International Journal of Nursing Knowledge最新文献

{"title":"Evaluation of child with asthma and her caregivers based on the Pender health promotion model, and linkages of NANDA, NIC-NOC: A case presentation.","authors":"Müge Seval, Tülay Kuzlu Ayyildiz, Emine Uzuntarla Güney","doi":"10.1111/2047-3095.12472","DOIUrl":"https://doi.org/10.1111/2047-3095.12472","url":null,"abstract":"<p><strong>Purpose: </strong>Despite highly effective asthma treatments, the prevalence of asthma is increasing in children and adolescents. Despite easy access to asthma control, sufficient control and management are not achieved. Asthma management is crucial to prevent the development of asthma symptoms and attacks, reduce repeated hospitalizations, and prevent a decrease in the quality of life for both the child and caregivers. This case study aims to increase the utilization of theories, models, and classification systems by evaluating a child diagnosed with asthma for 6 years and their caregivers based on Pender's health promotion model (PHPM). Furthermore, the study aims to establish a connection with NANDA, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC), thereby formulating a nursing care plan.</p><p><strong>Methods: </strong>This case study evaluated a child diagnosed with asthma for 6 years and their caregivers based on PHPM. A nursing care plan was developed by establishing connections with NANDA, NIC, and NOC and based on Pender's health promotion.</p><p><strong>Findings: </strong>By establishing connections with NANDA, NIC, and NOC, a nursing care plan of a total of six included nursing diagnoses has been created as five based on the PHPM.</p><p><strong>Conclusion: </strong>The care plan implemented improved S.B.K.'s clinical condition. Furthermore, the mother's social support increased, and her confidence in managing asthma improved. As a result of implementing the model, the mother reached the potential to develop healthy behaviors for S.B.K. and make future-oriented plans.</p><p><strong>Implications for nursing practice: </strong>It is recommended that NANDA-I, NIC, and NOC, along with PHPM, be used in clinical nursing care and scientific research to enhance the presentation of quality care and the individual's future health potential.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158117","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 validity of the nursing diagnosis risk for unstable blood glucose level in persons with type 2 diabetes mellitus: A case-control study.","authors":"Lídia R Oliveira, Josemberg P Amaro, Rafaella P Moreira, Rafael O P Lopes, Camila T Lopes, José E S M Ferreira, Tahissa F Cavalcante","doi":"10.1111/2047-3095.12475","DOIUrl":"https://doi.org/10.1111/2047-3095.12475","url":null,"abstract":"<p><strong>Objective: </strong>To assess clinical-causal validity evidence of the nursing diagnosis, risk for unstable blood glucose level (00179), in individuals with type 2 diabetes mellitus.</p><p><strong>Methods: </strong>A case-control study was conducted in 5 primary healthcare units, involving 107 subjects with type 2 diabetes mellitus, 60 in the case group and 47 in the control group. Causality was determined by the association between sociodemographic and clinical factors, risk factors related to the nursing diagnosis, and the occurrence of unstable blood glucose level. An association was considered when the risk factor had a p-value of <0.05 and odds ratio >1.</p><p><strong>Results: </strong>Risk factors, such as stress, inadequate physical activity, and low adherence to therapeutic regimen, were prevalent in the sample. Time since diagnosis between 1-5 and 6-10 years, multiracial ethnicity, and the risk factor of low adherence to therapeutic regimen increased the likelihood of the outcome. Completion of high school education was identified as a protective factor.</p><p><strong>Conclusions: </strong>The clinical validation of the nursing diagnosis, risk for unstable blood glucose level, has been successfully established, revealing a clear association between sociodemographic and clinical factors and the risk factors inherent to the nursing diagnosis.</p><p><strong>Implications for nursing practice: </strong>The results contribute to advancing scientific knowledge related to nursing education, research, and practice and provide support for the evolution of nursing care processes for individuals with type 2 diabetes mellitus.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157975","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":"Concept analysis of \"Insufficient health literacy\" in older adults and refinement of a diagnosis proposal.","authors":"Rachel da Silva Serejo Cardoso, Rosimere Ferreira Santana, Tallita Mello Delphino, Marcos Antônio Gomes Brandão, Priscilla Alfradique de Souza, Camila Takáo Lopes","doi":"10.1111/2047-3095.12469","DOIUrl":"https://doi.org/10.1111/2047-3095.12469","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to conduct a thorough analysis of the concept of insufficient health literacy (IHL) in older adults and to refine a nursing diagnosis proposal while considering the specific characteristics of this demographic.