Disrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory.

IF 1.2 Q3 NURSING

Revista Brasileira De Enfermagem Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.1590/0034-7167-2023-0464

Ryanne Carolynne Marques Gomes Mendes, Gabrielle Pessôa da Silva, Jaqueline Galdino Albuquerque Perrelli, Cleide Maria Pontes, Lívia Maia Pascoal, Ana Luisa Brandão de Carvalho Lira, Marcos Venícios de Oliveira Lopes, Suzana de Oliveira Mangueira, Francisca Márcia Pereira Linhares

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引用次数: 0

Abstract

Objectives: to develop and evaluate a Middle-Range Theory for the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" in high-risk pregnancies.

Methods: this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem's General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.

Results: the theory identified 20 elements of the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.

Conclusions: the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon "Disrupted Mother-Fetus Dyad Risk," which aids in nurses' diagnostic reasoning.

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高危妊娠中母胎关系破裂的风险：中程理论。

目的：为高危妊娠的护理诊断 "母胎关系破裂风险 "制定和评估中程理论。方法：本方法学研究分两个阶段进行：理论制定和评估。多萝西娅-奥雷姆的一般护理模式被用作理论概念基础。结果：该理论确定了护理诊断 "母胎关系紊乱风险 "的 20 个要素（10 个风险因素、4 个高危人群和 6 个相关条件）、14 个命题和 1 个象形图。经过两轮评估后，该理论被认为是一致的，所有项目都达成了共识，每个项目的内容效度指数都≥0.80。结论：中程理论包括解释 "母胎组合风险失调 "护理现象的生物心理社会因素，有助于护士的诊断推理。

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来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.