Analysis of the content of the nursing diagnosis deficient knowledge in individuals with heart failure.

OBJECTIVE: To analyze the content of the nursing diagnosis deficient knowledge in individuals with heart failure. METHODS: Methodological study to validate the content of a nursing diagnosis based on the predictive model of diversity, carried out through the organization of the phenomenon of interest and analysis by judges using the collective wisdom model. The NANDA-I Knowledge Deficient diagnosis was evaluated by 48 judges and considered valid when it presented a median content validity index ≥ 0.8 in the confidence intervals. RESULTS: Note that 66.6% of the judges indicated that the new definition proposed was more adequate than the definition adopted by NANDA-I. After the experts' analysis, the following defining characteristics were considered valid: inaccurate statements about the disease and/or therapy, inadequate performance in the management of intercurrences, increase in hospital readmissions, worsened quality of life, deficit in self-care performance, and follow-up of inadequate instruction; related factors are as follows: inadequate guidance offered by health professionals, nonparticipation of the patient in the planning of their health care, weakened relationship between professional and individual; populations at risk-elderly and low level of education of the individual and/or caregiver and the associated condition, mild cognitive impairment. Anxiety, depression, and impaired social interaction were elements considered not relevant to the content domain. CONCLUSION: The validation of the content of the aforementioned diagnosis in patients with heart failure, through the analysis of judges with different degrees of expertise, made it possible to improve the definition and expansion of new diagnostic indicators. IMPLICATIONS FOR NURSING PRACTICE: Updated diagnostic elements for the nursing diagnosis deficient knowledge in individuals with heart failure will facilitate accurate clinical judgment and the establishment of a therapeutic plan aimed at etiological factors modifiable by nurses.

Necessidades de aprendizagem acerta da cirurgia cardíaca na perspectiva de pacientes e enfermeiros / Learning needs about cardiac surgery from the perspective of patients and nurses / Necesidades de aprendizaje acerca de la cirugía cardíaca en la perspectiva de pacientes y enfermeros

Objetivo: Verificar a concordância entre a percepção dos enfermeiros sobre a necessidade de aprendizagem dos pacientes em período pré-operatório acerca da cirurgia cardíaca e os tópicos sobre os quais os pacientes mostram menor conhecimento. Método: Trata-se de um estudo descritivo-exploratório, realizado em duas etapas, em dois hospitais universitários na cidade do Recife, Pernambuco, Brasil. Em uma primeira etapa, os pesquisadores questionaram 30 enfermeiros sobre quais tópicos eles acreditavam que os pacientes tivessem mais dúvidas ou menor conhecimento. Na segunda etapa, 50 pacientes foram entrevistados para verificar seu conhecimento acerca dos 18 tópicos que os enfermeiros haviam julgado. Resultados: A média de acertos dos pacientes foi igual a 5,92. Em 16 dos 18 tópicos avaliados, o conhecimento dos pacientes era menor na perspectiva dos enfermeiros do que nos valores representados pelos acertos dos próprios pacientes. Conclusão: Os tópicos que os pacientes tiveram mais dúvidas devem se tornar focos de atenção no processo educativo do enfermeiro, que necessita conhecer a população sob seus cuidados para melhor planejar suas ações

Objective: To verify the agreement between nurses' perceptions about learning needs of patients in the preoperative period of cardiac surgery, and the topics that patients show to have less knowledge about. Method: Descriptive-exploratory study carried out in two steps, at two university hospitals in the city of Recife, Pernambuco, Brazil. In the first step, researchers questioned 30 nurses on which topics they believed patients had more questions or less knowledge about. In the second step, 50 patients were interviewed so as to check their knowledge about the 18 topics that the nurses had judged. Results: The mean of correct answers was 5.92. In 16 of the 18 topics assessed, patients had less knowledge in nurses' perspective than their correct answers represented. Conclusion: The topics patients had more queries about should become the focus of attention in nurses' formation, as these professionals should be acquainted with the population they're caring for in order to better plan their actions.

Objetivo: Verificar la concordancia entre la percepción de los enfermeros sobre la necesidad de aprendizaje de los pacientes en período preoperatorio acerca de la cirugía cardiaca y los tópicos sobre los cuales los pacientes muestran menor conocimiento. Método: Se trata de un estudio descriptivo- exploratorio, realizado en dos etapas, en dos hospitales universitarios en la ciudad de Recife, Pernambuco, Brasil. En una primera etapa, los investigadores cuestionaron a 30 enfermeros sobre qué tópicos creían que los pacientes tenían más dudas o menor conocimiento. En la segunda etapa, 50 pacientes fueron entrevistados para verificar su conocimiento acerca de los 18 tópicos que los enfermeros habían juzgado. Resultados: El promedio de aciertos de los pacientes fue igual a 5,92. En 16 de los 18 tópicos evaluados, el conocimiento de los pacientes era menor en la perspectiva de los enfermeros que en los valores representados por los aciertos de los propios pacientes. Conclusión: Los tópicos que los pacientes tuvieron más dudas deben convertirse en focos de atención en el proceso educativo del enfermero, que necesita conocer a la población bajo sus cuidados para mejor planificar sus acciones.