</p><p><strong>Methods: </strong>A comprehensive concept analysis was undertaken using Walker & Avant's method as a framework.</p><p><strong>Findings: </strong>A systematic search across seventeen databases yielded 29 relevant studies for inclusion. Through analysis, we identified 15 antecedents, 3 attributes, and 7 consequents associated with IHL in older adults.</p><p><strong>Conclusions: </strong>The concept analysis brought clarity to the understanding of IHL within older adults, facilitating the refinement of a diagnosis proposal. This process was instrumental in establishing a diagnostic structure that accounts for the unique needs and challenges faced by older adults.</p><p><strong>Implications for nursing practice: </strong>The structured diagnosis derived from the concept analysis provides a solid theoretical foundation for nurses specializing in Gerontology. By tailoring care interventions to address the specific requirements of older adults, this framework enhances the quality of nursing practice and contributes to improved patient outcomes in geriatric care settings.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089113","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 defining characteristics of the nursing diagnosis \"impaired swallowing\" using the Delphi technique: A study with dysphagia nursing experts in Japan.","authors":"Kazuyoshi Nishizawa, Ikumi Honda, Tomoko Doi","doi":"10.1111/2047-3095.12471","DOIUrl":"https://doi.org/10.1111/2047-3095.12471","url":null,"abstract":"<p><strong>Purpose: </strong>Nurses' clinical reasoning skills regarding impaired swallowing can help prevent patient complications and maintain quality of life. Clinical reasoning skills need content-validated defining characteristics (DCs). We aimed to validate the content of these DCs for nursing diagnosis \"impaired swallowing.\"</p><p><strong>Methods: </strong>Content validation of the DCs was performed by 275 dysphagia nursing experts in Japan, using 3 rounds of the Delphi technique and Fehring's Diagnostic Content Validation (DCV) model. Three rounds of questionnaires on 84 DCs were completed via printed mail.</p><p><strong>Findings: </strong>The valid response rates for each round were as follows: round 1, 90.2%; round 2, 77.8%; and round 3, 71.3%. Of the 84 DCs, 77 that met the consensus criteria were categorized as major (n = 18), minor (n = 45), and excluded (n = 14). There were four minor DCs other than the oral, pharyngeal, and esophageal phases. DCs listed from outside NANDA-I included 12 major, 16 minor, and 3 excluded characteristics. Of the NANDA-I DCs, 5 were no consensus and 11 were excluded. The total DCV score for the 63 major and minor DCs was 0.8.</p><p><strong>Conclusions: </strong>Our results recommend the addition of 28 DCs and the exclusion of 11 for the NANDA-I nursing diagnosis \"impaired swallowing\" (00103). Major DCs were prominent indicators of impaired swallowing and signs of aspiration or pharyngeal residuals. Minor DCs included not only the three phases but also other signs necessary for a comprehensive understanding of impaired swallowing.</p><p><strong>Implications for nursing practice: </strong>This validation study strengthens the clinical usefulness of the DCs for impaired swallowing, which can improve nurses' clinical reasoning skills. Major and minor DCs can increase the awareness of impaired swallowing and enable accurate intervention, thereby preventing patient complications and maintaining quality of life.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066185","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":"Physical restraint intervention in the intensive care unit: An observational pilot study.","authors":"Gülendam Hakverdioğlu Yönt, Süreyya Bulut, Maria Müller-Staub, Hüseyin Kizilirmak","doi":"10.1111/2047-3095.12468","DOIUrl":"https://doi.org/10.1111/2047-3095.12468","url":null,"abstract":"<p><strong>Purpose: </strong>Physical restraint (PR) is applied for patients' safety and to prevent the removal of inserted devices. No matter how well applied, PR causes undesired effects and discomfort to patients. Because PR-Guidelines are not yet implemented in Turkey, an observational study was performed to get baseline data on the type and number of PR-activities and on patients' complications in intensive care unit (ICU) patients.