Validation of nursing diagnosis for nursing consultation on home visit to adults

Barra, Daniela Couto Carvalho; Gapski, Gabriela Beims; Paese, Fernanda; Sasso, Grace Teresinha Marcon Dal; Sousa, Paulino Artur Ferreira de; Alvarez, Ana Graziela; Lanzoni, Gabriela Marcellino de Melo

doi:10.1590/0034-7167-2020-0115

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Revista Brasileira de Enfermagem

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Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (2) • 2021 • https://doi.org/10.1590/0034-7167-2020-0115 copy

Validation of nursing diagnosis for nursing consultation on home visit to adults

Validez de diagnóstico de enfermería para consulta de enfermería en la visita domiciliaria al adulto

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to identify and confirm the priority nursing diagnosis of International Classification for Nursing Practice^® for home nursing consultation to adults in Primary Health Care.

Methods:

qualitative study, of methodological and validation type. The 5-point Likert scale was used, with a minimum Content Validity Index of 80% consensus among judges., considering the answers “priority” or “very priority” for the list of nursing diagnoses presented. 23 expert judges participated in this survey.

Results:

a hundred and eleven nursing diagnoses of prepared statements lists have been grouped by human systems and sociodemographic characteristics. were grouped by human systems and sociodemographic characteristics. Eighty-three of them (74.77%) had a Content Validity Index equal or higher to 0.8; and 27 (32.5%) had an index of 1.0 (100%) among judges.

Conclusions:

nursing diagnosis validated can be used to assist clients in home nursing consultations in Primary Health Care.

Descriptors:
Validation Study; Nursing Diagnosis; Standardized Nursing Terminology; House Calls; Homebound Persons

Nursing Diagnoses by human systems	Elaborated NDs	Validated NDs		Non-validated NDs
Nursing Diagnoses by human systems	(n)	(n)	(%)	(n)	(n)
Neurologic System	19	17	89.5	2	10.5
Respiratory System	11	7	63.6	4	36.4
Cardiovascular System	9	6	66.6	3	33.4
Digestive and Renal System	15	10	66.6	5	33.4
Tegumental System	18	16	88.9	2	11.1
Musculoskeletal System	13	8	61.5	5	38.5
Reproductive System	1	0	0	1	100
Sociodemographic Aspects	25	19	76	6	24
TOTAL	111	83	74.8	28	25.2

