Angélica Paixão de Menezes

Validation of Clinical Indicators of Imbalanced Nutrition: Less Than Body Requirements in Early Childhood

This is a clinical validation study of the nursing diagnosis of imbalanced nutrition: less than body requirements based on the diagnostic accuracy measures. Measures of sensitivity and specificity were calculated based on the latent class analysis method using a random effects model in a sample of 123 children between 0 and 6 years old. The prevalence of the diagnosis was estimated to be 27.6% using the latent class model. Indicators that exhibited the best measures of diagnostic accuracy included insufficient interest in food and satiety immediately upon ingesting food. A total of seven clinical indicators were validated clinically.

Clinical validation of the NANDA-I diagnosis of impaired memory in elderly patients

PURPOSE The aim of this study was to perform a clinical validation of the defining characteristics of impaired memory (IM) in elderly patients at a long-term care institution. METHODS A sample of 123 elderly patients was evaluated with a questionnaire designed to identify IM according to the NANDA-I taxonomy. Accuracy measures were calculated for the total sample and for males and females separately. RESULTS Sensitivity and specificity values indicated that: (1) inability to learn new skills is useful in screening IM, and (2) forgets to perform a behavior at a scheduled time, forgetfulness, inability to learn new information, inability to recall events, and inability to recall factual information are confirmatory indicators. CONCLUSION Specific factors can affect the manifestation of IM by elderly patients. The results may be useful in improving diagnostic accuracy and efficiency of the IM nursing diagnosis.

Accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns

OBJECTIVE to clinically validate the accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns. METHOD a cross-sectional study conducted in units of medium and high risk in a maternity from the city of Fortaleza-CE. A total of 216 newborns were evaluated to identify the defining characteristics of diagnoses. A latent class model with random effects was used to measure sensitivity and specificity. RESULTS Hyperthermia was present in 5.6% of the sample. The characteristics lack of suction maintenance (31.3%); skin warm to touch (25.5%); lethargy (24.2%); and tachypnea (21.4%) were the most frequent. Stupor presented higher sensitivity (99.9%) and specificity (100%) while vasodilation characteristics, irritability and lethargy only showed significant values for specificity (92.7%, 91.6% and 74.3%, respectively). CONCLUSION four characteristics of high specificity contribute to Hyperthemia. However, stupor is the only one with significant sensitivity to identify it at its early-stage.

Validation of Clinical Indicators of the Nursing Diagnosis of Ineffective Protection in Adolescents With Cancer

Purpose: To validate the clinical indicators of the nursing diagnosis of Ineffective protection in adolescents with cancer based on diagnostic accuracy measurements. Design and Methods: Measurements of sensitivity and specificity for the indicators were calculated using latent class analysis with random effects in a sample of 127 adolescents between 10 and 19 years of age. Results: The prevalence of diagnosis was estimated at 93.7%. The indicators deficient immunity and weakness showed higher sensitivity values, whereas opportunistic infections, recurrent infections, insomnia, mucosal lesions, and coughing showed high specificity. Conclusions: Seven indicators were clinically validated. Practice Implications: The validation of clinical indicators provides nurses with the knowledge of useful signs and symptoms to identify early spectra of a nursing diagnosis or confirm their presence in a specific population. In clinical practice, this knowledge contributes to an accurate diagnostic inference and the planning of nursing interventions directed to the idiosyncrasies of individuals. Highlights:The study clinically validates the indicators of nursing diagnosis Ineffective protection in adolescents with cancer.Seven clinical indicators presented better measures of accuracy, according to a latent class analysis with random effects.Some differences were observed in measures of accuracy in latent class models adjusted for specifics groups.

