A content validation study of five nursing diagnoses by critical care nurses. 1994

A Wieseke, and K R Twibell, and S Bennett, and M Marine, and J Schoger
Indiana University Hospital, Indianapolis.

OBJECTIVE 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. METHODS Retrospective, descriptive. METHODS Critical care units in one midwestern state. METHODS Registered nurses, members of American Association of Critical Care Nurses, currently practicing in critical care units (n = 59). METHODS Diagnostic content validity (DCV) scores and the most frequently used diagnoses as perceived by the subjects as recorded on the Nursing Diagnoses Validation Instrument. METHODS Mailed to subjects, self-administered. RESULTS Major defining characteristics were identified for all five nursing diagnoses. Alterations in Comfort and Impaired Skin Integrity were perceived as most frequently used diagnoses. CONCLUSIONS 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.

UI MeSH Term Description Entries
D007362 Intensive Care Units Hospital units providing continuous surveillance and care to acutely ill patients. ICU Intensive Care Units,Intensive Care Unit,Unit, Intensive Care
D009733 Nursing Diagnosis Conclusions derived from the nursing assessment that establish a health status profile for the patient and from which nursing interventions may be ordered. Diagnosis, Nursing,Diagnoses, Nursing,Nursing Diagnoses
D009734 Nursing Faculty Practice Clinical practice by members of the nursing faculty in order to maintain a balance in their nursing activities--clinical, education, and research. Faculty Practice, Nursing,Practice, Nursing Faculty,Faculty Practices, Nursing,Nursing Faculty Practices,Practices, Nursing Faculty
D010287 Parent-Child Relations The interactions between parent and child. Parent-Offspring Interaction,Parent Child Relationship,Parent-Child Relationship,Interaction, Parent-Offspring,Parent Child Relations,Parent Child Relationships,Parent Offspring Interaction,Parent-Child Relation,Parent-Child Relationships,Parent-Offspring Interactions,Relation, Parent-Child,Relationship, Parent Child,Relationship, Parent-Child
D003422 Critical Care Health care provided to a critically ill patient during a medical emergency or crisis. Intensive Care,Intensive Care, Surgical,Surgical Intensive Care,Care, Critical,Care, Intensive,Care, Surgical Intensive
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D012871 Skin Diseases Diseases involving the DERMIS or EPIDERMIS. Dermatoses,Skin and Subcutaneous Tissue Disorders,Dermatosis,Skin Disease
D012893 Sleep Wake Disorders Abnormal sleep-wake schedule or pattern associated with the CIRCADIAN RHYTHM which affect the length, timing, and/or rigidity of the sleep-wake cycle relative to the day-night cycle. Sleep Disorders,Long Sleeper Syndrome,Short Sleep Phenotype,Short Sleeper Syndrome,Sleep-Related Neurogenic Tachypnea,Subwakefullness Syndrome,Disorder, Sleep,Disorder, Sleep Wake,Disorders, Sleep,Disorders, Sleep Wake,Long Sleeper Syndromes,Neurogenic Tachypnea, Sleep-Related,Neurogenic Tachypneas, Sleep-Related,Phenotype, Short Sleep,Phenotypes, Short Sleep,Short Sleep Phenotypes,Short Sleeper Syndromes,Sleep Disorder,Sleep Phenotypes, Short,Sleep Related Neurogenic Tachypnea,Sleep Wake Disorder,Sleep-Related Neurogenic Tachypneas,Sleeper Syndrome, Long,Sleeper Syndrome, Short,Sleeper Syndromes, Long,Sleeper Syndromes, Short,Subwakefullness Syndromes,Syndrome, Long Sleeper,Syndrome, Short Sleeper,Syndrome, Subwakefullness,Syndromes, Long Sleeper,Syndromes, Short Sleeper,Syndromes, Subwakefullness,Tachypnea, Sleep-Related Neurogenic,Tachypneas, Sleep-Related Neurogenic,Wake Disorder, Sleep,Wake Disorders, Sleep
D015146 Midwestern United States The geographic area of the midwestern region of the United States in general or when the specific state or states are not indicated. The states usually included in this region are Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, Ohio, Oklahoma, North Dakota, South Dakota and Wisconsin. Middle West U.S.,Midwest U.S.,Midwest US

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