Profese online 2016, 9(1):31-37 | DOI: 10.5507/pol.2016.005

Validation of diagnostic elements of nursing diagnosis 00104 Ineffective breastfeeding

Lenka Witová1, Martin Procházka1, Petra Pičmanová2, Štěpánka Bubeníková1
2 Ústav porodní asistence, Fakulta zdravotnických věd, Univerzita Palackého, Olomouc, Česká republika
1 Ústav pro studium odborných předmětů a praktických dovedností, Fakulta zdravotnických věd, Univerzita Palackého, Olomouc, Česká republika

Background: The aim of the validation studies is to verify the validity of nursing diagnoses of NANDA-I classification in different conditions than in which they were created. Nursing diagnosis 00104 Ineffective breastfeeding was selected by a research team due to the importance of breastfeeding for both mother and child. Elimination of the initial problems in first days can contribute to successful lactation.

Aim: The main objective of the research was validation of diagnostic elements of nursing diagnosis 00104 Ineffective breastfeeding.

Methods: The model of clinical diagnostic validity was used, in which two experts tested the presence or absence of diagnostic elements in group of women in the postpartum period. The record sheet for recording of presence or absence of 30 diagnostic elements was created. The experts evaluated 60 women with nursing diagnosis Ineffective breastfeeding 00104. The weighted score and total score was calculated after data collection.

Results: It wasn't calculated a weighted score greater than or equal to 0.80 in all of the 17 defining and 13 related characteristics. In two defining characteristics was calculated a weighted score greater than 0,5. The total score of the nursing diagnosis Ineffective breastfeeding is 0.168.

Conclusions: No diagnostic element was identified as main character by the experts. Two characteristics can be described as minor characters. We will keep working with this diagnosis, it is necessary to determine whether, under other circumstances of research, nursing diagnosis Ineffective breastfeeding contains main characters and is fully usable for midwifery in Czech Republic.

Keywords: International Classification NANDA, nursing diagnosis, 00104 Ineffective breastfeeding, validation, CDV model, midwifery

Published: April 2016  Show citation

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Witová, L., Procházka, M., Pičmanová, P., & Bubeníková, Š. (2016). Validation of diagnostic elements of nursing diagnosis 00104 Ineffective breastfeeding. Profese Online, 9(1), 31-37. doi: 10.5507/pol.2016.005
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