International Journal of Nursing Knowledge最新文献

{"title":"Diagnostic validation of the 00325 Inadequate Self-Compassion.","authors":"Aarón Muñoz-Devesa, Daniel Guillén-Martínez, Adriana Caterina de Souza-Oliveira, Daniel Muñoz-Jimenez, Paloma Echevarría-Pérez, Isabel Morales-Moreno","doi":"10.1111/2047-3095.12502","DOIUrl":"https://doi.org/10.1111/2047-3095.12502","url":null,"abstract":"<p><strong>Background: </strong>Self-compassion is an essential component of self-care. Recognizing it as a nursing diagnosis can promote interventions to address Inadequate Self-Compassion.</p><p><strong>Aim: </strong>This study aims to clinically validate the new NANDA-I diagnosis (00325) Inadequate Self-Compassion.</p><p><strong>Methodology: </strong>A mixed-methods study was conducted, combining quantitative and qualitative methods. A descriptive, cross-sectional, and prospective study was planned.</p><p><strong>Participants: </strong>We used the Self-Compassion Scale (SCS) to identify individuals with Inadequate Self-Compassion among nursing students. Subsequently, we conducted a group interview with these individuals, stratified by academic year of the nursing degree.</p><p><strong>Results: </strong>The group interview followed the structure of the new NANDA-I diagnosis, with diagnostic items serving as variables for analyzing qualitative data. The study revealed that nursing students commonly experience Inadequate Self-Compassion. Group interviews with participants who reported low self-compassion validated the diagnostic items of the new Inadequate Self-Compassion diagnosis.</p><p><strong>Conclusion: </strong>The study validates the new NANDA-I diagnosis of 00325 Inadequate Self-Compassion clinically.</p><p><strong>Implications for nursing practice: </strong>The present study raises the level of diagnostic evidence from level 2.1. Conceptual validity to level 2.3.1a. Qualitative validity, increasing the strength of the evidence for diagnostic validity.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Content validation of the nursing diagnosis \"Frail Elderly Syndrome (00257)\".","authors":"Elena Rodado-Domínguez, Edinson Fabian Ardila-Suarez, Ana María Porcel-Gálvez","doi":"10.1111/2047-3095.12505","DOIUrl":"https://doi.org/10.1111/2047-3095.12505","url":null,"abstract":"<p><strong>Objective: </strong>To increase the level of evidence available for the nursing diagnosis \"Frail Elderly Syndrome 000257\" through content validation by nurses with expertise in caring for the elderly.</p><p><strong>Method: </strong>Diagnostic content validation study in accordance with Fehring's proposal composed of two stages: integrative review of the literature according to Whittemore and Knafl's guidelines, which allowed us to update the diagnostic components, and, subsequently, expert consensus study by means of the Delphi method. A total of 61 nurses who met the inclusion criteria were included. A Likert-type questionnaire was used to identify levels of agreement with the respective components. Data distribution analysis was performed. Components >0.80 on the content validity index (CVI) were validated.</p><p><strong>Results: </strong>Twelve defining characteristics, 10 related factors, 6 risk populations, and 2 associated conditions were validated by experts. Global CVI was determined for clinical indicators.</p><p><strong>Conclusion: </strong>The components of the nursing diagnosis validated by experts in caring for the elderly provide an overview of the phenomenon of frailty in the elderly in hospital settings.</p><p><strong>Implication for clinical practice: </strong>This study will provide nurses responsible for elderly care with the necessary tools to FES, enabling them guide and appropriate interventions to prevent complications, minimize risk, enhance the quality of life for older.</p><p><strong>Descriptors: </strong>Syndrome; frailty; elderly; nursing, validation study; nursing diagnosis.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the revised quality of nursing diagnosis, interventions, and outcomes instrument: A validation study.","authors":"Mattia Bozzetti, Ilaria Marcomini, Maddalena Parma, Elisa Dordoni, Elisa Magna, Maria Müller Staub, Roberta Pendoni","doi":"10.1111/2047-3095.12504","DOIUrl":"https://doi.org/10.1111/2047-3095.12504","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the psychometric properties of the revised quality of nursing diagnosis, interventions, and outcomes (Q-DIO R) instrument, designed to measure the quality of nursing documentation, in an Italian healthcare setting.</p><p><strong>Methods: </strong>The study followed a multi-phase validation process that included translation and cultural adaptation of the tool, expert evaluations to assess content and face validity, and a cross-sectional study to test reliability. Data were collected from nursing documentation in two hospitals in northern Italy, with 389 patient plans analyzed.