Ineffective breathing pattern in children and adolescents with congenital heart disease: accuracy of defining characteristics

Beltrão, Beatriz Amorim; Herdman, T. Heather; Pascoal, Lí­via Maia; Chaves, Daniel Bruno Resende; Silva, Viviane Martins da; Lopes, Marcos Venícios de Oliveira

doi:10.1111/jocn.12838

Cited by 14 publications

(40 citation statements)

References 21 publications

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“…Dyspnea is a defining feature that has been associated with early stages of IBP among children with different cardiac and respiratory conditions. Previous studies have shown that dyspnea has high sensitivity in correctly identifying children with isolated ventilatory changes or in conjunction with other nursing diagnoses (Andrade et al, 2012;Beltrão et al, 2015;Cavalcante et al, 2010;Silveira, Lima, & Lopes, 2008). On the other hand, the defining characteristics "use of accessory muscles to breathe" and "orthopnea" have been associated with IBP as confirmatory diagnostic characteristics because they have low sensitivity and high specificity values between children with asthma and acute respiratory infections (Andrade et al, 2012;Cavalcante et al, 2010).…”

Section: Discussionmentioning

confidence: 95%

Clinical Differentiation of Respiratory Nursing Diagnoses among Children with Acute Respiratory Infection

Pascoal

Lopes

Silva

et al. 2016

Journal of Pediatric Nursing

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Objectives: To identify the prevalence of nursing diagnoses: ineffective breathing pattern (IBP) (00032), ineffective airway clearance (IAC) (00031), impaired gas exchange (IGE) (00030) and impaired spontaneous ventilation (ISP) (00033), their defining characteristics and related factors, in children with acute respiratory infection. Methods: A quantitative, transversal approach with 151 children. Data were collected by means of interviews and pulmonary evaluation. For data analysis, we used descriptive and inferential statistics. Results: The most prevalent diagnosis was IBP. Adventitious breath sounds and ineffective cough were the most prevalent defining characteristics. Adventitious breath sounds increased by 80% the chance for IAC. Among the related factors, the highlights were: secretions in the bronchi and retained secretions. Secretions in the bronchi favored in 80% the occurrence of IBP and in 60% of IAC. This verified a statistically significant association between the defining characteristics and related factors of the diagnoses studied. Conclusion: The four diagnoses were identified in children with acute respiratory infections, with different prevalences. RESUMO Objetivos: Identificar a prevalência dos diagnósticos de enfermagem: Padrão respiratório ineficaz (PRI), Desobstrução ineficaz de vias aéreas (DIVA), Troca de gases prejudicada (TGP) e Ventilação espontânea prejudicada (VEP) suas características definidoras e fatores relacionados, em crianças com infecção respiratória aguda. Métodos: Estudo de abordagem quantitativa, transversal, com 151 crianças. Os dados foram coletados por meio de entrevista e de avaliação pulmonar. Para análise dos dados, foi utilizada a estatística descritiva e inferencial. Resultados: O diagnóstico mais prevalente foi PRI. Ruídos adventícios respiratórios e tosse ineficaz foram às características definidoras mais prevalentes. Ruídos adventícios respiratórios aumentam em 80% a chance para DIVA. Entre os fatores relacionados, destacaram-se: secreções nos brônquios e secreções retidas. Secreções nos brônquios favorecem em 80% a ocorrência de PRI e em 60% de DIVA. Verificou-se associação estatisticamente significante entre as características e fatores relacionados com os diagnósticos estudados. Conclusão: Os quatro diagnósticos foram identificados em crianças com infecções respiratórias agudas, apresentando prevalências distintas. Descritores: Infecções respiratórias/diagnóstico; Criança; Diagnóstico de enfermagem RESUMEN Objetivos: Identificar la prevalencia de los diagnósticos de enfermería: Patrón respiratorio ineficaz (PRI), Desobstrucción ineficaz de vías aéreas (DIVA), Intercambio de gases perjudicada (IGP) y Ventilación espontánea perjudicada (VEP) sus características definidoras y factores relacionados, en niños con infección respiratoria aguda. Métodos: Estudio de abordaje cuantitativo, transversal, realizado con 151 niños. Los datos fueron recolectados por medio de entrevista y de evaluación pulmonar. Para el análisis de los datos, fue utilizada la estadística de...

