Knowledge of Women With Heart Failure

Mangueira

et al. 2023

Int J of Nursing Knowl

PurposeTo evaluate the accuracy of defining characteristics and causal relationships of the etiological factors of the nursing diagnosis deficient knowledge in individuals with heart failure .Data sourcesAn analytical, cross‐sectional study on the diagnostic accuracy of the defining characteristics and causal relationships of the etiological factors of the nursing diagnosis. The sample consisted of 140 patients with chronic HF and in outpatient follow‐up. The latent class analysis method was used to test the accuracy of measurements and estimate the prevalence of the diagnosis. The calculation of subsequent probabilities and the odds ratio ( were also parameters employed. The study was approved by the Research Ethics Committee of the Federal University of Pernambuco.Data synthesisThe diagnosis had an estimated prevalence of 38.57% in the sample. The inaccurate statements about the disease and/or therapy, self‐care deficient performance, and inadequate behavior were the clinical indicators that best predicted the presence of the diagnosis and demonstrated the same sensitivity value (1.0000), specificity (1.0000), and 95% confidence interval (0.9999–1.0000) for all. The populations at risk was elderly (OR = 2.12, confidence interval 95% = 1.05–4.27), and illiterate individuals (OR = 2.07, confidence interval 95% = 1.03–4.16) had an approximately twofold great chance of developing havening deficient knowledge.ConclusionThe evaluation of the accuracy of clinical indicators, corresponding to the defining characteristics in the study, contributed to screening and diagnostic establishment capacity in clinical practice, and to the translation of theoretical and practical knowledge.Implications for nursing practiceAccurate clinical indicators of the nursing diagnosis deficient knowledge facilitate the clinical reasoning of nurses and favor the professional's role in the development of health education strategies focused on the acquisition of knowledge about the disease by patients, family members, and caregivers.

Section: Discussionmentioning

confidence: 87%

mentioning

confidence: 95%

Deficient knowledge in patients with heart failure: A study of diagnostic accuracy and etiological relationships

Araújo

Mangueira

et al. 2023

Int J of Nursing Knowl

“…The inadequate guidance offered by the health professional can be referred to as information that is not reaching the patient in its entirety, interfering in the detailed knowledge of the pathology and adequate self‐care (Plotka et al., 2017; Sposito & Kobayashi, 2016; Zeng et al., 2017). Inadequate guidance may be a reflection of the lack of adequate evaluation regarding the etiological factors of deficient knowledge.…”

Section: Discussionmentioning

confidence: 99%

“…This study suggests the introduction of this new component with the elements validated by the judges, namely: elderly and individuals with low schooling. Studies have shown that low schooling and advanced age are conditions that instill adequate knowledge about heart disease (Mantovani et al., 2015; Sposito & Kobayashi, 2016; Wu et al., 2017; Zeng et al., 2017). People with low education tend to have a lower level of basic knowledge, interfering in the understanding of their disease and consequent treatment and readmission (Bonin et al., 2016), a fact that fell on the level of health literacy (HL) of each individual (Borges et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

Analysis of the content of the nursing diagnosis deficient knowledge in individuals with heart failure

Araújo

et al. 2022

Int J of Nursing Knowl

Objective: To analyze the content of the nursing diagnosis deficient knowledge in individuals with heart failure. Methods: Methodological study to validate the content of a nursing diagnosis based on the predictive model of diversity, carried out through the organization of the phenomenon of interest and analysis by judges using the collective wisdom model. The NANDA-I Knowledge Deficient diagnosis was evaluated by 48 judges and considered valid when it presented a median content validity index ≥ 0.8 in the confidence intervals.Results: Note that 66.6% of the judges indicated that the new definition proposed was more adequate than the definition adopted by NANDA-I. After the experts' analysis, the following defining characteristics were considered valid: inaccurate statements about the disease and/or therapy, inadequate performance in the management of intercurrences, increase in hospital readmissions, worsened quality of life, deficit in self-care performance, and follow-up of inadequate instruction; related factors are as follows: inadequate guidance offered by health professionals, nonparticipation of the patient in the planning of their health care, weakened relationship between professional and individual; populations at risk-elderly and low level of education of the individual and/or caregiver and the associated condition, mild cognitive impairment. Anxiety, depression, and impaired social interaction were elements considered not relevant to the content domain. Conclusion: The validation of the content of the aforementioned diagnosis in patients with heart failure, through the analysis of judges with different degrees of expertise, made it possible to improve the definition and expansion of new diagnostic indicators. Implications for nursing practice: Updated diagnostic elements for the nursing diagnosis deficient knowledge in individuals with heart failure will facilitate accurate clinical judgment and the establishment of a therapeutic plan aimed at etiological factors modifiable by nurses.

Revista Científica Multidisciplinar Núcleo do Conhecimento

Autocuidado do idoso durante sua hospitalização por insuficiência cardíaca: Revisão integrativa

Gomes¹,

Antonáccio²,

Almeida³

et al. 2020

A insuficiência cardíaca é um importante fator relacionado ao aumento da dependência funcional, e, quando associada a frequentes internações pode piorar este quadro. Neste contexto, o comportamento de autocuidado associa-se a um menor número de internações por descompensações do quadro clínico, associado a uma melhor qualidade de vida. O objetivo central deste trabalho é compreender como se dá o autocuidado do idoso hospitalizado, além de identificar quais ações de enfermagem contribuem para a manutenção do autocuidado. Trata-se de uma revisão integrativa, que buscou analisar de forma crítica e objetiva, 7 artigos que foram selecionados por abarcar o autocuidado do idoso no contexto hospitalar. O papel do enfermeiro enquanto educador para estimular o autocuidado foi um fator importante e apontado nas discussões. Além disso, deve ser incorporado no processo de enfermagem planejamento de ações que estimulem o autocuidado do paciente durante sua hospitalização. Conclui-se que existe uma lacuna da literatura com enfoque no autocuidado durante a hospitalização do idoso, além da necessidade de novas pesquisas que incorporem a teoria do autocuidado no contexto da insuficiência cardíaca.