Profese online 2015, 8(2):1-4 | DOI: 10.5507/pol.2015.008

VALIDATION OF DIAGNOSTIC ELEMENTS OF THE NURSING DIAGNOSIS 00132 ACUTE PAIN IN MIDWIFERY

Štěpánka Bubeníková, Martin Procházka
Department of Midwifery, Faculty of Health Sciences, Palacký University, Olomouc, Czech Republic

Background: Validation studies allow expression of the degree of validity of components NANDA-I for different sets of people and in different areas of care. Pain is one of the most common problems that midwives in practice assess, evaluate and solve. Validated defining characteristics of the nursing diagnoses are crucial for correct diagnosis of the type and intensity of pain, and for proposal of effective treatment.

Aim: The aim of the study was to validate defining characteristics of the nursing diagnosis Acute pain 00132 by a selected file of experts-midwives, and see which characteristics they consider major and minor.

Methods: The study followed Fehring Diagnostic Content Validity Model. Experts-midwives met the criterion of bachelor degree in midwifery and clinical practice in the delivery room. The research was conducted simultaneously in Olomouc region. Measuring tool for assessing the significance of diagnostic elements was constructed using individual defining characteristics of the nursing diagnoses of NANDA-I Taxonomy II.

Results: Out of the 22 defining characteristics considered by experts-midwives nine characteristics were described as major with weighted score (WS) greater than 0,75: antalgic position due to the avoidance of pain (WS 0,82); expressive behavior (WS 0,77); observed signs of pain (WS 0,80); verbal expression of pain (0,84); changes in breathing (0,80); changes in blood pressure (WS 0,82); changes in heart rhythm (WS 0,86). Among the major related factors were selected the following characteristics: biological factors - birth mechanism (WS 0,94) and psychogenic factors (WS 0,80).

Conclusion: The results of this study indicate that midwives consider nine defining characteristics and two related factors as major for assesing acute pain of mothers coming to the delivery room for delivery.

Keywords: nursing diagnosis, validation, DCV model, midwifery, acute pain, NANDA-International, NIC, NOC

Published: October 2015  Show citation

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Bubeníková, Š., & Procházka, M. (2015). VALIDATION OF DIAGNOSTIC ELEMENTS OF THE NURSING DIAGNOSIS 00132 ACUTE PAIN IN MIDWIFERY. Profese Online, 8(2), 1-5. doi: 10.5507/pol.2015.008
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