Validation of the Nursing Diagnosis “Labile Emotional Control” in Traumatic Brain Injury

Abstract

Objective To validate the defining characteristics of the nursing diagnosis “labile emotional control” in traumatic brain injury (TBI) outpatients. Design This was a descriptive, cross‐sectional, quantitative study. Methods Thirty‐one Brazilian nurses who were experts in the area of TBI answered a semistructured questionnaire on the diagnosis “labile emotional control” based on NANDA‐International (NANDA‐I) Taxonomy II (2015–2017) using a Likert‐type scale to rate the 13 defining characteristics. Based on Fehring's model, the weighted average of ≥80 was used to define the main characteristic and the mean of ≥0.50 was considered for total content validation. Results Out of the 13 defining characteristics of the nursing diagnosis studied, “leaving a social situation” (0.80) and “expression of emotions inconsistent with the triggering factor” (0.81) were classified as principal characteristics, while the 11 others were classified as secondary characteristics. The diagnosis “labile emotional control” obtained a total score of 0.69, which was considered valid according to NANDA‐I Taxonomy II. Conclusions Because this is a new diagnosis with subjective characteristics, there is a need to train nurses to recognize the defining characteristics for the diagnosis. Clinical Relevance The validation of this diagnosis helps nurses understand and identify the subjective characteristics of the emotional impressions expressed by patients with TBI. These defining characteristics will help improve TBI nurses’ clinical practice.

Curative Effect of Early Full Nursing Combined with Postdischarge Continuation Nursing on Patients after Craniocerebral Trauma

“…In this study, the four dimensions of the upper limb Fugl-Meyer score, lower limb Fugl-Meyer score, ARAT score, FIM score, and GQOLI-74 scores in the observation group were higher than those of the control group during the same period at different periods after nursing, indicating that the early full nursing combined with postdischarge continuation nursing has a higher effect on improving the motor function and quality of life of patients after craniocerebral trauma. After the patient's vital signs are stable, the concept of rehabilitation training can be taught to the patient and their family members, which can help the patient accept their own condition, correctly understand the development of the disease, and establish a reasonable concept of rehabilitation [21][22][23]. When the patient's condition tends to be stable, the patient is patiently guided to carry out corresponding rehabilitation exercises around language function, sensory function, motor function, etc., step by step, and gradually restore various nerve and limb functions [24,25].…”

Content validity of the nursing diagnosis low self‐efficacy in health

“…There are limitations in the content validation studies of nursing diagnoses related to the selection, characterization, recruitment of experts, and the limited availability of judges with a high level of specialization and academic training (Lopes & Silva, 2016; Lopes et al., 2013). Faced with this problem, the authors propose the inclusion of professionals with the knowledge and practical/clinical experience in the area of interest and not exclusively experts with a high academic degree (Lopes et al., 2013; Santos et al., 2019; Urrutia et al., 2014). This strategy allows the selection of an adequate number of judges and allows heterogeneity among experts, according to the predictive diversity theorem of Page (2008), which applies the concept of “wisdom of crowds” which states that the diversity of opinions generated by a group of people presents better estimates than those of a single expert (Surowiecki, 2005; Page, 2008).…”