</p><p><strong>Results: </strong>The Q-DIO R demonstrated strong content validity, with experts agreeing on the importance of all items. The tool showed high reliability in assessing the quality of nursing diagnosis, interventions, and outcomes. Regression analyses between these components revealed that accurate nursing diagnoses were associated with improved care interventions and patient outcomes.</p><p><strong>Conclusion: </strong>The revised Q-DIO R proved to be a valid and reliable tool for assessing the quality of nursing documentation in Italy. Its use can help improve nursing practices by supporting more accurate diagnosis and better care planning, ultimately leading to enhanced patient outcomes. Further research is recommended to explore other factors that may influence the quality of nursing care planning.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical validation of the excessive sedentary behavior nursing diagnosis in university students.","authors":"Renata M Fernandes, Ana C C Carino, Juliane R Dantas, Maria I C D Fernandes, Marcos Venícios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira","doi":"10.1111/2047-3095.12500","DOIUrl":"https://doi.org/10.1111/2047-3095.12500","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the accuracy of clinical indicators and etiological factors associated with the nursing diagnosis of excessive sedentary behavior among university students.</p><p><strong>Method: </strong>This study employed a cross-sectional diagnostic accuracy design. The sample comprised 108 students from a Brazilian public university. Fisher's exact and chi-square tests were utilized to determine associations. A latent class analysis model was applied to assess the sensitivity and specificity of clinical indicators and the prevalence of the diagnosis. The odds ratio for etiological factors was calculated using univariate logistic regression. The research ethics committee of the responsible institution approved the study.</p><p><strong>Results: </strong>The prevalence of the nursing diagnosis excessive sedentary behavior among university students was 16.3%. The sensitive clinical indicators identified were 'inadequate sleep quality' (0.9999), while the specific indicators included 'lack of physical fitness' (0.9998) and 'cardiovascular alterations' (0.9557). The etiological factor 'physical activity in frequency, intensity and duration lower than recommended' was associated with the diagnosis. Additionally, statistical associations were found between the diagnosis and the following variables: body composition, muscle capacity, flexibility, scores from the International Physical Activity Questionnaire (with emphasis on the days of the week of vigorous physical activity), minutes per week of vigorous activity, days of the week of walking, hours of sleep per night, and average sleep quality.</p><p><strong>Conclusion: </strong>There is evidence of construct validity for the nursing diagnosis excessive sedentary behavior in university students, supported by one sensitive clinical indicator and two specific indicators.</p><p><strong>Implications for nursing practice: </strong>Increased knowledge of the nursing diagnosis Excessive sedentary behavior in university students can enhance clinical reasoning among nurses and contribute to the elevation of evidence levels and the continuous improvement of the NANDA-I taxonomy.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing standardized nursing languages in Taiwan's multilingual healthcare environment: A response to Wagner et al","authors":"Mei-Ling Huang RN, MSN,&nbsp;Lien-Chung Wei MD, MPH","doi":"10.1111/2047-3095.12498","DOIUrl":"10.1111/2047-3095.12498","url":null,"abstract":"","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"120-121"},"PeriodicalIF":1.4,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Ineffective breastfeeding (00104)\" and \"Readiness for enhanced breastfeeding (00106)\": Clinical validation.","authors":"Natália Aparecida de Godoy, Suellen Cristina Dias Emidio, Dorothy A Jones, Elenice Valentim Carmona","doi":"10.1111/2047-3095.12496","DOIUrl":"10.1111/2047-3095.12496","url":null,"abstract":"<p><strong>Purpose: </strong>To clinically validate the NANDA International (NANDA-I), nursing diagnoses (ND) of \"Ineffective breastfeeding (00104)\" and \"Readiness for enhanced breastfeeding (00106)\" in postpartum women and their infants, and to determine the sensitivity, specificity, and predictive value of their elements.</p><p><strong>Methods: </strong>Cross-sectional study was conducted from June 2023 to April 2024. Recruitment happened at a public teaching hospital, approaching dyads from the neonatology outpatient clinic and the rooming-in. The researcher applied the tool, assessed the dyad and medical records. Statistical analysis was based on accuracy measures and inferential statistics. The study was approved by the Ethics Committee.</p><p><strong>Findings: </strong>The sample comprised 205 Brazilian dyads: 57 (27.80%) presented \"Ineffective breastfeeding (00104),\" whereas 203 (99.02%) presented the \"Readiness for enhanced breastfeeding (00106).