Accuracy of the Defining Characteristics of the Nursing Diagnosis Hypothermia in Newborns: Nursing Diagnosis Hypothermia in Newborns

PURPOSE To analyze the accuracy of the defining characteristics of hypothermia in newborns and to verify associations between defining characteristics and clinical variables. METHODS A cross-sectional accuracy study with statistical analysis. FINDINGS Slow capillary refill, decrease in ventilation, peripheral vasoconstriction, and insufficient weight gain were the defining characteristics with the highest specificity values, while slow gastric emptying, skin cool to touch, irritability, and bradycardia were the defining characteristics with the highest values for both sensitivity and specificity. CONCLUSION Slow gastric emptying, skin cool to touch, irritability, and bradycardia are good clinical indicators to infer initial stages of hypothermia and to confirm its presence. IMPLICATIONS FOR NURSING PRACTICE Accuracy measures may contribute to the improvement of the diagnostic inferential process. OBJETIVO Analisar acurácia das características definidoras de Hipotermia em recém-nascidos e identificar a associação delas com variáveis clínicas. MÉTODO: Estudo de acurácia transversal com análise estatística. RESULTADOS Preenchimento capilar lento, diminuição da ventilação, vasoconstrição periférica e ganho de peso insuficiente apresentaram valores altos de especificidade enquanto esvaziamento gástrico lento, pele fria, irritabilidade e bradicardia apresentaram valores elevados de sensibilidade e especificidade. CONCLUSÃO: Esvaziamento gástrico lento, pele fria, irritabilidade e bradicardia são úteis para inferir estágios iniciais de hipotermia e para confirmação diagnóstica. IMPLICAÇÕES PARA PRÁTICA DE ENFERMAGEM: Medidas de acurácia podem contribuir para o processo de inferência do diagnóstico hipotermia.PURPOSE To analyze the accuracy of the defining characteristics of hypothermia in newborns and to verify associations between defining characteristics and clinical variables. METHODS A cross-sectional accuracy study with statistical analysis. FINDINGS Slow capillary refill, decrease in ventilation, peripheral vasoconstriction, and insufficient weight gain were the defining characteristics with the highest specificity values, while slow gastric emptying, skin cool to touch, irritability, and bradycardia were the defining characteristics with the highest values for both sensitivity and specificity. CONCLUSION Slow gastric emptying, skin cool to touch, irritability, and bradycardia are good clinical indicators to infer initial stages of hypothermia and to confirm its presence. IMPLICATIONS FOR NURSING PRACTICE Accuracy measures may contribute to the improvement of the diagnostic inferential process. OBJETIVO Analisar acuracia das caracteristicas definidoras de Hipotermia em recem-nascidos e identificar a associacao delas com variaveis clinicas. METODO Estudo de acuracia transversal com analise estatistica. RESULTADOS Preenchimento capilar lento, diminuicao da ventilacao, vasoconstricao periferica e ganho de peso insuficiente apresentaram valores altos de especificidade enquanto esvaziamento gastrico lento, pele fria, irritabilidade e bradicardia apresentaram valores elevados de sensibilidade e especificidade. CONCLUSAO Esvaziamento gastrico lento, pele fria, irritabilidade e bradicardia sao uteis para inferir estagios iniciais de hipotermia e para confirmacao diagnostica. IMPLICACOES PARA PRATICA DE ENFERMAGEM Medidas de acuracia podem contribuir para o processo de inferencia do diagnostico hipotermia.

Accuracy of the Defining Characteristics of the Nursing Diagnosis Hypothermia in Newborns

