International Journal of Nursing Knowledge最新文献

{"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}

{"title":"Content validation of the NANDA-I nursing diagnosis risk for perioperative hypothermia (00254).","authors":"Manuel Schwanda, Silvia Brunner, Miriam de Abreu Almeida, Martina Koller, Maria Müller Staub, Andre Ewers","doi":"10.1111/2047-3095.12491","DOIUrl":"https://doi.org/10.1111/2047-3095.12491","url":null,"abstract":"<p><strong>Purpose: </strong>The objectives of this study were to refine and validate the NANDA-I nursing diagnosis risk for perioperative hypothermia (RPH) (00254).</p><p><strong>Methods: </strong>A quantitative, descriptive study was carried out according to the adapted diagnostic content validation model by Fehring. Data from a previously conducted literature study were triangulated with expert validation data to examine the nursing diagnosis RPH as well as potentially suggested new factors resulted from the literature review. In addition, the Wisdom of Crowds model was also considered. A nonprobability sampling technique, including purposive and snowball sampling methods, was used to recruit a panel of nurse experts. An anonymous and standardized questionnaire was developed in three languages for data collection. For validation, descriptive statistics, weighted ratios, and a one-sample T-test were used.</p><p><strong>Results: </strong>Ninety-two nurse experts from seven countries and three continents participated in this study. Fifty-eight nurse experts (63%) were female, and 33 (36%) were male, with a mean age of 42.26 years and 19.22 years of working experience. The diagnosis label, definition, 4 out of 5 risk factors (RF), 6 out of 14 at-risk populations (ARPs), and 5 out of 9 associated conditions (ACs) were classified as major. One RF, eight ARP, and four ACs were considered minor. In addition, the experts validated 1 RF, 5 ARP, and 12 ACs from a previous literature study at least minor.</p><p><strong>Conclusions: </strong>The nursing diagnosis RPH (00254) could be confirmed by specialized experts. No RF, ARP, or AC of the current nursing diagnosis needed to be rejected, and the added diagnostic indicators increased the robustness of the diagnosis.</p><p><strong>Implications for nursing practice: </strong>A precise concept of the nursing diagnosis RPH improves nurses' clinical reasoning and strengthens an individualized, evidence-based care plan.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299346","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 “Insufficient breast milk production (00216)”","authors":"Beatriz Pera Almeida‐Hamasaki, Bruna Cristina Ribeiro, Suellen Cristina Dias Emidio, Simoní Saraiva Bordignon, Dorothy A. Jones, Elenice Valentim Carmona","doi":"10.1111/2047-3095.12492","DOIUrl":"https://doi.org/10.1111/2047-3095.12492","url":null,"abstract":"PurposeTo review and validate the elements of the nursing diagnosis (ND) “Insufficient breast milk production” (00216) based on the literature and expert consensus, and to construct operational definitions (ODs) for its defining characteristics (DCs).MethodsIt is a methodological study carried out in two phases. In the first phase, a scoping review was conducted, and in the second, a committee of experts reviewed the elements’ content. Items with a Content Validity Index ≥0.8 were validated for relevance, clarity, and precision. Discussions were conducted until a consensus was reached on all items and criteria evaluated. The Ethics Committee approved the study.FindingsThe final scoping review sample consisted of 61 articles, and 19 experts evaluated the content of the ND. All DCs were revised. Three at‐risk populations, three associated conditions, and one related factor were added. Three elements had their category changed, and an element was deleted. Experts also validated ODs developed for all DCs.Conclusion“Insufficient breast milk production (00216)” was validated by experts. This study improved the ND through literature and expert consensus. New elements were added, and existing ones were revised.Implications for Nursing PracticeThis study improves this ND based on scientific evidence and clinical expertise and potentially improves nurses’ diagnostic accuracy through ODs.","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"49 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267921","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}