital with 155 high‐risk pregnant women: 31 cases and 124 controls. A causal association was found between the ND etiological factors and the occurrence of disruption of the symbiotic maternal–fetal dyad; an association was verified when the etiological factor presented a p‐value <0.05 and odds ratio >1.FindingsThe risk factor absent–inadequate prenatal care; populations at risk, such as young‐advanced maternal age and economically disadvantaged pregnant women; and association conditions, such as maternal conditions and compromised fetal oxygen transport, increased the outcome likelihood. The associated condition maternal illnesses appeared as a protective factor.ConclusionsEvidence of clinical validity of the ND risk for disturbed maternal–fetal dyad was obtained, and an association between etiological factors and disruption of the symbiotic maternal–fetal dyad was found.Implications for nursing practiceThe results contribute to advance scientific knowledge in nursing teaching, research, and practice and support the nursing process in high‐risk pregnancies.

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Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review

Cited by 6 publications

References 40 publications

Nursing Diagnoses and Interventions in Women with Hypertensive Disorders of Pregnancy: A Scoping Review

Nursing Diagnoses and Interventions in Women with Hypertensive Disorders of Pregnancy: A Scoping Review

Content validation of the nursing diagnosis Risk for disturbed maternal-fetal dyad

Clinical validation of the nursing diagnosis risk for disturbed maternal–fetal dyad in high‐risk pregnancy: A case–control study

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