\" \"Unsustained sucking on the breast\" was the most sensitive defining characteristic (DC) for the \"Ineffective breastfeeding (00104).\" All the DCs of \"Readiness for enhanced breastfeeding (00106)\" showed relevant sensitivity.</p><p><strong>Conclusions: </strong>Findings validated the presence of NANDA-I ND \"Ineffective breastfeeding (00104)\" and \"Readiness for enhanced breastfeeding (00106)\" in a sample of dyads, demonstrating accuracy in such population.</p><p><strong>Implications for nursing practice: </strong>This is an essential step to raise the level of evidence of the studied ND from NANDA-I terminology. Furthermore, this study has potential to contribute to improving nurse's clinical reasoning on breastfeeding, as well as to highlight that women can present simultaneously the two diagnoses, so naming them is useful to identify mothers more likely to breastfeed and those who will need more differentiated interventions.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ineffective overweight self-management: A study of diagnostic accuracy and etiological relationships.","authors":"Ana Carolina Costa Carino, Renata Marinho Fernandes, Juliane Rangel Dantas, Cláudio César Guimarães Martins, Annaiza Freitas Lopes de Araújo, Maria Isabel da Conceição Dias Fernandes, Marcos Venícios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira","doi":"10.1111/2047-3095.12497","DOIUrl":"10.1111/2047-3095.12497","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the accuracy of clinical indicators and etiological factors associated with the nursing diagnosis of ineffective overweight self-management among university students.</p><p><strong>Method: </strong>A diagnostic accuracy study with a cross-sectional design was conducted with 108 university students. A latent class analysis model with random effects was used to establish sensitivity and specificity measures of clinical indicators, estimate the prevalence of the diagnosis, and calculate posterior probabilities for the diagnosis. Odds ratios for etiological factors were calculated using univariate logistic regression. The study was approved by the Research Ethics Committee of the responsible institution.</p><p><strong>Results: </strong>The nursing diagnosis of ineffective overweight self-management had an estimated prevalence of 38.1% in the sample. Sensitive clinical indicators included excessive calorie consumption (0.9514) and dissatisfaction with body image (0.8834). Specific indicators included negative self-perception of health (0.9999), inadequate eating behavior (0.9990), and impaired emotional health (0.8273). A personal history of overweight (OR = 2.78; p-value = 0.018) increased the likelihood of developing ineffective overweight self-management by approximately two and a half times.</p><p><strong>Conclusion: </strong>Ineffective overweight self-management is prevalent among university students and is characterized by two sensitive clinical indicators, three specific indicators, and a population at risk that increases the likelihood of this diagnosis.</p><p><strong>Implications for nursing practice: </strong>Accurate clinical indicators and the identification of etiological factors for the diagnosis of ineffective overweight self-management support nurses' clinical reasoning in practice. Moreover, verifying accurate components for diagnosing ineffective overweight self-management contributes to the development of interventions aimed at promoting the health of university students.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing diagnosis of risk for elopement attempt: A content validation study.","authors":"Ester M Borba, Cássia T Santos, Amália de Fátima Lucena","doi":"10.1111/2047-3095.12494","DOIUrl":"10.1111/2047-3095.12494","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to validate the content of the nursing diagnosis (ND) \"Risk for elopement attempt\" and increase its level of evidence (LOE) in the NANDA International (NANDA-I) Classification.</p><p><strong>Method: </strong>A content validity study was conducted based on expert opinions. The sample consisted of 33 experts with academic training in nursing and practical and theoretical experience concerning the nursing process. Data collection was performed using a Google Forms® questionnaire, which was electronically sent to the experts. Data analysis involved descriptive statistics, and the diagnostic content validity was based on the Fehring model. This study was approved by the Research Ethics Committee of the institution.</p><p><strong>Findings: </strong>The title and definition of the ND under investigation were validated, along with 15 risk factors. Among these, \"Substance misuse\" was classified as major (0.96), whereas the others were validated as minor. Of the 13 risk populations, 6 were validated and classified as major, such as \"Individuals with history of elopement\" (0.90); 6 were validated and classified as minor, including \"Individuals with a history of nonadherence to treatment regimen\" (0.79); and \"Economically disadvantaged individuals\" were discarded (0.46). Of the three associated conditions, one was validated as major, namely, \"Mental disorders\" (0.86), whereas the other two were classified as minor.