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护理诊断“衰弱老年人综合征(00257)”的内容效度验证

Content validation of the nursing diagnosis "Frail Elderly Syndrome (00257)".

作者信息

Rodado-Domínguez Elena, Ardila-Suarez Edinson Fabian, Porcel-Gálvez Ana María

机构信息

Student in New Trends in Health Sciences Care Máster, University of Seville, Seville, Spain.

Student in Clinical and Community Nursing Doctoral Programme, University of Valencia, Valencia, Spain.

出版信息

Int J Nurs Knowl. 2024 Dec 28. doi: 10.1111/2047-3095.12505.

Abstract

OBJECTIVE

To increase the level of evidence available for the nursing diagnosis "Frail Elderly Syndrome 000257" through content validation by nurses with expertise in caring for the elderly.

METHOD

Diagnostic content validation study in accordance with Fehring's proposal composed of two stages: integrative review of the literature according to Whittemore and Knafl's guidelines, which allowed us to update the diagnostic components, and, subsequently, expert consensus study by means of the Delphi method. A total of 61 nurses who met the inclusion criteria were included. A Likert-type questionnaire was used to identify levels of agreement with the respective components. Data distribution analysis was performed. Components >0.80 on the content validity index (CVI) were validated.

RESULTS

Twelve defining characteristics, 10 related factors, 6 risk populations, and 2 associated conditions were validated by experts. Global CVI was determined for clinical indicators.

CONCLUSION

The components of the nursing diagnosis validated by experts in caring for the elderly provide an overview of the phenomenon of frailty in the elderly in hospital settings.

IMPLICATION FOR CLINICAL PRACTICE

This study will provide nurses responsible for elderly care with the necessary tools to FES, enabling them guide and appropriate interventions to prevent complications, minimize risk, enhance the quality of life for older.

DESCRIPTORS

Syndrome; frailty; elderly; nursing, validation study; nursing diagnosis.

摘要

目的

通过由老年护理专家进行内容效度验证,提高护理诊断“衰弱老年综合征000257”的现有证据水平。

方法

根据费林的提议进行诊断内容效度研究,该研究由两个阶段组成:按照惠特莫尔和克纳夫的指南对文献进行综合回顾,这使我们能够更新诊断组成部分,随后,通过德尔菲法进行专家共识研究。共纳入61名符合纳入标准的护士。使用李克特式问卷来确定对各个组成部分的认同程度。进行数据分布分析。内容效度指数(CVI)>0.80的组成部分得到验证。

结果

专家验证了12个定义特征、10个相关因素、6个风险人群和2个相关状况。确定了临床指标的总体CVI。

结论

老年护理专家验证的护理诊断组成部分概述了医院环境中老年人的衰弱现象。

对临床实践的启示

本研究将为负责老年护理的护士提供针对衰弱老年综合征的必要工具,使他们能够指导并采取适当干预措施以预防并发症、降低风险、提高老年人的生活质量。

描述词

综合征;衰弱;老年人;护理,效度验证研究;护理诊断。

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