International Journal of Nursing Knowledge

This review evaluates the effectiveness of using standardized terminologies in nursing.

A systematic literature review was performed via PubMed, Web of Science, CINAHL, and OVID databases for articles published between January 1973 and September 2020. The Effective Public Health Practice Project's Quality Assessment Tool for Quantitative Studies was used to assess the quality of all included studies.

Fourteen studies were selected for data extraction and analysis, which included a total of 24,243 patients and 99 nurses. Of the studies that met the inclusion criteria, the quality of five were of high quality, one was of moderate quality, and eight was of weak quality. All articles were summarized according to two themes: the identification of common outcomes or interventions, and the validation or evaluation of the effectiveness of standard nursing terminology sets.

Standardized terminologies in nursing help nurses to implement care plans according to nursing procedures, supervise changes in patients' sensitive indicators, improve patients' health outcomes, and contribute to evidence-based nursing practices and global data resource sharing.

Standardized nursing terminologies have positive effects on clinical practice, are essential for enriching nurses' knowledge, and alter nurses’ attitudes regarding education and guidance, which promotes the clinical application of these terminologies.

This study was designed to evaluate the psychometric properties of the newly completed unemployment syndrome scale (USS).

Using a cross-sectional descriptive design, 319 long-term unemployed people completed a questionnaire.

Internal consistency reliability was supported by Cronbach's α value of .912 for the total scale. To assess the construct validity of the USS, we examined convergent validity, known-groups validity, and exploratory factor analysis. We also assessed convergent validity by examining the relationship between the USS and five other related and known concepts. The Exploratory Factor Analysis performed on the USS extracted three factors with Eigen values >1 (Kaiser's Criterion), which explained the variability of 55.16%. As hypothesized, all correlations were moderate. On the other hand, regarding known-groups validity, the hypotheses were validated.

This evidence of the reliability and validity of USS supports its use in research and clinical practice to evaluate the impact of long-term unemployment and its treatment.

The USS is a Spanish clinical tool for the assessment of patients with unemployment syndrome symptoms and integral needs care by nursing professionals.

Low adherence to treatment is a common problem in the care of patients with severe mental illnesses. Motivational interviewing is a directive, client-centered counseling therapeutic approach designed to elicit behavior change by helping clients to explore and resolve ambivalence. Nurses use motivational interviewing, although it has not been defined from a nursing perspective nor with nursing language. Thus, nursing research on the use of these techniques is being carried out, supported by their effectiveness in many health problems. The development of motivational interviewing as a standardized nursing intervention for inclusion in the Nursing Interventions Classification (NIC) may promote its use by mental health nurses in their daily work and thus improve the quality of care.

To validate a proposed motivational interviewing nursing intervention for inclusion in the NIC.

We followed the validation methodology of the NIC of the Iowa and the Intervention Normalization for Nursing Practice projects. The study comprised theoretical (scientific and expert validation) and empirical (terminological and clinical validation) phases.

There is ample evidence supporting the efficiency of the motivational interviewing to improve the therapeutic adherence of people with severe mental illness. The group of experts agreed on the label name “motivational interviewing” for the NIC based on the modified model by Miller & Röllnick (2015), which includes 28 associated activities through the phases of engaging, focusing, evoking, and planning. Development of the NANDA International and the Nursing Outcomes Classification nursing language was completed. Knowledge and drug attitude improved in the motivational intervention group.

We validated the nursing intervention motivational interviewing for inclusion in the NIC that will help improve therapeutic adherence. The intervention may be used for other behavioral changes.

To develop and validate the content of the nursing diagnosis proposal for perioperative thirst.

A content analysis by 34 judges. An online Delphi panel was used in one round, evaluating criteria of relevance, clarity and precision. Wilcoxon's one-tailed test was used and the content validity index to maintain the item was set to 0.80.

