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Leandro DLF, D'Agostino F, Lopes CT, Lopes JDL. Development and validation of a case study to aid in the diagnostic reasoning of nursing students and nurses. Int J Nurs Knowl 2024; 35:107-116. [PMID: 36815244 DOI: 10.1111/2047-3095.12415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 02/05/2023] [Indexed: 02/24/2023]
Abstract
PURPOSE The aim of this study is to develop and validate a case study to aid in the diagnostic reasoning of nursing students and nurses. METHODS It is a validation study using a case study based on Lunney's method including (1) content validation of the case study by nurse experts through the Delphi technique, (2) identification of nursing diagnoses (NDs) in the case, (3) evaluation of diagnostic accuracy, and (4) establishment of a priority diagnosis by nurse experts. FINDINGS The case study was developed from the findings of a narrative literature review on the cues of the NDs with a prevalence > 50% in patients with peripheral arterial occlusive disease. Two rounds of expert evaluation were required to validate the case study. The experts identified 18 NDs with different degrees of accuracy. The highly accurate diagnoses most frequently identified by the experts were: Ineffective peripheral tissue perfusion (100%), impaired walking (83%), impaired comfort (50%), and chronic pain (50%). The diagnosis considered a priority by all experts was ineffective peripheral tissue perfusion. CONCLUSIONS The case study was developed and had its content validated. High-accuracy diagnoses were identified, and a priority was determined. IMPLICATIONS FOR NURSING PRACTICE The validated case study may be used by students and nurses to facilitate the development of diagnostic reasoning and critical thinking in practice, teaching or research.
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Affiliation(s)
| | - Fabio D'Agostino
- Faculty of Medcine and Surgery, Saint Camillus International University of Health and Medical Sciences Rome, Rome, Italy
| | - Camila Takao Lopes
- Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, Brazil
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Butcher RDCGES, Guandalini LS, de Barros ALBL, Damiani BB, Jones DA. Psychometric evaluation of the Functional Health Pattern Assessment Screening Tool - Modified Brazilian Version. Rev Lat Am Enfermagem 2024; 32:e4119. [PMID: 38511736 PMCID: PMC10949848 DOI: 10.1590/1518-8345.6755.4119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Accepted: 11/17/2023] [Indexed: 03/22/2024] Open
Abstract
OBJECTIVE to test the factorial structure, reliability and convergent validity of the Functional Health Pattern Assessment Screening Tool - Modified Brazilian Version. METHOD this was a psychometric evaluation of the Functional Health Pattern Assessment Screening Tool - Modified Brazilian Version. Seven hundred and seventeen participants answered the data collection instrument consisting of two parts. Part I included a structured questionnaire to collect sociodemographic data and the participants' perceptions and satisfaction with their current health status. Part II consisted of the tool being tested. The internal structure was assessed using Confirmatory Factor Analysis. Convergent validity was evaluated by the correlation of the tool scores with the rates corresponding to self-perception and satisfaction with current health status. Reliability was assessed using Cronbach's alpha. RESULTS the Confirmatory Factor Analysis confirmed a three-factor solution. The factor loadings were significant and varied from 0.16 to 0.75; the fit indices suggested moderate fit of the model. Internal consistency for all three components varied between 0.779 and 0.919. CONCLUSION the findings suggest that the tool is valid and reliable to be used in the Brazilian population, although caution is recommended when interpreting the results due to the moderate fit of the model. BACKGROUND (1) The FHPAST-BR is a structured, valid and reliable Nursing-driven assessment tool. BACKGROUND (2) The tool provides a way of organizing clinical data and easing decision-making. BACKGROUND (3) The FHPAST-BR can be used in clinical practice and research.
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Affiliation(s)
| | | | | | | | - Dorothy Anne Jones
- Boston College, William F Connell School of Nursing, Chesnut Hill, MA, United States of America
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Instrumento para consulta de enfermagem domiciliar com paciente oncológico: construção e validação. ACTA PAUL ENFERM 2022. [DOI: 10.37689/acta-ape/2022ao02587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
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Rodrigues SMN, Rodrigues AB, Gurgel LA, Abreu LDPD, Souza GL. Data collection instrument for hematological diseases in na outpatient setting: a validation study. Rev Bras Enferm 2021; 74:e20201034. [PMID: 34133682 DOI: 10.1590/0034-7167-2020-1034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 01/06/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to build and validate a data collection instrument for onco-hematological patients undergoing outpatient chemotherapy. METHODS methodological study that aimed to build a scientifically consistent data collection instrument to evaluate hematological patients. There were five stages: identification of empirical indicators, evaluation of empirical indicators by focus group, construction of the instrument, content validation by judges and clinical validation. Built based on the Theory of Basic Human Needs of Horta, adjusted by Garcias and Cubas. RESULTS the built instrument contains data on patient identification, perception and expectations related to the disease, assessment of psychobiological, psychosocial and psychospiritual needs. It reached 95% CVI, ensuring the instrument's content validity and Cronbach's alpha test with a reliability of 0.93. CONCLUSIONS the instrument is a valid technology to assist nurses in data collection and may serve as a tool for onco-hematological nursing care, teaching and research.
