Iane Ximenes Teixeira, Natália Cabrera Matos, Marcos Venícios de Oliveira Lopes, Viviane Martins da Silva, Amanda Laryssa Gomes do Nascimento, Yanka Alcântara Cavalcante, Ana Beatriz Oliveira Marques Dos Santos, Daniele Paula Alves Mouta
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引用次数: 0
Abstract
Purpose: To clinically validate the nursing diagnosis "Inadequate Nutritional Intake" based on elements identified within a specific situation theory framework in the context of children with cancer.
Methods: This is a diagnostic accuracy study following the Standards for Reporting Diagnostic Accuracy Studies (STARD) protocol. Specifically, it refers to the clinical validation phase of the nursing diagnosis Inadequate nutritional intake, using a cross-sectional design. The study was conducted in a tertiary pediatric hospital with a sample of 69 children diagnosed with cancer.
Findings: A total of 11 clinical indicators demonstrated diagnostic accuracy above 50%, including: ascites, low weight-for-age ≤2 SD, cachexia, mid-upper arm circumference < 10th percentile, fatigue, pale mucous membranes, dry mucosa, dry skin, weight loss greater than 5% within 1 month, compromised immune response, and delayed wound healing. The primary etiological factors identified in this study were chemotherapy, economic disadvantage, inadequate dietary pattern, insufficient dietary intake, rejection of hospital food, and family food culture. The nursing diagnosis had a prevalence of 7.25% among the participating children.
Conclusions: Despite the low prevalence, this study highlights that inadequate nutritional intake is a real and complex health issue in this population, with multiple etiological factors requiring a precise and systematic assessment for early identification by healthcare professionals, particularly nurses. This underscores the importance of research focused on refining nursing diagnoses in specific populations.
Implications for nursing practice: Validation studies such as this enhance the accuracy and evidence-based nature of nursing practice, while also supporting collaborative decision-making for addressing nutritional issues in children with cancer, considering the various etiological factors involved.
期刊介绍：
The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge.
The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages.
The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy.
The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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