Clinical Validation of the Nursing Diagnosis of Sexual Dysfunction in Pregnant Women

Abstract

OBJECTIVE Validate the sexual dysfunction nursing diagnosis in pregnant women. METHODS Cross‐sectional research using Richard Fehring's Clinical Diagnostic Validity Model. FINDINGS The prevalence of diagnosis was 48.7% in a sample of 306 pregnant women. A total of 14 defining characteristics were validated: seven major and seven minor. Seeks confirmation of desirability had the highest sensitivity value and decrease in sexual desire had the highest specificity value. The total score was 0.79. CONCLUSIONS The diagnosis was validated in this sample. IMPLICATIONS FOR PRACTICE The prevalence of the diagnosis is a requirement for effective intervention. Validation in different social and cultural contexts would increase the clinical evidence of this diagnosis. OBJETIVO Validar o diagnóstico de enfermagem disfunção sexual em mulheres grávidas. MÉTODOS Estudo transversal, segundo o modelo de validação clínica de Richard Fehring. RESULTADOS A prevalência foi de 48,7%em306gestantes. Um total de 14 características definidoras foram validadas: sete principais e sete secundárias. A característica definidora procura de confirmação de desejabilidade foi a mais sensível e a diminuição do desejo sexual, a mais específica. O score total do diagnóstico foi 0,79. CONCLUSÕES O diagnóstico foi validado nesta amostra. IMPLICAÇÕES PARA A PRÁTICA A prevalência do diagnóstico apela à intervenção de enfermagem efetiva. Estudos de validação em diferentes contextos sociais e culturais poderão contribuir para a melhoria da evidência científica do diagnóstico.

Ansiedade relacionada à morte em cuidados paliativos: validação do diagnóstico de enfermagem

“…This strategy has been used in several studies of this nature. (23,24) Some characteristics were rewritten and/or grouped to avoid redundancies, as recommended by the author of the model.…”

“…These three criteria have been used in previous clinical validation studies. (23,24) One or two questions that were formulated based on a literature review and by consulting other instruments assessing the same construct were used to evaluate the presence of each defining characteristic. The relevance, clarity, and precision of each item or question were checked by a judging panel.…”

“…In previous validation studies, the presence of each characteristic was determined based on the score 3. (24) However, because of the specificity of the diagnosis under study and because the fear of death is universal among humans, (2) the characteristic was deemed present only when a high score of 4 or 5 was obtained, which indicates a "abnormal or persistent death-related fears". (9) A pre-test was conducted in 10 family caregivers of palliative patients, of both sexes and of different age groups, who were not a part of the study sample.…”

Content validation of the nursing diagnosis Risk for disturbed maternal-fetal dyad

“…Validating a nursing diagnosis means making it valid and proving it through clinical indicators of a certain event or clinical condition. The following phases are required to validate a ND: concept analysis, content analysis by experts, and analysis of the accuracy of clinical indicators (6)(7)(8)(9) . In the phase content analysis by experts, this study's focus, professionals analyzed material from the previous phase to verify the relevance of the clinical indicators for ND Risk for disturbed maternal-fetal dyad, which is registered in NANDA-I's taxonomy since 2008 (5) .…”

Análise da vacina dupla adulto em gestantes de Santiago de los Caballeros

“…A vacinação é uma das medidas importantes durante a gravidez para impedir resultados adversos para a mulher e seu bebê através da imunidade ativa e passiva, respectivamente [1][2] . Nos últimos anos, os dados acumulados mostraram benefícios e segurança de algumas vacinas para os bebês, quando administradas a suas mães, durante a gravidez 3 .…”