![]() ![]() In addition, to decrease the evaluation bias related to measurement accuracy, the research team carried out a theoretical-practical training of eight hours to apply the instrument built for the collection of data and to carry out the physical examination in a standardized way. The protocol was adjusted according to the consensus of the discussion group and was used by the research team to reduce the evaluation and instrument bias. These were nurses, teachers, and researchers in the area of Standardized Language System or cardiology and with experience in caring for patients with ACS. This construction was submitted to the appreciation of three judges through a focus group. In order to standardize data collection, conceptual and operational definitions for each component of the NDS under study were developed as a protocol. This process was carried out by a nurse and a nursing senior student. Therefore, considering that the ND of DCTP has 15 defining characteristics, a total of 5 patients were considered per each defining characteristic, totaling 75 patients 3.ĭata collection with patients and medical records occurred from August 2018 to February 2019. ![]() For this reason, the sample size may vary from 5 to 30 individuals for each defining characteristic 7. The latent class analysis is used to calculate accuracy measures (sensitivity and specificity) of clinical indicators when there is no perfect reference standard. Eligible patients were informed before discharge and enrolled in the study.Īs the present study is derived from primary research to verify the accuracy of the nursing diagnosis regarding DCTP in patients with ACS 3, sample size calculation considered the clinical construct validation methodology for the latent class analysis 7. Patients who did not present the clinical condition (signs and symptoms) at the time of admission or who had undergone reperfusion therapy before admission to the service were excluded from the study. The inclusion criteria for the study established the selection of patients aged 18 or older with a medical diagnosis of ACS and who were in the acute phase of the disease. NDS were chosen for this research since they are frequent in the clinical practice of nurses and because they remain little studied subjects that could contribute to better subsidize health care planning. ![]() As a specific objective, we seek to characterize the sociodemographic and clinical profile of the studied population. Thus, the mains objectives of this research were to identify the nursing diagnoses of risk for decreased cardiac tissue perfusion (RDCTP) and risk for activity intolerance (RAI) and to establish the relationship between the components of these diagnoses and the signs and symptoms of DCTP. Several studies focusing on nursing diagnosis have been developed 4 - 6, especially when we think about real NDS. Second, because we find it difficult to think both of care as a continuum and on the interrelationships among NDS, especially when we think of risky and real NDS. First, because the focus on the disease is the prevailing approach. Rethinking care with a focus on NDS is still a major challenge for nurses, where we highlight two points. These works also discuss the relationship of DCTP with other diagnoses concerning Domain 4 - Activity/Rest, Class 4 - Cardiovascular/Pulmonary responses, such as decreased cardiac output and activity intolerance. To assist in the development of NANDA-I Taxonomy II, two recent surveys have proposed and validated 2, 3 the ND of DCTP, presenting acute coronary syndromes (ACS) as the most common associated condition. These answers can be based on potential or real problems 1.Īs for the care of patients with susceptibility to decreased cardiac tissue perfusion (DCTP), we identify the nursing diagnosis risk for decreased cardiac tissue perfusion (00200) in the taxonomy. The Nursing Diagnoses of NANDA-I are based on the diagnosis of human responses through clinical reasoning in which needs are identified and treatment and prevention strategies proposed. (NANDA-I) taxonomy stands out internationally. In this context, the use of NANDA International Inc. Continuous comprehensive care with patients requires a common language between nursing healthcare. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |