Respiratory Nursing Diagnoses: Presenting Evidence for Identification of the Defining Characteristics in Neonatal and Pediatric Populations

Avena, Marta José; Peterlini, Maria Angélica Sorgini; Herdman, T. Heather; Gutiérrez, Maria Gaby Rivero de

doi:10.1111/2047-3095.12098

Cited by 13 publications

(9 citation statements)

References 29 publications

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“…However, individuals who do not require positive pressure ventilation therapies usually present better clinical conditions and, respectively, lower levels of severity, since their ventilatory muscles are able to overcome the pressure demand necessary for inspiratory and expiratory ventilation movements. In these patients, the “alterations in respiratory rate”, “dyspnea” and “orthopnea” DCs may be the first clinical indications that there is progressing ventilatory dysfunction 3 . In the MCA, it was shown that the division of the DCs into two dimensions, that is, into two nursing diagnoses, is relatively inconsistent, with a low percentage of explained variance.…”

Section: Discussionmentioning

confidence: 99%

“…To ratify this finding, in the latent class model adjusted separately for the two NDs, and including the DCs described for each ND along with the DCs identified in the concept analysis, the DCs that appeared in the ISV were “cyanosis of the skin, lips or extremities”, “apprehensiveness”, “altered arterial blood gases”, “hypoxia” and “decrease in SaO2”. However, it is highlighted in the literature that these DCs may indicate the presence of the IGE ND 3 . These DCs demonstrate impairment of pulmonary gas exchange function, not pulmonary ventilation processes.…”

Section: Discussionmentioning

confidence: 99%

“…Hypoxia may be preceded by signs of physiological compensation for respiratory stress, including “use of accessory muscles to breathe” and “alterations in respiratory rate”. After this stage of compensation, the DCs “apprehensiveness”, “altered arterial blood gases”, “hypoxia” and “decrease in SaO2” can be evidenced, characterizing the TGP ND 3 , 13 .…”

Section: Discussionmentioning

confidence: 99%

“…In the analysis of the central concept of IBP and ISV, both probably refer to the concept of “ventilation” and not to the concept of “breathing” present in the IBP title. The ND available for patients with problems in the processes of respiration/exchange of gases in cell membranes is Impaired Gas Exchange (IGE), defined as “excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane” 1 , 3 …”

Section: Introductionmentioning

confidence: 99%

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Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy

Seganfredo

Beltrão

Silva

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective:to analyze the manifestation of the defining characteristics of the nursing diagnoses of ineffective breathing pattern and impaired spontaneous ventilation, of the NANDA International and the defining characteristics identified in the literature for the concept of “ventilation” in adult patients hospitalized in an intensive care unit with use of oxygen therapy. Method:clinical diagnostic validation study, conducted with 626 patients in intensive care using oxygen therapy, in three different modalities. Multiple correspondence analysis was used to verify the discriminative capacity of the defining characteristics and latent class analysis to determine the diagnostic accuracy of them, based on the severity level defined by the ventilatory mode used. Results:in the multiple correspondence analysis, it was demonstrated that the majority of the defining characteristics presented low discriminative capacity and low percentage of explained variance for the two dimensions (diagnoses). Latent class models, separately adjusted for the two diagnoses, presented a worse fit, with sharing of some defining characteristics. Models adjusted by level of severity (ventilation mode) presented better fit and structure of the component defining characteristics. Conclusion:clinical evidence obtained in the present study seems to demonstrate that the set of defining characteristics of the two nursing diagnoses studied fit better in a single construct.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy

Seganfredo

Beltrão

Silva

et al. 2017

Rev. Latino-Am. Enfermagem

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“…Os diagnósticos respiratórios são prioritários, pois afetam diretamente a oxigenação tissular. São problemas de saúde que necessitam de cuidados diretos, por meio de uma avaliação permanente e intervenções de enfermagem rápidas e resolutivas (7) . A identificação do estado do DE, antes e após a implementação de intervenções, é fundamental, uma vez que favorece a definição das metas de enfermagem com foco em resultados.…”

Section: Introductionunclassified

Evolução clínica dos indicadores de resultados de enfermagem em pacientes com padrão respiratório ineficaz

et al. 2020

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O objetivo deste estudo foi avaliar a evolução clínica dos indicadores de resultados de enfermagem em pacientes com Padrão Respiratório Ineficaz, através da Nursing Outcomes Classification. Trata-se de estudo longitudinal prospectivo realizado em hospital universitário, com 25 pacientes com doenças pulmonares, que foram acompanhados durante um período de três dias ou até alta hospitalar. Os indicadores dos resultados de enfermagem Estado Respiratório, Nível de Fadiga e Nível de Ansiedade foram avaliados utilizando técnicas propedêuticas de avaliação respiratória e escala Likert de cinco pontos, conforme a Nursing Outcomes Classification. Quando agrupadas as médias de todos os indicadores, observou-se evolução de melhora significativa na média (p<0,001), na comparação entre a primeira e última avaliação, destacando-se Tosse (p=0,017) e Ansiedade verbalizada (p=0,013). A Dispneia obteve melhora estatisticamente significativa (p=0,017) na avaliação diária. Observou-se que a Nursing Outcomes Classification possibilita mensurar a evolução clínica dos resultados dos pacientes, bem como o grau de comprometimento do padrão respiratório. Descritores: Diagnóstico de Enfermagem; Sistema Respiratório; Avaliação de Resultados em Cuidados de Saúde.

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The Network Analysis of Nursing Diagnoses for Children Admitted in Pediatric Units Determined by Nursing Students

Moon¹

2017

J Health Info Stat

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The purpose of this study was to identify key nursing diagnoses and sub groups of nursing diagnoses for children admitted in pediatric units using a Network Analysis. Methods: Data were obtained from 205 case reports submitted from nursing students who had done a clinical practicum in pediatric units. Five hundred and twenty-four NANDA-I nursing diagnoses were extracted from the case reports. Frequency, Centrality, and Clusters were generated by Network analysis with NetMiner 4.0. Results: Seventy eight different nursing diagnoses were identified. In general pediatric nursing units, Hyperthermia was the most frequently used and highest degree centrality diagnosis. Ineffective airway clearness showed the highest between centrality. In a pediatric intensive care unit, Impaired gas exchange showed the highest frequency, degree centrality, and between centrality. Four subgroups in general pediatric nursing units and 2 subgroups in a pediatric intensive care unit were identified. Conclusions: The results from this study could support clinical decision for selecting nursing diagnoses accurately and promptly.

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Respiratory Nursing Diagnoses: Presenting Evidence for Identification of the Defining Characteristics in Neonatal and Pediatric Populations

Abstract: This literature review may provide a basis for consideration of important diagnostic criteria in the pediatric population; however, clinical validation in different stages of development is critical for ensuring diagnostic accuracy.

Cited by 13 publications

References 29 publications

Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy

Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy

Evolução clínica dos indicadores de resultados de enfermagem em pacientes com padrão respiratório ineficaz

The Network Analysis of Nursing Diagnoses for Children Admitted in Pediatric Units Determined by Nursing Students

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