The content validity index in relation to the evaluated items reached levels between 0.87–1.00. The final components of the diagnosis proposal included the following items as defining characteristics: dry mouth, dry throat, dry lips, thick saliva, thick tongue, constant swallowing of saliva, desire to drink water, bad taste in the mouth, and caregiver's report. Related factors are as follows: pre- and postoperative fasting, oral breathing, dehydration, hypovolemia, insensitive loss of hydration by breathing, dry mouth, habit of drinking water, high room temperature. Associated conditions: intubation, use of muscarinic and nicotinic anticholinergics and water restriction.

All components of the nursing diagnosis were validated in relation to relevance, clarity, and accuracy, demonstrating high levels of agreement between experts. Qualitative observations were found to be fundamental for both combining and excluding some items.

Improvement of refinement and clarity levels of this nursing diagnosis proposal aiding its inclusion in the NANDA International taxonomy and thus enabling greater understanding of the phenomenon of thirst in surgical patients. This study helps to explain and facilitate the identification of defining characteristics, related factors, and associated conditions for nurses, nursing students, and researchers on this subject.

To validate the content of the nursing diagnosis proposal Disturbed thought process.

With an exploratory and descriptive design, the content validation for each component of the diagnosis proposal was pursued, based on a previous broad conceptual work, through consulting experts, applying Fehring's Diagnosis Content Validation Model. The modified Delphi technique was used by sending out three rounds of questionnaires electronically to seek consensus among the experts.

The nursing diagnosis version validated in this study includes the diagnosis label Disturbed thought process, the corresponding definition, 15 defining characteristics, and 13 related factors. The resulting diagnosis total Diagnosis Content Validation score was 0.99, implying its content validation.

The validated diagnosis proposal describes a human response for which nursing professionals can autonomously assess and prescribe interventions leading to improvement of this health problem and/or alleviate its consequences, preserving the patient's autonomy and helping them to address their situation. It will be included in the next edition of the nursing diagnosis classification NANDA-I 2021–2023.

The results of this study will help nursing professionals reduce the potential impact among patients who suffer from an alteration in cognitive functioning in its executive function dimension, as the validated diagnosis proposal will make it possible to identify and report this problem precisely.

Llevar a cabo la validación de contenido de la propuesta de diagnóstico enfermero Trastorno del proceso de pensamiento.

Con un diseño exploratorio y descriptivo, se procedió a la validación de contenido de cada uno de los componentes de la propuesta de diagnóstico, desarrollado en base a un amplio trabajo conceptual previo, a través de la consulta de expertos y la búsqueda de consenso, aplicando el Modelo de Validación de Contenido Diagnóstico de Fehring. Se empleó la técnica Delphi modificada mediante la que se enviaron tres rondas de cuestionarios de forma electrónica para buscar el consenso entre los panelistas.

La versión del diagnóstico enfermero validada en este estudio incluye la etiqueta diagnóstica Trastorno del proceso de pensamiento, la correspondiente definición, 15 características definitorias y 13 factores relacionados. El índice total de validación de contenido del diagnóstico resultante fue de 0,99, implicando su validación de contenido.

La propuesta de diagnóstico validada describe una respuesta humana sobre la que los profesionales de enfermería de manera autónoma, pueden valorar y prescribir intervenciones encaminadas a la mejoría de este problema de salud y/o paliar sus consecuencias, preservando la autonomía del paciente y facilitando su afrontamiento. Será incluido en la próxima edición de la clasificación de diagnósticos enfermeros NANDA-I 2021–2023.

Los resultados de este estudio ayudarán a los profesionales de enfermería a disminuir el impacto potencial en los pacientes que sufren una alteración del funcionamiento cognitivo en su dimensión función ejecutiva, ya que la propuesta de diagnóstico validada les permitirá identificar y comunicar dicho problema con precisión.

The aim of this study is to clarify the concept of discomfort identification by concept development in the nursing home.

The Schwartz–Barcott and Kim's hybrid model was used.

The identification of discomfort can be explained as an interactive and confirmative process of sympathetically responding to patients with dementia's problem behavior expressions that communicate unmet needs.

