Clinical validation of nursing diagnosis “00085 Impaired Physical Mobility” in multiple traumas victims

Abstract

Objective: to clinically validate the nursing diagnosis “Impaired Physical Mobility”, identifying its prevalence, defining characteristics, related factors, and associated conditions with the calculation of accuracy measures and generation of Decision Trees, as well as clinically and etiologically characterize the multiple traumas victims. Method: methodological, cross-sectional study of clinical validation type, using diagnostic accuracy measures and generating decision tree. Results: the sample consisted of 126 patients, 73% male, with a mean age of 38.29 years. The frequency of the nursing diagnosis studied was 88.10%; the defining characteristic with the highest prevalence was “Difficulty turning” (58.73%), with a predictive power of 98.6%; the associated condition “Alteration in bone structure integrity” stood out with 72.22%. The accuracy measures also indicated their predictive power. Conclusion: the components aforementioned were considered predictors of this diagnosis. This study contributed to improve the identification of clinical indicators associated with advanced methods of diagnostic validation, directing care and reducing the variability present in clinical situations.

Assessment of Cardiovascular Risk Factors in Young Adults through the Nursing Diagnosis: A Cross-Sectional Study among International University Students

“…Results were also in line with the sensitivity and specificity obtained for the indicators “short stature for age and sex” and “growth velocity less than expected” regarding the nursing diagnosis “delay in growth in adolescents” [ 22 ]. However, our results are in contrast with previous clinical validation of nursing diagnosis in which low specificity [ 23 ] or low sensitivity [ 24 ] was obtained.…”

Indicadores diagnósticos para risco de lesão por pressão em pacientes com trauma ortopédico

“…Quanto a idade, alguns estudos demonstraram média de idade superior a 50 anos (15,16) . Em contrapartida, o presente estudo mais graves que em pacientes adultos jovens (18) .…”

“…Os traumas ortopédicos em membros superiores são comuns causas de admissões em serviços de emergência, principalmente em vítimas de acidentes de trânsito, considerando que as extremidades são mais vulneráveis ao trauma direto ou após a vítima ser arremessada para fora do veículo. Em relação aos motociclistas, estes, apenas obtêm a proteção para a cabeça, deixando os membros sem proteção (16) . Estudos apontam predominância de lesões traumato-ortopédicas em membros superiores (16,25) .…”

“…Em relação aos motociclistas, estes, apenas obtêm a proteção para a cabeça, deixando os membros sem proteção (16) . Estudos apontam predominância de lesões traumato-ortopédicas em membros superiores (16,25) .…”

Clinical evidence of the nursing diagnosis Adult pressure injury

“…In the guideline Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline used worldwide, PI is defined as "Localized damage to the skin and/or underlying tissue of an adult, as a result of pressure, or pressure in combination with shear; it usually occurs over a bony prominence but may also be related to a medical device or other object" (12) . Based on this definition, it is understood that a study addressing the main clinical evidence of PI patients, taking the pathophysiology of this injury into account, would contribute to providing greater support for the identification of a more accurate ND and, consequently, to better decision-making by the nurse with interventions to solve or minimize this problem (10)(11)14) .…”