Unidimensional analysis of the nursing diagnoses of situational low self‐esteem and chronic low self‐esteem

Abstract

Purpose To analyze the unidimensionality of the nursing diagnoses low situational self‐esteem and low chronic self‐esteem proposed by NANDA‐I. Desing and methods Diagnostic accuracy study carried out with 180 patients with depressed mood in a psychiatric hospital in northeastern Brazil. Findings The analysis of the latent class considered the hypothesis of low self‐esteem as a unique construct and included the indicators: Excessive seeking of reassurance, repeatedly unsuccessfulness in life events, rejection of positive feedback, insomnia, solitude, and nonassertive behavior. Practice implications The recognition of low self‐esteem as a unique diagnostic construct allows nurses to be more assertive in the provision of care.

Differential validation of nursing diagnoses: An integrative literature review on the use of the method

“…and activity intolerance (00093) (Hur et al, 2005), impaired memory (00131) and chronic confusion (00129) (Souza et al, 2015), situational low self-esteem (00120) and chronic low self-esteem (00119) (Castro et al, 2021), sexual dysfunction (00059) and ineffective sexuality pattern (00065) (Melo et al, 2008), fear (00148) and anxiety (00146) (Bergamasco et al, 2004;Whitley, 1994Whitley, , 1997, ineffective airway clearance (00031) (Pascoal et al, 2016), acute pain (00132), and chronic pain (00133) (Simon et al, 1995).…”

“…The differential diagnostic validation model was used to evaluate different types of diagnoses from different domains: domain 3—elimination and exchange (Pascoal et al., 2016); domain 4—activity/rest (Hur, Park, Kim, Storey, & Kim, 2005; Pascoal et al., 2016; Seganfredo et al., 2017); domain 5—perception/cognition (Souza, Santana, & Cassiano, 2015); domain 6—self‐perception (Castro et al., 2021); domain 8—sexuality (Melo, Carvalho, & Haas, 2008); domain 9—coping/stress tolerance (Bergamasco, Rossi, de Carvalho, & Dalri, 2004; Whitley, 1994, 1997); domain 11—safety/protection (Pascoal et al., 2016); and domain 12—comfort (Simon, Baumann, & Nolan, 1995).…”

“…The nursing diagnoses studied were Impaired gas exchange (00030) (Pascoal et al., 2016), ineffective breathing pattern (00032) (Pascoal et al., 2016; Seganfredo et al., 2017), impaired spontaneous ventilation (00033) (Seganfredo et al., 2017), impaired physical mobility (00085) and activity intolerance (00093) (Hur et al., 2005), impaired memory (00131) and chronic confusion (00129) (Souza et al., 2015), situational low self‐esteem (00120) and chronic low self‐esteem (00119) (Castro et al., 2021), sexual dysfunction (00059) and ineffective sexuality pattern (00065) (Melo et al., 2008), fear (00148) and anxiety (00146) (Bergamasco et al., 2004; Whitley, 1994, 1997), ineffective airway clearance (00031) (Pascoal et al., 2016), acute pain (00132), and chronic pain (00133) (Simon et al., 1995).…”

“…The content analysis model by experts emerges in a study (Bergamasco et al., 2004). Three studies used the clinical validations models, with accuracy studies for clinical validation, all used as a statistical approach for the analysis of latent classes performing discriminant validity (Castro et al., 2021; Pascoal et al., 2016; Seganfredo et al., 2017). As an alternative to the classic approach of clinical validation studies, other procedures were suggested such as the analysis of accuracy and the establishment of classification trees for the definition of a minimum set of indicators (Lopes, Silva, & Araujo, 2013).…”

“…The differential diagnostic validation approach (Fehring, 1987), could be based on experts or on patients, and some studies used both nurse experts and patients (Hur et al., 2005; Melo et al., 2008; Whitley, 1997). The differential validation using only patients seems to be used in the most recent studies (Castro et al., 2021; Pascoal et al., 2016; Seganfredo et al., 2017). The sample ranged between 20 and 626 patients.…”