Measures of clinical accuracy and indicators of the nursing diagnosis of delayed surgical recovery

Santana, Rosimere Ferreira; Lopes, Marcos Venícios de Oliveira

doi:10.1016/j.colegn.2014.02.001

Cited by 8 publications

(18 citation statements)

References 32 publications

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“…A methodological study, a clinical validation model, recommended by the literature as the third stage of the validation process and diagnostic accuracy ( 17 ) .…”

Section: Methodsmentioning

confidence: 99%

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

Ferreira

2019

Rev. Latino-Am. Enfermagem

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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.

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“…A methodological study, a clinical validation model, recommended by the literature as the third stage of the validation process and diagnostic accuracy ( 17 ) .…”

Section: Methodsmentioning

confidence: 99%

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

Ferreira

2019

Rev. Latino-Am. Enfermagem

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“…Decision making in nursing should be based on clinical skills and scientific evidence (Santana & de Oliveira Lopes, in press). Thus, there is a need for studies to validate nursing diagnoses and to show relations of nursing diagnoses and other phenomena, such as which nursing diagnoses or what components are important for populations with specific medical diagnoses or conditions, as postoperative patients (Lunney, ).…”

mentioning

confidence: 99%

Clinical Indicators of Impaired Gas Exchange in Cardiac Postoperative Patients

Sousa

Pascoal

Matos

et al. 2014

Int J of Nursing Knowl

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“…The prevalence rate of "Delayed Surgical Recovery" in a previous study was 37% among adults and the elderly, and of all types of surgery, patients with gastrointestinal surgery had the highest prevalence (31%) [13]. This study aimed to evaluate the effectiveness of a Telecare nursing intervention, "Telephone consultation", in reducing the "Delayed surgical recovery" nursing diagnosis in patients who are undergoing laparoscopic cholecystectomy and hernia repair.…”

Section: Introductionmentioning

confidence: 98%

Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study

Schulz

Santana²,

Santos

et al. 2020

BMC Nurs

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Background: Patient undergoing surgery may be afraid and concerned about the diagnosis, the treatment, the procedure, the postoperative care, and the surgical recovery. Good communication between staff and patients can minimize or prevent this situation. This study aimed to evaluate the effectiveness of a Telecare nursing intervention, "Telephone consultation", in reducing the "Delayed surgical recovery" nursing diagnosis in patients undergoing laparoscopic cholecystectomy and hernia repair. Methods: This study was performed in two different institutions located in Rio de Janeiro, Brazil. A total of 43 patients were enrolled. The experimental group consisted of 22 patients who had access to the telephone followup intervention, and the control group consisted of 21 patients who received conventional treatment without telephone follow-up. This was a randomized controlled study with patients who were 60 years or older and awaiting operative procedures of hernia repair and laparoscopic cholecystectomy who had a mobile or landline phone and were available for telephone contact. Results: There was a reduction in "loss of appetite with nausea" (p = 0.013); "need help to complete self-care" (p = 0.041); "pain" (p = 0.041); and "postoperative sensation" (p = 0.023). The experimental group showed a significantly larger decrease in factors related to the "Delayed surgical recovery" diagnosis, suggesting a positive effect of the intervention compared to the effect in control group.\. Conclusion: Telephone consultation identified factors that increased the risk of complications after surgery, recognized potential patients for delayed surgical recovery and helped perioperative nurses provide accurate interventions to prevent or mitigate delayed recovery. This study was registered in the platform Brazilian Registry of Clinical Trials (ReBEC)-link: http://www. ensaiosclinicos.gov.br under registration number RBR-4C249M, retrospectively registered on April 13, 2020.

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Measures of clinical accuracy and indicators of the nursing diagnosis of delayed surgical recovery

Cited by 8 publications

References 32 publications

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

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

Clinical Indicators of Impaired Gas Exchange in Cardiac Postoperative Patients

Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study

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