Lívia M Pascoal, Marcos Venícios de Oliveira Lopes, Viviane M da Silva, Camila M Diniz, Marília M Nunes, Nirla G Guedes, Angélica P de Menezes
{"title":"呼吸功能相关护理诊断的同步概念分析。","authors":"Lívia M Pascoal, Marcos Venícios de Oliveira Lopes, Viviane M da Silva, Camila M Diniz, Marília M Nunes, Nirla G Guedes, Angélica P de Menezes","doi":"10.1111/nuf.12807","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To perform a simultaneous concept analysis of the concepts associated to nursing diagnoses ineffective airway clearance, ineffective breathing pattern, and impaired gas exchange.</p><p><strong>Background: </strong>Concepts about respiratory manifestations need to be well defined, especially in the current pandemic scenario. For that, the simultaneous concept analysis can help in the clarity and differentiation of similar concepts.</p><p><strong>Methods: </strong>A concept analysis using the Walker and Avant approach and an integrative review. Data were collected by a group of nurses through a literature review. The group identified 10 articles that met the inclusion criteria and complemented the understanding of the concepts analysed through the sequential description of respiratory physiology in technical books.</p><p><strong>Results: </strong>The final list included 28, 22, and 21 clinical indicators for ineffective breathing pattern, impaired gas exchange, and ineffective airway clearance, respectively. The former, the final proposal incorporated 13 indicators that were pointed out by the group and 15 defining characteristics of NANDA-International. For Impaired gas exchange, the indicator \"decreased oxygen saturation\" was included; among the defining characteristics of NANDA-International, \"abnormal arterial blood gases\" was excluded, and \"abnormal breathing pattern\" was subdivided into \"alterations in respiratory depth,\" \"bradypnea,\" \"tachypnea,\" and \"change in respiratory rhythm.\" The latter, only the \"wide-eyed\" was removed from the final list of clinical indicators, which subsequently consisted of nine indicators suggested by the group and 12 defining characteristics.</p><p><strong>Conclusion: </strong>This concept analysis may aid in the process of differentiation for ineffective airway clearance, ineffective breathing pattern, and impaired gas exchange, and aid in safer diagnostic inference. This concept analysis can support the understanding of respiratory nursing diagnoses, helping nurses to identify and differentiate them more safely.</p>","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":"57 6","pages":"1513-1522"},"PeriodicalIF":2.2000,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Simultaneous concept analysis of nursing diagnoses related to respiratory function.\",\"authors\":\"Lívia M Pascoal, Marcos Venícios de Oliveira Lopes, Viviane M da Silva, Camila M Diniz, Marília M Nunes, Nirla G Guedes, Angélica P de Menezes\",\"doi\":\"10.1111/nuf.12807\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>To perform a simultaneous concept analysis of the concepts associated to nursing diagnoses ineffective airway clearance, ineffective breathing pattern, and impaired gas exchange.</p><p><strong>Background: </strong>Concepts about respiratory manifestations need to be well defined, especially in the current pandemic scenario. For that, the simultaneous concept analysis can help in the clarity and differentiation of similar concepts.</p><p><strong>Methods: </strong>A concept analysis using the Walker and Avant approach and an integrative review. Data were collected by a group of nurses through a literature review. The group identified 10 articles that met the inclusion criteria and complemented the understanding of the concepts analysed through the sequential description of respiratory physiology in technical books.</p><p><strong>Results: </strong>The final list included 28, 22, and 21 clinical indicators for ineffective breathing pattern, impaired gas exchange, and ineffective airway clearance, respectively. The former, the final proposal incorporated 13 indicators that were pointed out by the group and 15 defining characteristics of NANDA-International. For Impaired gas exchange, the indicator \\\"decreased oxygen saturation\\\" was included; among the defining characteristics of NANDA-International, \\\"abnormal arterial blood gases\\\" was excluded, and \\\"abnormal breathing pattern\\\" was subdivided into \\\"alterations in respiratory depth,\\\" \\\"bradypnea,\\\" \\\"tachypnea,\\\" and \\\"change in respiratory rhythm.\\\" The latter, only the \\\"wide-eyed\\\" was removed from the final list of clinical indicators, which subsequently consisted of nine indicators suggested by the group and 12 defining characteristics.</p><p><strong>Conclusion: </strong>This concept analysis may aid in the process of differentiation for ineffective airway clearance, ineffective breathing pattern, and impaired gas exchange, and aid in safer diagnostic inference. This concept analysis can support the understanding of respiratory nursing diagnoses, helping nurses to identify and differentiate them more safely.</p>\",\"PeriodicalId\":51525,\"journal\":{\"name\":\"NURSING FORUM\",\"volume\":\"57 6\",\"pages\":\"1513-1522\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2022-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"NURSING FORUM\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1111/nuf.12807\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"NURSING FORUM","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1111/nuf.12807","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Simultaneous concept analysis of nursing diagnoses related to respiratory function.
Aim: To perform a simultaneous concept analysis of the concepts associated to nursing diagnoses ineffective airway clearance, ineffective breathing pattern, and impaired gas exchange.
Background: Concepts about respiratory manifestations need to be well defined, especially in the current pandemic scenario. For that, the simultaneous concept analysis can help in the clarity and differentiation of similar concepts.
Methods: A concept analysis using the Walker and Avant approach and an integrative review. Data were collected by a group of nurses through a literature review. The group identified 10 articles that met the inclusion criteria and complemented the understanding of the concepts analysed through the sequential description of respiratory physiology in technical books.
Results: The final list included 28, 22, and 21 clinical indicators for ineffective breathing pattern, impaired gas exchange, and ineffective airway clearance, respectively. The former, the final proposal incorporated 13 indicators that were pointed out by the group and 15 defining characteristics of NANDA-International. For Impaired gas exchange, the indicator "decreased oxygen saturation" was included; among the defining characteristics of NANDA-International, "abnormal arterial blood gases" was excluded, and "abnormal breathing pattern" was subdivided into "alterations in respiratory depth," "bradypnea," "tachypnea," and "change in respiratory rhythm." The latter, only the "wide-eyed" was removed from the final list of clinical indicators, which subsequently consisted of nine indicators suggested by the group and 12 defining characteristics.
Conclusion: This concept analysis may aid in the process of differentiation for ineffective airway clearance, ineffective breathing pattern, and impaired gas exchange, and aid in safer diagnostic inference. This concept analysis can support the understanding of respiratory nursing diagnoses, helping nurses to identify and differentiate them more safely.
期刊介绍：
Nursing Forum is a peer-reviewed quarterly journal that invites original manuscripts that explore, explicate or report issues, ideas, trends and innovations that shape the nursing profession. Research manuscripts should emphasize the implications rather than the methods or analysis. Quality improvement manuscripts should emphasize the outcomes and follow the SQUIRE Guidelines in creating the manuscript. Evidence-based manuscripts should emphasize the findings and implications for practice and follow PICOT format. Concept analysis manuscripts should emphasize the evidence for support of the concept and follow an accepted format for such analyses.
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