D'Eça Aurean, Dos Santos Rodrigues Lívia, de Menezes Harlon França, Noleto Dos Santos Wenysson, Lopes Camila Takáo, da Silva Richardson Augusto Rosendo
Federal University of Maranhão, Nursing Department, São Luís, Maranhão, Brazil.
University Hospital of the Federal University of Maranhão, Nursing, São Luís, Maranhão, Brazil.
Int J Nurs Knowl. 2022 Jul;33(3):169-179. doi: 10.1111/2047-3095.12345. Epub 2021 Sep 14.
Build and validate the content of conceptual and operational definitions of the defining characteristics of the nursing diagnosis of NANDA-I "Ineffective health self-management" in people living with HIV/AIDS.
Methodological study, with a quantitative approach. The validation was performed by 26 specialist nurses selected through the Lattes do Brazil platform. The process followed two steps: (a) proposal of new defining characteristics to the Nursing Diagnosis "Ineffective Health Self-Management" and elaboration of conceptual and operational definitions; (b) content validation of the new defining characteristics of the Nursing Diagnosis "Ineffective Health Self-Management" and the conceptual and operational definitions. Data were collected between October 2020 and May 2021.
The researchers included six defining characteristics as components of the diagnosis, adding to the 10 already existing in the NANDA-I version (2021-2023). Then, the experts judged these components and 13 defining characteristics were validated using the binominal test with adequacy ratio above 85% and p value <0.05. After this stage, the conceptual and operational definitions of these defining characteristics were constructed, validating them by the content validation index ≥0.80 by the expert nurses.
Three new defining characteristics for Ineffective health self-management were proposed and validated by specialists. Conceptual and operational definitions of the new and current defining characteristics were elaborated and validated for people living with HIV/AIDS.
The knowledge and study of the conceptual and operational definitions of nursing diagnoses can contribute to good nursing practices, assisting in the care and evaluation of nurses in the provision of care to people living with HIV/AIDS, and can avoid misunderstandings and inappropriate interpretations and can guarantee assertive clinical judgment.
Nursing diagnosis, validation studies, nursing processes, acquired immunodeficiency syndrome.
构建并验证NANDA - I“健康自我管理无效”护理诊断在艾滋病毒/艾滋病患者中的概念性定义和操作性定义的内容。
采用定量方法的方法论研究。通过巴西Lattes平台挑选26名专科护士进行验证。该过程分两个步骤：(a) 为“健康自我管理无效”护理诊断提出新的定义特征并阐述概念性定义和操作性定义；(b) 对“健康自我管理无效”护理诊断的新定义特征以及概念性定义和操作性定义进行内容验证。数据收集于2020年10月至2021年5月期间。
研究人员纳入了六个定义特征作为诊断的组成部分，补充到NANDA - I版本（2021 - 2023）中已有的10个特征里。然后，专家们对这些组成部分进行评判，使用二项式检验验证了13个定义特征，其充足率高于85%且p值<0.05。在此阶段之后，构建了这些定义特征的概念性定义和操作性定义，并由专家护士通过内容验证指数≥0.80对其进行验证。
专家们提出并验证了三个“健康自我管理无效”的新定义特征。针对艾滋病毒/艾滋病患者，详细阐述并验证了新的和现有的定义特征的概念性定义和操作性定义。
对护理诊断的概念性定义和操作性定义的了解与研究有助于良好的护理实践，协助护士在为艾滋病毒/艾滋病患者提供护理时进行护理和评估，可避免误解和不恰当的解读，并能保证果断的临床判断。
护理诊断、验证研究、护理程序、获得性免疫缺陷综合征