Validated Nursing Diagnoses of the ICNP^®		CVI%
Neurologic System - Total of 17 validated NDs
1	Pain	100%
2	Impaired Memory	100%
3	Sign of Discomfort	100%
4	Ability to Participate in Impaired Care Planning	95.65%
5	Ability to Participate in Effective Care Planning	95.65%
6	Impaired Neurologic Condition	95.65%
7	Presence of Depresses Humor	95.65%
8	Postural Vertigo (Dizziness)	95.65%
9	Anxiety	91.30%
10	Ability to Communicate Impaired Needs	91.3%
11	Presence of Anguish	91.3%
12	Ability to Communicate Effective Needs	86.95%
13	Ability to Perform Effective Self-Care	86.95%
14	Agitation	82.6%
15	Cry Present	82.6%
16	Impaired Psychological Condition	82.6%
17	Absent Pain	82.6%
Respiratory System - Total of 7 NDs validated
1	Impaired Respiratory Condition	100%
2	Risk of Respiratory Infection	100%
3	Cough	95.65%
4	Impaired spontaneous ventilation	95.65%
5	Improved Respiratory Condition	86.95%
6	High Respiratory Rate	86.95%
7	Low Respiratory Rate	82.6%
Cardiovascular System- Total of 6 NDs validated
1	Presence of Hypertension	100%
2	Altered Blood Pressure	100%
3	Peripheral Edema	91.3%
4	High Heart Rate	91.3%
5	Impaired Cardiovascular System	91.3%
6	Risk Potential for Hypertension	86.95%
Renal and Digestive Systems - Total of 10 NDs validated
1	Impaired Urinary Condition	95.65%
2	High Urinary Frequency	95.65%
3	Impaired Intestinal Condition	95.65%
4	Constipation	95.65%
5	Intestinal Incontinence	95.65%
6	Deglutition, Impaired	95.65%
7	Urinary Incontinence	91.3%
8	Impaired Gastrointestinal Condition	91.3%
9	Risk of Constipation	91.3%
10	Presence of Diabetes	82.6%
Tegumental System- Total of 16 NDs validated
1	Impaired Skin Integrity	100%
2	Presence of Erythema	100%
3	Presence of Wound	100%
4	Presence of Bruise	100%
5	Presence of Necrosis	100%
6	Arterial Ulcer	100%
7	Pressure Ulcer [Injury]	100%
8	Venous Ulcer	100%
9	Surgical Wound	95.65%
10	Impaired Standard Hygiene	95.65%
11	Presence of Pruritus	95.65%
12	"Delayed" Wound Healing	91.3%
13	Infection	91.3%
14	Presence of Foul Odor	91.3%
15	Allergy	86.95%
16	Inflammation	86.95%
Musculoskeletal System - Total of 8 NDs validated
1	Impaired Bed Mobility	100%
2	Paralysis	100%
3	Fall	100%
4	Risk of Fall	100%
5	Dependence to Stand	95.65%
6	Impaired Wheelchair Mobility	91.3%
7	Impaired Psychomotor Activity	91.3%
8	Impaired Walking Capacity	91.3%
Sociodemographic Aspects - Total of 19 NDs validated
1	Impaired Familiar Support	100%
2	Impaired Autonomy	100%
3	Caregiver Stress	100%
4	Caregiver Stress - Risk Potential	100%
5	Presence of Familiar Crisis	100%
6	Negligence Victim	100%
7	Negligence Victim - Risk Potential	100%
8	Conflictive Caregiver Attitude	95.65%
9	Deteriorated Self-Care	95.65%
10	Potential Social Isolation for Risk	95.65%
11	Potential for Autonomy	95.65%
12	Damaged Waste Collection Service (Trash and Sewer)	95.65%
13	Social Isolation	91.3%
14	Prescribed Polypharmaceuticals	91.3%
15	Low Family Income	91.3%
16	Impaired Water Treatment Service	91.3%
17	Family's Ability to Participate in Real Care Planning	86.95%
18	Caregiver's Ability to Perform Impaired Care	86.95%
19	Adherence to the Therapeutic Regime	82.6%

Nursing Diagnoses Non-Validated		CVI%
Neurologic System - Total of 2 NDs non-validated
1	Effective Neurological Condition	69.56%
2	Effective Psychological Condition	69.56%
Respiratory System - Total of 4 NDs non-validated
1	Effective Respiratory Condition	69.56%
2	Effective Spontaneous Ventilation	69.56%
3	Normal Breathing Rate	60.86%
4	Absent Cough	52.17%
Cardiovascular System - Total of 3 NDs non-validated
1	Blood Pressure at Normal Limits	60.86%
2	Normal Heart Rate	56.52%
3	Effective Cardiovascular System	56.52%
Renal and digestive Systems - Total of 5 NDs non-validated
1	Risk Potential for Diabetes	78.26%
2	Effective Urinary Condition	60.86%
3	Effective Gastrointestinal Condition	60.86%
4	Effective Intestinal Condition	60.86%
5	Normal Swallowing	56.52%
Tegumental System - Total of 2 NDs non-validated
1	Improved Skin Integrity	73.93%
2	Effective Wound Healing	69.56%
Musculoskeletal System - Total of 5 NDs non-validated
1	Effective Wheelchair Mobility	73.93%
2	Effective Bed Mobility	73.93%
3	Ability to Perform Normal Fine Motor Function	65.21%
4	Independence to Stand	52.12%
5	Ability to Walk Effectively	47.82%
Female and Male Reproductive System- Total of 1 ND non-validated
1	Risk of Impaired Reproductive Function	47.82%
Sociodemographic Aspects - Total of 6 NDs non-validated
1	Health Search Behavior	78.26%
2	Attitude towards Conflictive Care	73.93%
3	Damaged House Tidiness	69.56%
4	Attitude towards Positive Care	69.56%
5	Positive Family Support	65.21%
6	Positive Caregiver Attitude	60.86%

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[1] Corresponding author: Daniela Couto Carvalho Barra. E-mail: daniela.barra@ufsc.br