</p><p><strong>Methods: </strong>An observational pilot study was conducted in anesthesia and reanimation adult ICUs in a midsized general hospital in Turkey. Included were 31 patients and two data collection tools: a basic form (patient demographics, medical information, and complications) and a PR observation guide on nurses' PR-activities. Descriptive statistics (frequencies, percentages, and mean and standard deviation) were used for data evaluation.</p><p><strong>Findings: </strong>Most patients (61.3%) were male, and 74.2% were aged 60-79 years. Almost a third was unconscious (Glasgow Coma Scale <9) and at risk for falling. Of the total 33 activities of the Nursing Interventions Classification (NIC), 13 were never applied in 33% of patients. The most applied activity was \"provide sufficient staff to assist with the safe application of physical restraining devices or manual restraints\" (96.8%). Least applied were \"explain inpatient and significant others the behaviors necessary for the termination of the intervention,\" \"Provide the dependent patient with a means of summoning help\" (6.5%), and \"Teach family the risks and benefits of restraint reduction\" (3.2%). Overall, 58.1% of patients had PR complications.</p><p><strong>Conclusions: </strong>For the first time, PR NIC activities were evaluated in a Turkish ICU. Findings show low performance of NIC activities and a high complication rate.</p><p><strong>Implications for nursing practice: </strong>The findings provide the basis to implement a PR-Guideline in Turkish ICUs to enhance patients' safety and comfort.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899628","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":"Concept analysis of self-neglect in the elderly: a hybrid model","authors":"Farzaneh Alimohammadi-Gusheh PhD,&nbsp;Farahnaz Mohammadi-Shahboulaghi  ,&nbsp;Kian Nourozi Tabrizi  ,&nbsp;Masoud Fallahi-Khoshknab PhD,&nbsp;Maryam Rassouli PhD","doi":"10.1111/2047-3095.12466","DOIUrl":"10.1111/2047-3095.12466","url":null,"abstract":"<p>چکیده</p><p>هدف: شفاف سازی مفهوم خودغفلتی در سالمندان</p><p>متدولوژی: تجزیه و تحلیل مفهوم با استفاده از مدل هیبرید که به ترتیب شامل سه مرحله نظری، کار میدانی و تحلیل نهایی است، انجام شد. پس از بررسی گسترده ادبیات به منظور توصیف ویژگی ها و تعریف مفهوم، مرحله کار میدانی به منظور تبیین تجربی مفهوم خودغفلتی در سالمندان انجام شد. در مرحله سوم ویژگی های خودغفلتی در سالمندان از فاز اول و دوم استخراج شد.</p><p>نتیجه: خودغفلتی در سالمندان به صورت “رفتارهای پرخطر عینی و ذهنی که به صورت عمدی و غیر عمدی، توسط فرد سالمند در حوزه های سلامت جسمی، معنوی، اختلال در روابط اجتماعی، غفلت از محیط زندگی و عدم رعایت بهداشت فردی بروز می کند که به واسطه ی عواملی چون برخی ویژگی های فردی، عملکرد جسمانی ضعیف، ابتلا به اختلالات روانشناختی شایع دوران سالمندی، مشکلات و چالش های مالی، استرس های آسیب رسان، روابط اجتماعی ناموفق، عدم دسترسی به منابع حمایتی، ناکافی بودن منابع آموزشی در دسترس سالمند و باورهای نامتعارف فرهنگی ایجاد می شود و منجر به اختلال در سلامت جسمی، روانشناختی، افزایش خطر سوء رفتار و کیفیت زندگی پایین فرد سالمند و همچنین افزایش بار مراقبتی- درمانی و اختلال در امنیت روانی جامعه می شود” تعریف می شود.</p><p>نتیجه گیری: با توجه به اینکه مفهوم خودغفلتی در سالمندان یک پدیده ی نسبتا ناشناخته و جدید در کشورمان است، نتایج این مطالعه می تواند با واضح سازی این مفهوم، راه را برای انجام فعالیت های گسترده تر تحقیقاتی و ساخت ابزارهای پژوهشی در جهت مداخلات بهتر هموار سازد و همچنین نقش مهمی در ارتقاء کیفیت مراقبت های پرستاری داشته باشد.</p><p>پیامدها برای کار پرستاری: خودغفلتی در سالمندان به عنوان مفهومی که منجر به بسیاری از اختلالات در ابعاد سلامت سالمندان مقیم در جامعه می‌شود، نیاز به توجه جدی دارد. پرستاران نمی توانند با یک پدیده ناشناخته بدون کاوش و شناسایی معنای دقیق آن مقابله کنند. بنابراین برای ایجاد بینشی عمیق در پرستاران و شناسایی به موقع و انجام مداخلات مناسب در این افراد، شفاف سازی ابعاد مختلف این مفهوم ضرورت دارد.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"90-105"},"PeriodicalIF":1.4,"publicationDate":"2024-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140678402","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":"Prevalence of NANDA-I Nursing Diagnoses in patients with heart failure: A systematic review and meta-analysis","authors":"Inmaculada Paneque-Sánchez-Toscano PhD, RN,&nbsp;Ana-María Porcel-Gálvez PhD, RN,&nbsp;Regina Allande-Cussó PhD, RN,&nbsp;María-Reyes Carrión-Camacho PhD, RN","doi":"10.1111/2047-3095.12467","DOIUrl":"10.1111/2047-3095.12467","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This research quantitatively explored the prevalence of NANDA-I nursing diagnoses related to the care of patients experiencing heart failure.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A systematic review and meta-analysis were conducted with the systematic review protocol registered in PROSPERO (registration number: CRD42022382565).