PURPOSE To analyze the accuracy of the defining characteristics of hypothermia in newborns and to verify associations between defining characteristics and clinical variables. METHODS A cross-sectional accuracy study with statistical analysis. FINDINGS Slow capillary refill, decrease in ventilation, peripheral vasoconstriction, and insufficient weight gain were the defining characteristics with the highest specificity values, while slow gastric emptying, skin cool to touch, irritability, and bradycardia were the defining characteristics with the highest values for both sensitivity and specificity. CONCLUSION Slow gastric emptying, skin cool to touch, irritability, and bradycardia are good clinical indicators to infer initial stages of hypothermia and to confirm its presence. IMPLICATIONS FOR NURSING PRACTICE Accuracy measures may contribute to the improvement of the diagnostic inferential process. OBJETIVO Analisar acurácia das características definidoras de Hipotermia em recém-nascidos e identificar a associação delas com variáveis clínicas. MÉTODO: Estudo de acurácia transversal com análise estatística. RESULTADOS Preenchimento capilar lento, diminuição da ventilação, vasoconstrição periférica e ganho de peso insuficiente apresentaram valores altos de especificidade enquanto esvaziamento gástrico lento, pele fria, irritabilidade e bradicardia apresentaram valores elevados de sensibilidade e especificidade. CONCLUSÃO: Esvaziamento gástrico lento, pele fria, irritabilidade e bradicardia são úteis para inferir estágios iniciais de hipotermia e para confirmação diagnóstica. IMPLICAÇÕES PARA PRÁTICA DE ENFERMAGEM: Medidas de acurácia podem contribuir para o processo de inferência do diagnóstico hipotermia.PURPOSE To analyze the accuracy of the defining characteristics of hypothermia in newborns and to verify associations between defining characteristics and clinical variables. METHODS A cross-sectional accuracy study with statistical analysis. FINDINGS Slow capillary refill, decrease in ventilation, peripheral vasoconstriction, and insufficient weight gain were the defining characteristics with the highest specificity values, while slow gastric emptying, skin cool to touch, irritability, and bradycardia were the defining characteristics with the highest values for both sensitivity and specificity. CONCLUSION Slow gastric emptying, skin cool to touch, irritability, and bradycardia are good clinical indicators to infer initial stages of hypothermia and to confirm its presence. IMPLICATIONS FOR NURSING PRACTICE Accuracy measures may contribute to the improvement of the diagnostic inferential process. OBJETIVO Analisar acuracia das caracteristicas definidoras de Hipotermia em recem-nascidos e identificar a associacao delas com variaveis clinicas. METODO Estudo de acuracia transversal com analise estatistica. RESULTADOS Preenchimento capilar lento, diminuicao da ventilacao, vasoconstricao periferica e ganho de peso insuficiente apresentaram valores altos de especificidade enquanto esvaziamento gastrico lento, pele fria, irritabilidade e bradicardia apresentaram valores elevados de sensibilidade e especificidade. CONCLUSAO Esvaziamento gastrico lento, pele fria, irritabilidade e bradicardia sao uteis para inferir estagios iniciais de hipotermia e para confirmacao diagnostica. IMPLICACOES PARA PRATICA DE ENFERMAGEM Medidas de acuracia podem contribuir para o processo de inferencia do diagnostico hipotermia.

ELABORAÇÃO DE INSTRUMENTO DE COLETA DE DADOS PARA INFERÊNCIA DOS DIANÓSTICOS DE ENFERMAGEM BAIXA AUTOESTIMA CRÔNICA E BAIXA AUTOESTIMA SITUACIONAL EM PACIENTES COM HUMOR DEPRIMIDO

2Enfermeiro. Doutor. Professor Associado IV da Universidade Federal do Ceará (UFC). Enfermeira. Doutora. Professora adjunta da Universidade Estadual do Ceará (UECE). Enfermeira. Mestre. Universidade Federal do Ceará (UFC). Enfermeira. Universidade Federal do Ceará (UFC). Enfermeiro. Coordenador de Enfermagem do CAPS AD do Município de QuixeramobimCeará. Enfermeiro. Especialista. Coordenador de Enfermagem do Hospital de Saúde Mental Professor Frota Pinto (HSM). ELABORAÇÃO DE INSTRUMENTO DE COLETA DE DADOS PARA INFERÊNCIA DOS DIANÓSTICOS DE ENFERMAGEM BAIXA AUTOESTIMA CRÔNICA E BAIXA AUTOESTIMA SITUACIONAL EM PACIENTES COM HUMOR DEPRIMIDO