Nursing diagnosis of sedentary lifestyle: expert validation

Abstract

This study's aim was to verify with experts the appropriateness of the components (definition, defining characteristics and related factors) of the nursing diagnosis sedentary lifestyle for individuals with hypertension. The validation process took place from February to July 2011, by 48 nurse specialists in nursing terminologies and/or sedentary lifestyle and/or hypertension. Based on this study, changes in the definition of Sedentary Lifestyle and in the titles of five indicators are recommended, in addition to the addition of another six related factors and three defining characteristics to the list of the NANDA-International Taxonomy II. The process of expert validation enables improvement and more reliable and accurate identification of clinical indicators with greater diagnostic accuracy.

Clinical Validation of the “Sedentary Lifestyle” Nursing Diagnosis in Secondary School Students

“…We used a questionnaire and physical assessment to identify all the defining characteristics and related factors described in a previous study (Moreira et al, 2014). A set of specific conceptual and operational definitions were developed for each variable based on the following five instruments: the Youth Risk Behavior Surveillance, the Rating Scale of Social Support for Physical Activity, the Self-Efficacy Scale for Exercise, the InteliHealth 1 Questionnaire, and a questionnaire on Motivation for Physical Exercise.…”

“…These experts recommended the addition of the following three new defining characteristics: overweight, low performance in instrumental activities of daily living, and nonengagement in leisure time physical activities. In addition, the authors recommended dividing physical deconditioning into the following three elements: diminished respiratory capacity, diminished muscle strength, and diminished flexibility of joints (Guedes, Lopes, Cavalcante, Moreira, & Araujo, 2013;Moreira, Guedes, Lopes, Cavalcante, & Araujo, 2014) Previous studies have also included a review of related factors described in the NANDA-I taxonomy that recommend incorporating the following six related factors: insufficient social support for physical activity; attitudes, beliefs, and health habits that hinder physical activity; insufficient confidence for practicing physical exercise; impaired physical mobility; activity intolerance; and reports of pain.…”

“…These experts recommended the addition of the following three new defining characteristics: overweight, low performance in instrumental activities of daily living, and nonengagement in leisure time physical activities. In addition, the authors recommended dividing physical deconditioning into the following three elements: diminished respiratory capacity, diminished muscle strength, and diminished flexibility of joints (Guedes, Lopes, Cavalcante, Moreira, & Araujo, 2013; Moreira, Guedes, Lopes, Cavalcante, & Araujo, 2014)…”

Lifestyle of the Elderly Person Living With Diabetes and Characterization of Nursing Diagnoses

“…With the aforementioned, the following related factors are identified: attitudes, beliefs and/or health habits that hinder the practice of exercise, lack of social support and presence of pain, which are not found in the NANDA-I taxonomy, however they were determined in the validation of the nursing diagnosis made by experts in people with hypertension. 21 In Domain 2 -Nutrition, three nursing diagnoses were established: Risk of unstable blood sugar level, since 29 elderly did not have enough knowledge about the DM2 management, 19 had an ineffective medication management and 14 did not adhere to the therapeutic plan, specifically the feeding plan, as there is evidence of low intake of vegetables, high consumption of sugary drinks, bread and tortilla, which is essential to achieve sugar blood control and balanced weight. 22 The above is credited with the structured Overweight diagnosis for 22 elderly who had a body mass index (BMI) greater than 25 kg/m 2 ; and six for Obesity, for having a BMI greater than 30 kg/m 2 .…”

Disturbed Sleep Pattern (000198): Content Analysis in Patients With Acute Coronary Syndrome

“…3 It helps to make the assessment of a particular ND decisive, safe, accurate and valid for cohesive decision making. 6 Among the various NDs listed in the NANDA-I ND classification is the Disturbed Sleep Pattern (00198). This ND was inserted in this classification in 1980, and modified in 1998, 2006, 2014 and 2017.…”