</p><p><strong>Conclusions: </strong>This study validated the content of the \"Risk for elopement attempt\" ND, allowing it to be assigned a higher LOE based on the nursing experts. All components were validated except for one of the associated conditions.</p><p><strong>Implications for nursing practice: </strong>The validated ND will be submitted to NANDA-I, enabling it to achieve a higher LOE in the classification. This update will enhance the quality of this diagnostic classification and, consequently, patient care and nursing education and research.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Auriculotherapy nursing intervention: Development and content validation by specialists.","authors":"Carla Argenta, Suzanne Cristina Abido, Edlamar Kátia Adamy, Taline Bavaresco, Camilla Dalchiavon, Amália de Fátima Lucena, Elisangela Argenta Zanatta","doi":"10.1111/2047-3095.12495","DOIUrl":"10.1111/2047-3095.12495","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and validate the content of the components of the auriculotherapy nursing intervention.</p><p><strong>Methods: </strong>This descriptive and methodological study was carried out in three steps: an integrative literature review, with a diagnosis of the state of the art and a basis for the study; development of the nursing intervention based on the Nursing Interventions Classification (NIC) and validation by the Kappa Index (k = ≥0.61) and the content validity index (CVI ≥ 0.80). The experts were recruited using the snowball method, who met the inclusion criteria: being a nurse, having completed an auriculotherapy course, having clinical experience with auriculotherapy, and having used the NICs in clinical practice for at least 1 year. The instrument for validation was sent via Google Forms in April 2022.</p><p><strong>Results: </strong>The title, definition, and 11 activities of the new nursing intervention with Kappa and CVI indexes accepted for content validity were validated.</p><p><strong>Conclusions: </strong>The content validation of the nursing intervention was fundamental for the suitability of its components, allowing it to be refined.</p><p><strong>Implications for nursing practice: </strong>The contribution of the study consists of the possible inclusion of this intervention in the NIC, favoring the use of standardized language in the clinical practice of auriculotherapy.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing nursing care through technology and standardized nursing language: The TEC-MED multilingual platform.","authors":"Ana-María Porcel Gálvez, Marta Lima-Serrano, Regina Allande-Cussó, Maria-Giulia Costanzo-Talarico, María-Dolores Mateos García, Mercedes Bueno-Ferrán, Elena Fernández-García, Fabio D'Agostino, José-Manuel Romero-Sánchez","doi":"10.1111/2047-3095.12493","DOIUrl":"https://doi.org/10.1111/2047-3095.12493","url":null,"abstract":"<p><strong>Purpose: </strong>This study describes the design, integration, and semantic interoperability process of a minimum data set using standardized nursing language in the caring module of the TEC-MED care platform.</p><p><strong>Methods: </strong>The caring module was developed in three phases (2020-2022): platform concept, functional design and construction, and testing and evaluation. Phases involved collaboration among academics, information technology developers, and social/healthcare professionals. Nursing taxonomies (NANDA-I, NOC, NIC) were integrated to support the nursing process. The platform was piloted in six Mediterranean countries.</p><p><strong>Findings: </strong>The final platform features an assessment module with eight dimensions for data collection on older adults and their caregivers. A clinical decision support system links assessment data with nursing diagnoses, outcomes, and interventions. The platform is available in six languages (English, Spanish, French, Italian, Greek, and Arabic). Usability testing identified the need for improved Arabic language support.</p><p><strong>Conclusions: </strong>The TEC-MED platform is a pioneering tool using standardized nursing language to improve care for older adults in the Mediterranean. The platform's multilingualism promotes accessibility. Limitations include offline use and mobile app functionality. Pilot testing is underway to evaluate effectiveness and facilitate cross-cultural validation of nursing taxonomies.</p><p><strong>Implications for nursing practice: </strong>The TEC-MED platform offers standardized nursing care for older adults across the Mediterranean, promoting consistent communication and evidence-based practice. This approach has the potential to improve care quality and accessibility for a vulnerable population.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}