ABSTRACT
Objective
To select clinical indicators for the developing nursing diagnosis of Impaired Physiological Balance Syndrome for potential brain-dead organ donors.
Method
Expert consensus study, conducted using the Delphi technique, on clinical indicators of a developing nursing diagnosis. The study sample was intentional by invitation and consisted of 37 nurses who met the inclusion criteria. Clinical indicators that reached a consensus equal to or greater than 70% were considered validated.
Results
The experts recommended 25 out of 44 evaluated indicators, of which eight belonged to the Endocrine-metabolic changes group, seven to the Hemodynamic and/or cardiovascular changes group, five to the Ventilatory changes group, two to the Nutritional changes group and three to the Coagulation, Inflammatory and/or immune changes group.
Conclusion and implications for practice
This new nursing diagnosis can contribute to the development of nursing knowledge in the field of organ donation, thereby contributing to teaching and research. It also has implications for practice, providing diagnostic accuracy and supporting the implementation and evaluation of interventions that affect improving potential donor maintenance.
Keywords:
Nursing Diagnosis; Tissue and Organ Procurement; Organ Transplantation; Classification