Oliveira Neusa, Chianca Tania, Rassool G Hussein
College of Nursing, Catholic University of Minas Gerais, Belo Horizonte, Brazil.
Int J Nurs Terminol Classif. 2008 Jul-Sep;19(3):102-10. doi: 10.1111/j.1744-618X.2008.00089.x.
This study aims to validate the nursing diagnosis of anxiety among expert Brazilian nurses and clinicians using NANDA International defining characteristics and to compare the clinical judgments of the experts and the clinicians.
A semistructured questionnaire was completed by a convenience sample of 120 nurses. NANDA International defining characteristics of the Brazilian Portuguese version were used. The analysis of the ratings was based on the framework of the Diagnostic Content Validation model. Brazilian nurses considered the anxiety definition established by NANDA International to be appropriate and experts' and clinicians' judgments were similar for both groups of nurses.
The results showed that among the 71 characteristics of anxiety, 8 were identified as critical defining characteristics of anxiety (score >or= 0, 80) by the expert nurses.
Brazilian nurses accepted the NANDA International definition for nursing diagnosis of anxiety although some defining characteristics might differ due to cultural differences. Future research could address the limitations of the study and examine validations by both the experts and the clinicians.
The adequate preparation of undergraduate and postgraduate nurses in nursing diagnosis is important in improving the quality of care given to patients.
本研究旨在使用国际护理诊断协会（NANDA）的界定特征，验证巴西专家护士和临床医生对焦虑的护理诊断，并比较专家和临床医生的临床判断。
通过便利抽样，120名护士完成了一份半结构化问卷。使用了巴西葡萄牙语版的NANDA国际界定特征。评分分析基于诊断内容效度模型的框架。巴西护士认为NANDA国际确立的焦虑定义是恰当的，两组护士的专家和临床医生的判断相似。
结果显示，在焦虑的71个特征中，8个被专家护士确定为焦虑的关键界定特征（得分≥0.80）。
巴西护士接受NANDA国际对焦虑护理诊断的定义，尽管由于文化差异，一些界定特征可能有所不同。未来的研究可以解决本研究的局限性，并检验专家和临床医生的验证情况。
本科和研究生护士在护理诊断方面的充分准备对于提高患者护理质量很重要。
