RESUMO
PURPOSE: To verify the relevance of the clinical indicators, the clarity and precision of the conceptual, and operational definitions for Ineffective breathing pattern (IBP). METHODS: A content analysis by 39 judges. FINDINGS: The results showed 28 clinical indicators for IBP. However, only seven were not considered relevant for the diagnosis. These are not listed in NANDA International taxonomy. All conceptual and operational definitions were adequate, according to the analysis of the judges. CONCLUSION: The list of 28 clinical indicators of IBP was submitted for analysis by judges, which then resulted in the validation of 21 of these elements. IMPLICATIONS FOR NURSING PRACTICE: This study clarifies that gaps in the structure of diagnoses, helping nurses' diagnostic reasoning process in clinical practice.
Assuntos
Diagnóstico de Enfermagem , Transtornos Respiratórios , Humanos , RespiraçãoRESUMO
AIMS: To assess the relationship between gender and age and development of nursing diagnoses in children with congenital heart disease. METHOD: Cross-sectional study conducted on forty five children with congenital heart disease. Those nursing diagnoses with a frequency greater than 50% were selected for the association analysis, to which the chi-squared or Fisher tests were applied. The Levene test for homogeneity of variance and then the t-test was used to compare the mean age between children with and without the nursing diagnosis. RESULTS: The children had mean age of 4.74 months (SD=3.78 months) and 66.7% (30) were boys. The female gender was associated with the nursing diagnosis activity intolerance (P=.009) and delayed growth and development (P=.013). The presence of the nursing diagnoses impaired gas exchange, ineffective breathing pattern, ineffective tissue perfusion, decreased cardiac output and activity intolerance was associated with younger children. On the other hand, the children who presented risk of infection and delayed growth and development had higher mean of age. CONCLUSIONS: The population of girls had a higher risk for activity intolerance and delayed growth and development. Furthermore, younger children showed a higher risk for diagnoses related to respiratory and cardiovascular problems.
Assuntos
Cardiopatias Congênitas/diagnóstico , Diagnóstico de Enfermagem , Fatores Etários , Estudos Transversais , Feminino , Humanos , Lactente , Masculino , Fatores SexuaisRESUMO
PURPOSE: The study aims to assess indicators of Nursing Outcomes Classification (NOC) related to the nursing diagnosis Ineffective Breathing Pattern (IBP) in children with congenital heart disease (CHD). METHODS: The study used a cross-sectional study carried out in 63 children with CHD up to 2 years old. Seventeen operational indicators of NOC related to IBP were evaluated. FINDINGS: Seven indicators presented statistically significant differences between children with and without IBP. Impaired expiration was the indicator assessed with greatest frequency in both groups. CONCLUSIONS: The study showed differences in the clinical indicators between children with and without IBP. IMPLICATIONS FOR NURSING PRACTICE: The use of NOC indicators allowed an assessment of the differences and the level of respiratory impairment among children with and without IBP.
Assuntos
Indicadores Básicos de Saúde , Cardiopatias Congênitas/diagnóstico , Diagnóstico de Enfermagem/classificação , Avaliação de Resultados em Cuidados de Saúde , Transtornos Respiratórios/diagnóstico , Vocabulário Controlado , Estudos de Casos e Controles , Estudos Transversais , Feminino , Humanos , Lactente , MasculinoRESUMO
OBJECTIVE: To determine the occurrence of the defining characteristics (DC) of nutritional nursing diagnoses (NND), verifying the association between the DC and the variables: gender, age, weight and height. METHOD: A descriptive study was conducted on 69 children aged between 1 and 4 years old, enrolled in a public nursery. The evaluation tool consisted of a check-list that included DC of NND and the signs and symptoms associated with malnutrition and obesity identified in the literature. RESULTS: The study sample consisted of 57.9% females, with a mean age of 2.72 years (±0.765). The DC of "Readiness for enhanced nutrition" diagnosis was most frequently observed. A statistically significant association was seen between "follows an appropriate standard for intake" and female gender (P=0.022). Highest age mean was identified in children with clinical indicators p3Assuntos
Diagnóstico de Enfermagem
, Avaliação Nutricional
, Pré-Escolar
, Estudos Transversais
, Feminino
, Humanos
, Lactente
, Masculino
, Escolas Maternais