Systematic review and meta‐analysis of the accuracy of clinical indicators for ineffective airway clearance

Sousa, Vanessa Emille Carvalho de; Lopes, Marcos Venícios de Oliveira; Silva, Viviane Martins da

doi:10.1111/jan.12518

Cited by 13 publications

(21 citation statements)

References 39 publications

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“…Adult patients with a medical diagnosis of multiple traumas were included according to the definition presented ( 4 ) . Patients with previous motor and sensory deficits ( 16 - 17 ) were excluded.…”

Section: Methodsmentioning

confidence: 99%

“…All nurses members of the “Study and Research Group on Nursing Care Management” participated in an 8-hour classroom training, conducted by the researchers, to discuss the inferential process and the topics related to the polytraumatized patients. Previous validation studies were discussed and the data collection instruments ( 15 - 16 ) were presented.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, the repetition of the application could present cognitive memory, influencing this process ( 15 , 19 - 21 ) . The clinical histories were elaborated by the researchers portrayed patients with multiple traumas, and in half of the cases the studied ND was present, and absent on the other half ( 15 - 16 ) .…”

Section: Methodsmentioning

confidence: 99%

“…The collection was performed by three nurses (value determined by convenience, as there is no methodological recommendation), called diagnosticians, after approval during the training. In this type of research, the diagnostic inference performed by the diagnosticians represents the imperfect gold standard, considering that nursing diagnoses are human phenomena and there are no ideal reference standards, in addition to the absence of devices for objective measurement ( 15 - 16 ) .…”

Section: Methodsmentioning

confidence: 99%

“…The development of researches on diagnostic validation have been recently increasing for the review and evaluation in different populations of the constituent elements of nursing diagnoses, aiming to contribute to diagnostic accuracy, scientific substantiation, and refinement of the set of clinical indicators to direct the care provided. In this way, it allows its use by nurses in diverse populations, making them susceptible to generalization by their refinement, improvement, and theoretical-practical articulation, benefiting communication and nursing records ( 9 , 16 ) .…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Ferreira

2019

Rev. Latino-Am. Enfermagem

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Clinical validation of the NANDA-I diagnosis of impaired memory in elderly patients

Montoril

Lopes

Santana

et al. 2016

Applied Nursing Research

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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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Systematic review and meta‐analysis of the accuracy of clinical indicators for ineffective airway clearance

Abstract: This systematic review showed that the variability in clinical indicators of ineffective airway clearance is related to differences in the clinical settings and patients.

Cited by 13 publications

References 39 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 validation of the NANDA-I diagnosis of impaired memory in elderly patients

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

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