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Amaral RAC, Oliveira PPD, Fonseca DFD, Schlosser TCM, Moraes JT, Silveira EAAD, Santos KBD. Bundle for the prevention and management of complications of neutropenia in cancer patients. Rev Bras Enferm 2021; 74:e20200195. [PMID: 33950119 DOI: 10.1590/0034-7167-2020-0195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 10/20/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to construct and assess bundle content for the prevention and management of complications in neutropenia in cancer patients. METHODS a methodological study developed in four stages: scoping review; bundle construction; material assessment by experts (developed according to Pasquali's psychometry); pilot test in a High Complexity Assistance Unit in Oncology. For content assessment, the Delphi technique was applied in two rounds and those items with Content Validation Coefficient (CVC)> 0.78 and agreement> 80.0% were considered valid. Data were analyzed using descriptive and inferential statistics. RESULTS all bundle requirements reached agreement between judges above 80.0%, in addition to statistically significant levels of assessment. At the end of the Delphi technique, bundle was significantly valid with CVC = 0.92 and CVC = 0.93, respectively. CONCLUSIONS bundle content proved to be valid and highly credible.
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Gengo E Silva Butcher RDC, Jones DA. An integrative review of comprehensive nursing assessment tools developed based on Gordon's Eleven Functional Health Patterns. Int J Nurs Knowl 2021; 32:294-307. [PMID: 33620162 DOI: 10.1111/2047-3095.12321] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 01/31/2021] [Accepted: 02/04/2021] [Indexed: 12/14/2022]
Abstract
PURPOSE To evaluate the content and psychometric properties of comprehensive nursing assessment tools developed based on The Eleven Functional Health Patterns Assessment Framework. METHODS 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. FINDINGS 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. CONCLUSIONS 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. IMPLICATIONS FOR NURSING PRACTICE 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.
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Affiliation(s)
- Rita de Cassia Gengo E Silva Butcher
- Postdoctoral Scholar, The Marjory Gordon Program for Clinical Reasoning and Knowledge Development at Boston College, William F. Connell School of Nursing, MA, USA.,Faculty (courtesy), Graduate Program in Adult Health Nursing (PROESA), School of Nursing, University of São Paulo, São Paulo, Brazil
| | - Dorothy A Jones
- Professor, Boston College, William F. Connell School of Nursing, MA, USA.,Director the Marjory Gordon Program for Clinical Reasoning and Knowledge Development at Boston College, William F. Connell School of Nursing, MA, USA
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Stelmach M, de Almeida Medeiros KA, Carvalho BJ, Pipek LZ, de Mesquita GHA, Nii F, Martines DR, Iuamoto LR, D'Albuquerque LAC, Meyer A, Andraus W. Instrument to evaluate the knowledge of patient with cirrhosis on his disease: construction and validity. BMC Gastroenterol 2021; 21:83. [PMID: 33622249 PMCID: PMC7903789 DOI: 10.1186/s12876-021-01665-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 02/12/2021] [Indexed: 11/27/2022] Open
Abstract
Background The application of measurement instruments is a strategy to evaluate the patient's knowledge about the disease. This study aims to build an instrument that evaluates the patient's knowledge about liver cirrhosis. Method This study includes three phases. The first one was the construction of the instrument based on a literature review. In the second phase, five experts were participated in the evaluation of the instrument, to check the validity of the content. Quantitative and qualitative analyzes were made. The tool used was the CVI (Content Validity Index) and it was used the semantic study of the questions. The third phase was the process of the restructuring the instrument. Results The final version of the instrument consisted of 36 questions. The instrument was evaluated in 91.7 by the average CVI and 94.4% by the universal CVI. Conclusions The questions are properly structured and clear, therefore, understandable. Thus, the final instrument presented satisfactory content validity, so that, it reached the aim of this study.
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Affiliation(s)
- Mariana Stelmach
- Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Avenida Doutor Arnaldo, 455, São Paulo, Brazil
| | | | | | | | | | - Fernanda Nii
- Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil
| | | | - Leandro Ryuchi Iuamoto
- Center of Acupuncture, Department of Orthopaedics and Traumatology, University of São Paulo, São Paulo, Brazil
| | - Luiz Augusto Carneiro D'Albuquerque
- Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Avenida Doutor Arnaldo, 455, São Paulo, Brazil
| | - Alberto Meyer
- Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Avenida Doutor Arnaldo, 455, São Paulo, Brazil.
| | - Wellington Andraus
- Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Avenida Doutor Arnaldo, 455, São Paulo, Brazil
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Santos KCD, Fonseca DFD, Oliveira PPD, Duarte AGS, Melo JMA, Souza RS. Men’s health care: construction and validation of a tool for nursing consultation. Rev Bras Enferm 2020; 73:e20190013. [DOI: 10.1590/0034-7167-2019-0013] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Accepted: 07/03/2019] [Indexed: 12/19/2022] Open
Abstract
ABSTRACT Objectives: to elaborate and validate a data collection tool for nursing consultation with men in the context of Primary Health Care. Method: a methodological study developed in four stages. The first one consisted in tool elaboration, using databases and the Dorothea Orem’s theoretical model. In the second and third stages, content validation and tool appearance by 23 nurse judges took place. The Concordance Index was used for assessment. In the fourth stage, a pilot test was carried out with 20 men using Primary Health Care. Results: of the 145 indicators prepared, organized and submitted to validation process, items with the Concordance Index <0.80 were excluded. The final tool consisted of 156 items. An overall 0.88 Concordance Index calculation was obtained. Conclusions: the final tool presented content validity for data collection with men in Primary Health Care.
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