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Systematic searches were performed between March and April 2022, including peer review for selection, quality assessment, data extraction, and analysis of all included studies. A subsequent meta-analysis was performed, focusing on the proportion of nursing diagnoses in patients with heart failure. The logistic random effects model with maximum likelihood estimation assessed the combined proportion, and heterogeneity between studies was evaluated using the &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; statistic. The goodness-of-fit of the meta-analysis results was assessed using the leave-one-out method and by evaluating publication bias through contour-enhanced funnel plots.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;PubMed, SCOPUS, CINAHL, WOS, and Embase were used.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Of the 11 studies that met the eligibility criteria, 44 nursing diagnoses were identified as most frequently occurring in patients experiencing heart failure, and only 16 diagnoses appeared in more than one publication. The combined mean proportion was 35.73% (95% CI = [26.67%; 48.56%]), indicating the presence of heterogeneity based on the &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; value. However, no publication bias was observed.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The results of the meta-analysis suggest priority diagnoses in individuals with heart failure, such as deficient knowledge (00126). Additionally, secondary diagnoses, such as activity intolerance (00092), excess fluid volume (00026), and ineffective breathing pattern (00032), were identified as responses to decreased cardiac output (00029). Less prevalent nursing diagnoses were associated with deterioration of health status and the need for hospitalization.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objetivo&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Investigar cuantitativamente la prevalencia de diagnósticos de enfermería NANDA-I asociados ","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"106-119"},"PeriodicalIF":1.4,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/2047-3095.12467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140596380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the nexus between the standardized nursing terminologies and the unfinished nursing care phenomenon: An empty systematic review","authors":"Luca Bertocchi PhD, RN,&nbsp;Stefania Chiappinotto PhD, RN,&nbsp;Professor Alvisa Palese PhD, RN","doi":"10.1111/2047-3095.12465","DOIUrl":"10.1111/2047-3095.12465","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To identify and synthesize evidence regarding the documented relationship between the standardized nursing terminologies and the unfinished nursing care phenomenon.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data sources</h3>\u0000 \u0000 <p>A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature Complete databases were last consulted on November 27, 2023. The review included primary quantitative studies that reported an association between recognized standardized nursing terminologies and unfinished nursing care. Two researchers completedtitle and abstract and full-text screening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data synthesis</h3>\u0000 \u0000 <p>Our search identified 149 citations. A full-text review of one paper was undertaken. No studies met our inclusion criteria. We report an empty review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Standardized nursing terminologies and Unfinished Care are two sides of the same coin: despite their potential commonalities, no studies have documented their potential links. Digital systems, such as electronic health records and decision support systems, could foster this linkage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>This review suggests that linking the conceptual frameworks can promote the diffusion of standardized nursing terminologies in clinical practice and increase accuracy in the measurement of Unfinished Care. This synergy could promote the contribution of nursing knowledge to patient care, nursing visibility, and be beneficial to clinical nurses, managers, and healthcare systems to international level.