Validation by experts of Risk of suicide Nursing Diagnosis in the elderly

this is validation of the conceptual and operational definitions content of factors for Risk of suicide in the elderly, performed by 15 experts, from November 2015 to March 2016. Risk factors were classified into three hierarchical chuncks. The data were analyzed by descriptive statistics and binomial test.

Results:

of the 54 validated risk factors, only eight presented problems regarding clarity, simplicity and accuracy: chronic pain, vision problems, retirement, frustration, medication neglect and depression. Only rigidity was not validated as relevant for the study diagnosis.

Conclusion:

content validation of the risk factors for Nursing Diagnosis can guide the clinical practice of the nurse in the early detection of risk of suicide in the elderly.

Descriptors:
Nursing Diagnostic; Aged: Validation Studies; Risk Factors; Suicide

Risk factors	Conceptual definitions
	Relevance			Clarity			Accuracy			Simplicity
	n	%	p value^* * Binomial test.	n	%	p value^* * Binomial test.	n	%	p value^* * Binomial test.	n	%	p value^* * Binomial test.
Rigidity	10	66.7	0.013	10	66.7	0.013	11	73.3	0.056	10	66.7	0.013
Chronic pain	12	80.0	0.184	10	66.7	0.013	10	66.7	0.013	11	73.3	0.056
Vision problems	11	73.3	0.056	10	66.7	0.013	10	66.7	0.013	9	60.0	0.002
Retirement	12	80.0	0.184	10	66.7	0.013	10	66.7	0.013	10	66.7	0.013
Operational definitions
Rigidity	10	66.7	0.013	9	60.0	0.002	10	66.7	0.013	9	60.0	0.002
Chronic pain	12	80.0	0.184	10	66.7	0.013	10	66.7	0.013	11	73.3	0.056
Vision problems	11	73.3	0.056	9	60.0	0.002	10	66.7	0.013	9	60.0	0.002
Retirement	13	86.7	0.451	11	73.3	0.056	10	66.7	0.013	10	66.7	0.013

Risk factors	Conceptual definitions
	Relevance			Clarity			Accuracy			Simplicity
	n	%	p value^* * Binomial test.	n	%	p value^* * Binomial test.	n	%	p value^* * Binomial test.	n	%	p value^* * Binomial test.
Apathy	14	93.3	0.794	14	93.3	0.794	15	100.0	1.000	14	93.3	0.794
Insufficient social support	15	100.0	1.000	14	93.3	0.794	15	100.0	1.000	14	93.3	0.794
Low self-esteem	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794
Low autonomy	13	86.7	0.451	12	80.0	0.184	12	80.0	0.184	12	80.0	0.184
Functional dependence	13	86.7	0.451	13	86.7	0.451	12	80.0	0.184	13	86.7	0.451
Hopelessness	14	93.3	0.794	13	86.7	0.451	13	86.7	0.451	13	86.7	0.451
Social devaluation	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794
Make a testament	13	86.7	0.451	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794
Failure	13	86.7	0.451	14	93.3	0.794	13	86.7	0.451	14	93.3	0.794
Frustration	13	86.7	0.451	10	66.7	0.013	12	80.0	0.184	13	86.7	0.451
Functional incapacity	13	86.7	0.451	12	80.0	0.184	13	86.7	0.451	13	86.7	0.451
Unhappiness	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794
Social isolation	15	100.0	1.000	15	100.0	1.000	15	100.0	1.000	15	100.0	1.000
Ill-fated grieving	14	93.3	0.794	13	86.7	0.451	14	93.3	0.794	13	86.7	0.451
Significant change of behavior	12	80.0	0.184	14	93.3	0.794	14	93.3	0.794	15	100.0	1.000
Loneliness	15	100.0	1.000	13	86.7	0.451	13	86.7	0.451	13	86.7	0.451
Sadness	13	86.7	0.451	13	86.7	0.451	13	86.7	0.451	14	93.3	0.794
Operational definitions
Apathy	13	86.7	0.451	13	86.7	0.451	14	93.3	0.794	12	80.0	0.184
Insufficient social support	15	100.0	1.000	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794
Low self-esteem	14	93.3	0.794	13	86.7	0.451	13	86.7	0.451	12	80.0	0.184
Low autonomy	15	100.0	1.000	15	100.0	1.000	15	100.0	1.000	15	100.0	1.000
Functional dependence	14	93.3	0.794	14	93.3	0.794	13	86.7	0.451	14	93.3	0.794
Hopelessness	14	93.3	0.794	13	86.7	0.451	13	86.7	0.451	13	86.7	0.451
Social devaluation	14	93.3	0.794	13	86.7	0.451	13	86.7	0.451	13	86.7	0.451
Make a testament	13	86.7	0.451	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794
Failure	14	93.3	0.794	14	93.3	0.794	13	86.7	0.451	14	93.3	0.794
Frustration	13	86.7	0.451	12	80	0.184	12	80	0.184	13	86.7	0.451
Functional incapacity	13	86.7	0.451	12	80	0.184	12	80	0.184	11	73.3	0.056
Unhappiness	15	100.0	1.000	13	86.7	0.451	13	86.7	0.451	13	86.7	0.451
Social isolation	15	100.0	1.000	15	100.0	1.000	15	100.0	1.000	15	100.0	1.000
Ill-fated grieving	14	93.3	0.794	13	86.7	0.451	13	86.7	0.451	12	80.0	0.184
Significant change of behavior	11	73.3	0.056	11	73.3	0.056	11	73.3	0.056	12	80.0	0.184
Loneliness	15	100.0	1.000	13	86.7	0.451	13	86.7	0.451	13	86.7	0.451
Sadness	13	86.7	0.451	13	86.7	0.451	13	86.7	0.451	14	93.3	0.794