The identification of discomfort has the potential to improve the detection of multidimensional discomfort related to nursing diagnosis as a holistic and patient-centered approach.

The findings could help nursing home nurses have a better understanding of identification of discomfort and can improve nurses and interdisciplinary caregivers' knowledge for developing appropriate comfort caring activities.

This study aimed to identify diagnostic indicators associated with the nursing diagnosis risk-prone health behaviors in pregnant adolescents.

We conducted a cross-sectional study. The sample consisted of 181 pregnant adolescents. A latent class analysis was conducted to verify associations between the defining characteristics of risk-prone health behaviors and diagnostic accuracy measures. Logistic regression was used to identify factors associated with the manifestation of risk-prone health behavior.

The prevalence of risk-prone health behaviors in this sample was 31.04%. The defining characteristics failure to take action that prevents health problems and inappropriate eating habits achieved a high sensitivity. The related factors such as insufficient social support, stressors, low self-efficacy, social anxiety, isolated region of residence, and restricted access to health services presented significant associations with risk-prone health behavior.

The diagnostic indicators associated with the nursing diagnosis of risk-prone health behavior were failure to take action that prevents health problems inappropriate eating habits, insufficient social support, stressors, low self-efficacy, social anxiety, isolated region of residence, and restricted access to health services.

This study contributes to knowledge about the diagnostic indicators of risk-prone health behavior, which may help nurses reach the proper diagnosis. This will facilitate the application of clinical judgment in nursing care to assist pregnant adolescents.

To evaluate the content and psychometric properties of comprehensive nursing assessment tools developed based on The Eleven Functional Health Patterns Assessment Framework.

An integrative literature review following Whittemore and Knafl's method and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Searches on PubMed, Cinahl, and Virtual Health Library were conducted between September and December 2018.

Six out of 146 records were included for review. Four articles were methodological studies and two were descriptive reports of the development of the tools. Tools were heterogenous in terms of their purpose, development, characteristics, and testing. Only one study provided data about construct validity. However, there were commonalities regarding the data that should be assessed in each tool.

Few comprehensive nursing assessment tools using The Eleven Functional Health Patterns Assessment Framework are available. Purpose, process of development, characteristics, and testing varied among the tools, and most lack robust psychometric testing.

This review provided a synthesis of the literature regarding the use of a discipline-specific framework to guide comprehensive nursing assessment. The differences across the tools and the lack of psychometric testing compromise the visibility of nursing and make it difficult to emphasize the contribution of nursing knowledge to patient care.

Avaliar o conteúdo e as propriedades psicométricas de instrumentos compreensivos de coleta de dados de enfermagem desenvolvidos com base no modelo dos Onze Padrões Funcionais de Saúde.

Revisão integrativa da literatura que seguiu o método de Whittemore e Knafl e os Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Realizou-se buscas no PubMed, Cinahl e Biblioteca Virtual em Saúde entre Setembro e Dezembro de 2018.

Seis das 146 citações recuperadas foram incluídas na revisão. Quatro artigos eram estudos metodológicos e dois eram relatos descritivos do desenvolvimento dos instrumentos. Os instrumentos eram heterogêneos em termos de finalidades, desenvolvimento, características e teste. Apenas um estudo forneceu dados sobre a validade de constructo. Entretanto, os instrumentos partilham de aspectos em comum em relação aos dados que devem ser coletados.

Poucos instrumentos de coleta de dados de enfermagem que utilizam o modelo dos Onze Padrões Funcionais de Saúde estão disponíveis. Finalidades, processo de desenvolvimento, características e testagem dos instrumentos variaram entre os instrumentos. Para a maioria deles não há evidências psicométricas robustas de validade.

Esta revisão forneceu uma síntese da literatura em relação ao uso de um modelo específico da disciplina para nortear a coleta compreensiva de dados de enfermagem. As diferenças entre os instrumentos e a falta de evidências psicométricas de validade comprometem a visibilidade da enfermagem e tornam difícil destacar a contribuição específica da enfermagem no cuidado do paciente.