RESUMEN
Dispor de diagnoÌsticos de enfermagem que respondam aÌ complexidade do desenvolvimento infantil (DI) eÌ fundamental para subsidiar o enfermeiro na elaboraçaÌo de planos de cuidado integral aÌ criança. O objetivo deste trabalho foi apresentar a anaÌlise do conteuÌdo de treÌs novos diagnoÌsticos sobre DI para a NANDA-I. Pesquisa metodoloÌgica, de meÌtodo misto. Etapa quantitativa com juiÌzes, mediante questionaÌrio estruturado, com anaÌlise de concordaÌncia simples; e etapa qualitativa de anaÌlise das discordaÌncias em grupo focal com peritos, para obtençaÌo de consenso. Dezoito juiÌzes responderam ao questionaÌrio, com concordaÌncia acima de 80% para os diagnoÌsticos "Atraso no Desenvolvimento Infantil" e "Risco de Atraso no Desenvolvimento Infantil"; o diagnoÌstico "DisposiçaÌo para Desenvolvimento Infantil Melhorado" teve 61% de concordaÌncia do enunciado e acima de 80% na maioria das caracteriÌsticas definidoras. Oito peritos analisaram as discordaÌncias ateÌ produçaÌo de consensos. A elevada concordaÌncia dos juiÌzes e consenso dos peritos validaram o conteuÌdo dos diagnoÌsticos propostos.
Having nursing diagnoses which answer to the complexity of child development (CD) is fundamental for nurses to ground the formulation of comprehensive care to children. The objective of the present study was to present a content analysis of three new diagnoses about CD for the NANDA-I. It consisted of a methodological, mixed- method study. The quantitative phase was carried out with judges and a structured questionnaire, with simple concordance analysis, and the qualitative phase of the analysis of discrepancies was performed in a focus group, with experts, to obtain a consensus. Eighteen judges answered the questionnaire, and analysis of the results showed an agreement higher than 80% for the "Delayed Child Development" and "Risk for Delayed Child Development" diagnoses; the "Readiness for Enhanced Child Development" diagnosis achieved 61% of agreement regarding the statement and more than 80% of concordance in most defining characteristics. Eight experts analyzed disparities until consensuses were reached. The high agreement among judges and consensus among experts validated the content of the suggested diagnoses.
Asunto(s)
Humanos , Masculino , Femenino , Desarrollo Infantil , Estudio de Validación , Proceso de EnfermeríaRESUMEN
OBJECTIVE: estimate the psychometric properties in the adaptation of the instrument Positions on Nursing Diagnosis to assess nursing staff members' attitudes towards the nursing process. METHOD: methodological study with a non-probabilistic sample of 973 nursing assistants and 632 baccalaureate nurses from 35 hospitals and outpatient clinics affiliated with the São Paulo State Health Secretary. The validity of the 20-items instrument was checked through confirmatory factor analysis, which identified a more generally secondary-level factor, constituted by the three classical attitude factors. Reliability corresponded to 0.954 for the total instrument. RESULTS: the validity and reliability of the instrument Posições sobre o Processo de Enfermagem are appropriate . CONCLUSIONS: further research is needed to verify whether the items behave differently according to the respondent's professional category and to verify the instrument's behavior when applied to student samples.
Asunto(s)
Actitud del Personal de Salud , Proceso de Enfermería , Encuestas y Cuestionarios , Adulto , Femenino , Humanos , Masculino , Reproducibilidad de los ResultadosRESUMEN
PURPOSE: To validate defining characteristics of ineffective peripheral tissue perfusion using vasomotor function assessment. METHODS: Twenty-four patients with hypertensive cardiomiopathy were evaluated for 18 defining characteristics of ineffective peripheral tissue perfusion and underwent vasomotor function assessment with induction of reactive hyperemia, intra-arterial infusion of acetylcholine, and pulse wave velocity measurement. The Student's t test and Kruskall-Wallis test were used to assess the significance of relationships between defining characteristics and vasomotor function data. FINDINGS: Diminished lower extremity pulses were associated with diminished forearm blood flow during acetylcholine infusion; left ventricular overload, intermittent claudication, and diminished skin moisture were associated with elevated pulse wave velocity values. CONCLUSION: The defining characteristics of ineffective peripheral tissue perfusion were highly associated with vasomotor function data as "gold standards" for that diagnosis. PRACTICE IMPLICATIONS: Nurses should be able to accurately assess diminished lower extremity pulses, intermittent claudication, and diminished skin moisture as relevant characteristics of ineffective peripheral tissue perfusion in patients with hypertensive cardiomiopathy.
Asunto(s)
Cardiomiopatías/complicaciones , Hipertensión/complicaciones , Evaluación en Enfermería/normas , Diagnóstico de Enfermería/normas , Enfermedades Vasculares Periféricas/diagnóstico , Enfermedades Vasculares Periféricas/etiología , Acetilcolina , Velocidad del Flujo Sanguíneo , Cardiomiopatías/tratamiento farmacológico , Investigación en Enfermería Clínica , Femenino , Insuficiencia Cardíaca/complicaciones , Hemodinámica , Humanos , Hipertensión/tratamiento farmacológico , Claudicación Intermitente/etiología , Masculino , Microcirculación , Persona de Mediana Edad , Evaluación en Enfermería/métodos , Diagnóstico de Enfermería/métodos , Investigación en Evaluación de Enfermería , Enfermedades Vasculares Periféricas/fisiopatología , Pulso Arterial , Volumen Sistólico , Vasodilatadores , Disfunción Ventricular Izquierda/complicacionesRESUMEN
Therapeutic Intervention Scoring System-28 (TISS-28) is a tool that enables the measurement of the nursing work load in Intensive Care Units and the estimate of how grave the disease is. In this study are presented the operational definitions for its application, proposed by a group of specialists in the area, with the aim of rendering uniform the meaning of each of the items and preventing interpretation biases.
Asunto(s)
Cuidados Críticos/organización & administración , Unidades de Cuidados Intensivos/organización & administración , Índice de Severidad de la Enfermedad , Carga de TrabajoRESUMEN
This study was done to analyze the association between defining characteristics of decreased cardiac output (DCO) identified by noninvasive methods and the cardiac index (CI) estimated by thermodilution. Two defining characteristics were associated with DCO: decreased peripheral pulse and decreased peripheral perfusion. This study points out the relevance of peripheral circulation assessment in postoperative cardiac surgery patients.