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"81-89"},"PeriodicalIF":1.4,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337414","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":"Evidence of content validity of the nursing diagnosis risk for unstable blood pressure","authors":"Gabrielle P Silva MSN,&nbsp;Ryanne C. M. G. Mendes PhD,&nbsp;Camila T Lopes PhD,&nbsp;Marcos VO Lopes PhD,&nbsp;Jaqueline GA Perrelli PhD,&nbsp;Suzana O Mangueira PhD,&nbsp;Francisca MP Linhares PhD","doi":"10.1111/2047-3095.12464","DOIUrl":"10.1111/2047-3095.12464","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To analyze evidence of content validity of the nursing diagnosis (ND) Risk for Unstable Blood Pressure in incarcerated women. </p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A methodological study assessing the content validity of an ND, was performed in Brazil, between June and September 2022, with 49 nurses as experts. The label, definition, and relevance of the 19 risk factors of the ND Risk for Unstable Blood Pressure were appraised. Based on the predictive diversity model, the content validity index (CVI) and respective 95% confidence intervals were calculated for each risk factor. A CVI ≥ 0.8 was considered adequate evidence of content validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The label and the definition of the diagnosis was reformulated. The relevance of 19 etiological factors showed a CVI ≥ 0.8. According to the recommendation of the panel of experts, one of the etiological factors was split in two and two label of etiological factors were changed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A new label (Risk for Imbalanced Blood Pressure), new definition, and 20 etiological factors (11 risk factors, five associated conditions, and four at-risk populations) of the ND Risk for Unstable Blood Pressure in incarcerated women were considered valid.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>NANDA-I accepted the proposal for this nursing diagnosis; hence this study contributed to updating the classification based on scientific evidence. This evidence will favor diagnostic reasoning and recognition of the diagnosis during clinical assessment, and support studies assessing the clinical validity of these elements in incarcerated women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"73-80"},"PeriodicalIF":1.4,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974125","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":"The effect of the mind–body intervention on depression in people with cognitive impairment: A systematic review and meta-analysis","authors":"Dongpo Song BS,&nbsp;Ying Liu MS,&nbsp;Shuang Zhang MS,&nbsp;Shuyan Fang MS,&nbsp;Juanjuan Sun BS,&nbsp;Xiangning Zhu BS,&nbsp;Yueyang Dong BS,&nbsp;Meng He BS,&nbsp;Jiao Sun PhD","doi":"10.1111/2047-3095.12463","DOIUrl":"10.1111/2047-3095.12463","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To assess the effect of the mind–body intervention on depression in people with cognitive impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Five databases (PubMed, Web of Science, Embase, Cochrane Library, and PsycINFO) were systematically searched, the Cochrane Collaboration's tool was used for quality assessment, and subgroup analyses were performed according to participant types, intervention types, and duration of interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>A total of 16 randomized controlled trials were included, two of which were unable to obtain complete data and one had high heterogeneity. The overall meta-analysis of 13 articles showed that the mind–body intervention was not effective in promoting depression in individuals with cognitive impairment (standardized mean difference [SMD] = −0.08; 95% confidence interval (CI) [−0.27, 0.11]; <i>p</i> = 0.419; <i>I</i>²= 52.4%, 13 studies, 1406 participants) compared with the control group. Subgroup analysis showed that depression was significantly improved in the dementia subgroup after the mind–body intervention compared to the control group (SMD = −0.31; 95% CI [−0.57, −0.05]; <i>p</i> = 0.021. <i>I</i>²= 29.2%, six studies, 399 participants), while no significant changes were observed in the mild cognitive impairment subgroup. Among different intervention types and durations, no intervention was found to have a significant positive effect on depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The mind–body intervention is an effective intervention for improving depression in people with dementia, but its effect is not significant in individuals with overall cognitive impairment. Follow-up high-quality studies are needed to further verify the effects of different mind–body interventions on depression in people with different severities of cognitive impairment.</p>\u0000 \u0000 <p><b>Implications for Nursing Practice</b>: By proving the effectiveness of the mind–body intervention in improving depression in people with dementia, it will provide evidence for the further development and improvement of the mode and content of the mind–body intervention and increase the attention and support of the healthcare system and society for the mind–body intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"57-72"},"PeriodicalIF":1.4,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139753419","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}