Risk factors	Conceptual definitions
	Relevance			Clarity			Accuracy			Simplicity
	n	%	p value^* * Binomial test.	n	%	p value^* * Binomial test.	n	%	p value^* * Binomial test.	n	%	p value^* * Binomial test.
Medication storage	14	93.3	0.794	15	100.0	1.000	14	93.3	0.794	15	100.0	1.000
Self-neglect	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794
Carelessness with medication	12	80.0	0.184	12	80.0	0.184	13	86.7	0.451	14	93.3	0.794
Depression	12	80.0	0.184	14	73.3	0.056	11	73.3	0.056	12	80.0	0.184
Suicide attempt history	14	93.3	0.794	14	93.3	0.794	13	86.7	0.451	15	100.0	1.000
Suicidal ideation	15	100.0	1.000	15	100.0	1.000	15	100.0	1.000	15	100.0	1.000
Suicide plan	15	100.0	1.000	14	93.3	0.794	15	100.0	1.000	15	100.0	1.000
Sudden recovery from deep depression	14	93.3	0.794	13	86.7	0.451	13	86.7	0.451	14	93.3	0.794
Mental disorders	15	100.0	1.000	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794
Operational definitions
Medication storage	14	93.3	0.794	14	93.3	0.794	13	86.7	0.451	15	100.0	1.000
Self-neglect	14	93.3	0.794	13	86.7	0.451	13	86.7	0.451	13	86.7	0.451
Carelessness with medication	12	80.0	0.184	10	66.7	0.013	11	73.3	0.056	13	86.7	0.451
Depression	14	93.3	0.794	10	66.7	0.013	11	73.3	0.056	11	73.3	0.056
Suicide attempt history	15	100.0	1.000	14	93.3	0.794	14	93.3	0.794	15	100.0	1.000
Suicidal ideation	15	100.0	1.000	13	86.7	0.451	13	86.7	0.451	13	86.7	0.451
Suicide plan	14	93.3	0.794	11	73.3	0.056	12	80.0	0.184	13	86.7	0.451
Sudden recovery from deep depression	14	93.3	0.794	13	86.7	0.451	13	86.7	0.451	14	93.3	0.794
Mental disorders	15	100.0	1.000	14	93.3	0.794	14	93.3	0.794	14	93.3	0.794

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[1] Corresponding Author: Girliani Silva de Sousa. E-mail: girlianis@gmail.com