Wieseke A, Twibell K R, Bennett S, Marine M, Schoger J
Indiana University Hospital, Indianapolis.
Heart Lung. 1994 Jul-Aug;23(4):345-51.
To identify frequently used nursing diagnoses as perceived by critical care nurses and to examine content validity of defining characteristics of five selected nursing diagnoses.
Retrospective, descriptive.
Critical care units in one midwestern state.
Registered nurses, members of American Association of Critical Care Nurses, currently practicing in critical care units (n = 59).
Diagnostic content validity (DCV) scores and the most frequently used diagnoses as perceived by the subjects as recorded on the Nursing Diagnoses Validation Instrument.
Mailed to subjects, self-administered.
Major defining characteristics were identified for all five nursing diagnoses. Alterations in Comfort and Impaired Skin Integrity were perceived as most frequently used diagnoses.
Despite limitations of this study, findings reflected a consensus concerning defining characteristics of the nursing diagnoses Impaired Skin Integrity, Sleep Pattern Disturbance (Adult), and Activity Intolerance. Beginning support was found for defining characteristics of Sleep Pattern Disturbance (Child) and Parental Role Conflict. Additional content validation research that focuses on perceived frequently used diagnoses is indicated to generate clinically relevant nursing diagnoses.
确定重症监护护士所认为的常用护理诊断，并检验五个选定护理诊断的定义特征的内容效度。
回顾性、描述性研究。
中西部一个州的重症监护病房。
美国重症护理护士协会会员、目前在重症监护病房工作的注册护士（n = 59）。
诊断内容效度（DCV）得分以及研究对象在护理诊断验证工具上记录的最常用诊断。
邮寄给研究对象，自行填写。
确定了所有五个护理诊断的主要定义特征。舒适度改变和皮肤完整性受损被认为是最常用的诊断。
尽管本研究存在局限性，但研究结果反映了关于护理诊断皮肤完整性受损、睡眠模式紊乱（成人）和活动耐力下降的定义特征的共识。为睡眠模式紊乱（儿童）和父母角色冲突的定义特征找到了初步支持。需要开展更多侧重于常用诊断认知的内容效度研究，以生成具有临床相关性的护理诊断。
