Middle-Range Theory of Ineffective Breathing Pattern in children with Congenital Heart Disease

Souza, Nayana Maria Gomes de; Silva, Viviane Martins da; Lopes, Marcos Venícios Oliveira

doi:10.1590/1518-8345.5826.3783

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Revista Latino-Americana de Enfermagem

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Original Article • Rev. Latino-Am. Enfermagem 30 • 2022 • https://doi.org/10.1590/1518-8345.5826.3783 copy

Middle-Range Theory of Ineffective Breathing Pattern in children with Congenital Heart Disease

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to develop and evaluate a middle-range theory for the Nursing Diagnosis of Ineffective Breathing Pattern in children with congenital heart disease.

Method:

a methodological study carried out in two stages: 1) development of a middle- range theory for Ineffective Breathing Pattern in children with congenital heart diseases from the analysis of the NANDA-International taxonomy, Callista Roy’s Adaptation Model and a literature review; and 2) assessment of the middle-range theory developed using expert panel evaluation.

Results:

after three panel evaluations, the final version of the middle-range theory resulted in four metaparadigms, two key concepts, two pictorial diagrams, two propositions and a description of the interrelationships between the key concepts of Ineffective Breathing Pattern in children with congenital heart diseases and evidence for the Nursing practice.

Conclusion:

the middle-range theory developed and evaluated by experts identified stimuli and behaviors that can assist nurses in identifying the reasons why Ineffective Breathing Pattern is diagnosed and how it manifests itself in children with congenital heart disease, increasing understanding of the relationships between the causes and their temporality.

Descriptors:
Nursing Diagnosis; Nursing Research; Nursing Theory; Nursing Process; Validation Study; Heart Diseases, Congenital

Fawcett’s Criteria for the Evaluation of Nursing Theories and Pertinent Questions	p-value*	CVI^†	95% CI^‡		p-value^§
1. Significance
The metaparadigms are explicit	<0.001	1.00	1.00	1.00	0.997
Influential Nursing authors are explicit or cited in the bibliography	<0.001	1.00	1.00	1.00	1.000
The conceptual model from which the theory was derived is explicit	<0.001	1.00	1.00	1.00	0.975
The philosophical claims on which the theory is based are explicit	<0.001	1.00	1.00	1.00	0.975
2. Internal consistency
The concepts present semantic clarity	<0.001	1.00	1.00	1.00	1.000
The concepts present semantic coherence	<0.001	1.00	1.00	1.00	0.997
The propositions present structural consistency	<0.001	1.00	0.88	1.00	0.729
The causal relationships present structural consistency	<0.001	0.88	0.87	1.00	0.300
The pictorial diagrams present structural consistency	<0.001	0.88	0.87	1.00	0.300
The context (philosophical claims and conceptual model) and content (concepts and propositions) of the theory are congruent	<0.001	1.00	1.00	1.00	0.997
3. Parsimony
The theory content is presented clearly and concisely	<0.001	1.00	1.00	1.00	0.997
The concepts are presented clearly and concisely	<0.001	1.00	1.00	1.00	0.997
The propositions are presented clearly and concisely	<0.001	1.00	0.88	1.00	0.895
4. Pragmatic adequacy
The theory is applicable to the Nursing practice context	<0.001	1.00	1.00	1.00	1.000
It is feasible to implement practices derived from the Theory	<0.001	1.00	1.00	1.00	0.997
Nurses have the legal capacity to measure the accuracy of Nursing diagnosis based on the Theory	<0.001	1.00	1.00	1.00	0.997

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding author
Nayana Maria Gomes de Souza. E-mail: nayanamgs@hotmail.com