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Section: Discussionmentioning

confidence: 95%

Clinical Differentiation of Respiratory Nursing Diagnoses among Children with Acute Respiratory Infection

Pascoal

Lopes

Silva

et al. 2016

Journal of Pediatric Nursing

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“…It was also the human response (88.5%) most commonly found in studies that analyzed this diagnosis in children with congenital heart disease. (5,13,14) Risk for falls was the ND with the highest percentage of disagreement among the experts (45.1%) as the only risk factor mapped in the records was "under two years of age", because this was considered to be of little clinical importance for diagnostic inference.…”

Section: Discussionmentioning

confidence: 99%

“…(4) The ND in this study represent clinical judgments of the responses of children and/or families to heart disease and hospitalization, which provided for the selection of interventions aimed at achieving results for which nurses were responsible. (5,6) The implementation of the nursing process based on standardized nursing language (SNL) generates documentation and information about the contribution of nursing to the care of children with congenital heart diseases. In this regard, knowing the most frequently diagnosed NANDA International (NANDA-I) ND within this population contributes to the standardization of nursing care by providing evidence for the development of electronic patient records, protocols and recording instruments, care planning, risk management, audits, selection of indicators and outcomes to be measured, improving the quality of care, and providing greater safety to the patients.…”

Section: Introductionmentioning

confidence: 99%

Diagnósticos de Enfermagem em crianças com cardiopatias congênitas: mapeamento cruzado

et al. 2015

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Objective: To identify the NANDA International nursing diagnoses from the terms found in the nursing records of hospitalized children with congenital heart defects, and verify the association between these terms and the mapped nursing diagnoses. Methods: Observational and cross sectional study, developed by mapping of the terms in the nursing records of hospitalized children up to two years of age with congenital heart disease. The association between the terms and the most frequent nursing diagnoses were evaluated using the Student's t-test or chi-square. Results: The most frequent nursing diagnoses in the 82 records analyzed were: risk for infection (81.7%), impaired gas exchange (46.3%) and activity intolerance (36.6%). The terms "cyanotic" and "pallor" had significant associations with the diagnosis, impaired gas exchange. Conclusion:The terms recorded in the records of children with congenital heart disease allowed for the identification of NANDA International nursing diagnoses, in addition to verification of associations. ResumoObjetivo: Identificar Diagnósticos de Enfermagem da NANDA International a partir dos termos encontrados nos registros de Enfermagem de crianças com cardiopatias congênitas hospitalizadas e verificar associação entre estes termos e os Diagnósticos de Enfermagem mapeados. Métodos: Estudo observacional, transversal desenvolvido por mapeamento dos termos nos registros de Enfermagem de crianças hospitalizadas de até 2 anos com cardiopatia congênita. A associação entre os termos e os Diagnósticos de Enfermagem mais frequentes foi avaliada pelo teste t de Student ou qui quadrado. Resultados: Nos 82 registros analisados, os Diagnósticos de Enfermagem mais frequentes foram Risco de infecção (81,7%), Troca de gases prejudicada (46,3%) e Intolerância à atividade (36,6%). O termo "cianótico" e "hipocorado" tiveram relação estatisticamente significativa com o diagnóstico Troca de gases prejudicada. Conclusão: Observou-se que os termos registrados em prontuários de crianças com cardiopatias congênitas permitiram a identificação dos Diagnósticos de Enfermagem da NANDA International, além da verificação das associações.

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“…In clinical care, this fact may confuse the nurse during the process of diagnostic inference and may compromise the elaboration of the care plan (Pascoal et al., 2016). This is worrisome in view of the occurrence of IBP in diverse populations such as in postoperative patients of cardiac surgeries (Sousa et al., 2016), children with acute respiratory infection (Pascoal et al., 2016), and children and adolescents with congenital heart disease (Beltrão et al., 2015).…”

Section: Introductionmentioning

confidence: 99%

A Content Analysis of Clinical Indicators of the Nursing Diagnosis Ineffective Breathing Pattern

Pascoal

Lopes

Silva

et al. 2020

Int J of Nursing Knowl

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PURPOSETo verify the relevance of the clinical indicators, the clarity and precision of the conceptual, and operational definitions for Ineffective breathing pattern (IBP).METHODSA content analysis by 39 judges.FINDINGSThe results showed 28 clinical indicators for IBP. However, only seven were not considered relevant for the diagnosis. These are not listed in NANDA International taxonomy. All conceptual and operational definitions were adequate, according to the analysis of the judges.CONCLUSIONThe list of 28 clinical indicators of IBP was submitted for analysis by judges, which then resulted in the validation of 21 of these elements.IMPLICATIONS FOR NURSING PRACTICEThis study clarifies that gaps in the structure of diagnoses, helping nurses' diagnostic reasoning process in clinical practice.

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Ineffective breathing pattern in children and adolescents with congenital heart disease: accuracy of defining characteristics

Abstract: The findings can help nurses during the diagnostic process, as they identify which defining characteristics can be used to confirm or rule out the probability of occurrence of the diagnosis.

Cited by 14 publications

References 21 publications

Clinical Differentiation of Respiratory Nursing Diagnoses among Children with Acute Respiratory Infection

Clinical Differentiation of Respiratory Nursing Diagnoses among Children with Acute Respiratory Infection

Diagnósticos de Enfermagem em crianças com cardiopatias congênitas: mapeamento cruzado

A Content Analysis of Clinical Indicators of the Nursing Diagnosis Ineffective Breathing Pattern

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