International Journal of Nursing Knowledge

To analyze the knowledge related to the use of the Rasch model in validation of nursing diagnoses.

Integrative literature review with search in LILACS, PUBMED, CINAHL, and SCOPUS.

Five studies comprised the sample, which analyzed unidimensionality, local independence, item calibration, item reliability, separation of items and people, and differential item functioning for analyzing nursing diagnoses.

The Rasch model seems to be a useful method to validate nursing diagnoses and probably also for the validation of nursing outcomes in the Nursing Outcomes Classification. The use of this model is promising, considering the advantages that it can be used in studies with several methodological designs.

Methods that are able to provide more robust evidence of nursing diagnosis validity are needed to support highly accurate diagnostic findings in clinical practice.

This article describes the adequacy of the Q methodology as a new option for the validation of nursing diagnoses related to subjective foci.

Discussion paper about the characteristics of the Q methodology.

This method has been used in nursing research particularly related to subjective concepts and includes both a quantitative and qualitative dimension.

The Q methodology seems to be an adequate and innovative method for the clinical validation of nursing diagnoses.

The validation of nursing diagnoses related to subjective foci using the Q methodology could improve the level of evidence and provide nurses with clinical indicators for clinical reasoning and for the planning of effective interventions.

Descrever a adequação da metodologia Q como uma nova opção para a validação clínica de diagnósticos de enfermagem relacionados com focos subjetivos.

Artigo de discussão sobre as características da metodologia Q.

Este método tem sido utilizado na pesquisa em enfermagem relacionada com conceitos subjetivos e inclui em simultâneo uma vertente qualitativa e quantitativa.

A metodologia Q parece ser uma opção metodológica adequada para a validação clínica de diagnósticos de enfermagem.

A utilização da metodologia Q na validação clínica de diagnósticos de enfermagem relacionados com focos subjetivos pode melhorar o nível e evidência e facilitar o raciocínio clínico dos enfermeiros, ao providenciar indicadores clínicos também necessários ao desenvolvimento de intervenções efetivas.

Without data on the average time for performing nursing interventions, it is not possible to identify the cost-effective nursing practices, nurse staffing levels, and skill mix that are associated with improved patient outcomes, nor can reimbursement rates be accurately determined.

The purpose of this study was to estimate the time needed to perform direct nursing interventions in Korea using the Nursing Interventions Classification (NIC) system, and then compare the findings with time estimates made by U.S. nurses.

Data were collected from 721 registered nurses working in eight hospitals in South Korea. Each nurse was asked to choose the 30 most frequently used direct nursing interventions from a list of 433 from the Korean version of the NIC and to estimate the time needed to perform their selections. The U.S. data from the second edition of NIC were used for comparative purposes.

Among the 92 nursing interventions studied, the majority were in the physiological domain, with 46 (50%) in Physiological: Basic and 25 (27%) in Physiological: Complex. In Korea, the intervention reported as taking the shortest time was Tube Care: Umbilical Line, while the intervention reported as taking the longest time was Bowel Irrigation. Comparisons of the time to perform interventions in the two countries indicated that only 38 (41.3%) interventions are performed in 15 min or less in both countries. Of the remainder, six interventions showed considerable variation in time to perform between the two countries.

Findings from the study will provide fundamental data for calculating the cost of nursing interventions, which is critical for the establishment of reimbursement rates for interventions provided.

The paper proposes new diagnoses on child development (CD) for NANDA International.

The study followed the recommended steps of Developmental Processes for NANDA International Nursing Diagnoses. It was a secondary analysis study on the findings of a concept analysis study on CD.

A proposal of labels and components of three diagnoses: “Delayed child development,” “Risk for delayed child development,” and “Readiness for enhanced child development.”

The proposed diagnoses represent all the complexity of CD.

The proposed diagnoses can support nurses in the development of a comprehensive care plan on the health of children.

propor novos diagnósticos de enfermagem para a NANDA-International que abordem o desenvolvimento infantil.

Este estudo seguiu as etapas recomendadas para o desenvolvimento de diagnósticos de enfermagem da NANDA-International. Foi realizado a partir dos resultados da análise de conceito do termo desenvolvimento infantil.

Propostos os títulos e os componentes de três diagnósticos: “Atraso no desenvolvimento infantil,” “Risco de atraso no desenvolvimento infantil,” e “Disposição para desenvolvimento infantil melhorado.”

Os diagnósticos propostos contemplam toda a complexidade do desenvolvimento infantil.

Os novos diagnósticos podem subsidiar o enfermeiro na elaboração de um plano de cuidados integrais à saúde da criança.

To gather data from patients and caregivers about their personal experiences with longing.

Using Fehring's Clinical Diagnostic Validity model, patients and caregivers were surveyed for their experiences with longing. The survey was developed based on two previous research projects (a content analysis and survey of expert nurses). Approval for the study was received from the University of Wisconsin-Eau Claire Institutional Review Board.

None of the 84 attributes met major criteria (weighted ratios ≥ 0.8), but 19 met minor (weighted ratios of 0.60–0.79) across patients, caregivers, and combined scores. The proposed definition was supported by the respondents.

The phenomenon of longing may exist.

There is evidence justifying the submission to NANDA-I for a new nursing diagnosis for longing.

To design and test educational software to improve nursing students’ diagnostic reasoning through NANDA-I-based clinical scenarios.

A mixed method approach was used and included content validation by a panel of 13 experts and prototype testing by a sample of 56 students.

Experts’ suggestions included writing adjustments, new response options, and replacement of clinical information on the scenarios. Percentages of students’ correct answers were 65.7%, 62.2%, and 60.5% for related factors, defining characteristics, and nursing diagnoses, respectively.

Full development of this software shows strong potential for enhancing students’ diagnostic reasoning.

New graduates may be able to apply diagnostic reasoning more rapidly by exercising their diagnostic skills within this software.

Desenvolver e testar um protótipo de software educativo para melhorar o raciocínio diagnóstico de estudantes de enfermagem.

Uma abordagem mista foi utilizada e incluiu validação de conteúdo por 13 experts e testagem do protótipo por 56 estudantes.

Sugestões dos experts incluíram ajustes na escrita, inclusão de novas opções de resposta e substituição de dados clínicos nos cenários. Os percentuais de respostas corretas dos estudantes foram 65,7%, 62,2% e 60,5% para fatores relacionados, características definidoras e diagnósticos de enfermagem respectivamente.

O desenvolvimento deste software tem um forte potencial para melhorar o raciocínio diagnóstico de estudantes.

Através deste software, enfermeiros poderão ser capazes de exercitar o raciocínio diagnóstico e aplicá-lo mais rapidamente.

To determine the prevalence of Ineffective Self-Health Management (ISHM) (00078) and its related factors in polymedicated patients over the age of 65 years.

A cross-sectional, descriptive design was used. A home interview was conducted with each participant (N = 375) for data collection.

The prevalence of ISHM was 37.3%. The risk factors associated were social risk, depression, noncompliance, medication errors, and confusion with medications.

Among polymedicated elderly patients, the prevalence of ISHM is high. The diagnosis is closely connected to the compliance and complexity of the treatment regimen, in addition to those relating strictly to social and emotional factors.

Nursing methodology encompasses instruments that allow nurses in clinical practice to evaluate the issue of compliance.