Content validity of the nursing diagnostic Breathing Pattern, Ineffective, in children with congenital heart defects

Souza, Nayana Maria Gomes de; Silva, Viviane Martins da; Lopes, Marcos Venícios de Oliveira; Guedes, Nirla Gomes; Pascoal, Lívia Maia; Beltrão, Beatriz Amorim

doi:10.1590/0034-7167-2019-0844

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (suppl 4) • 2021 • https://doi.org/10.1590/0034-7167-2019-0844 copy

Content validity of the nursing diagnostic Breathing Pattern, Ineffective, in children with congenital heart defects

Validez de contenido del diagnóstico de enfermería Estándar Respiratoria Ineficaz en niños con cardiopatías congénitas

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To estimate the content validity of the nursing diagnostic Breathing Pattern, Ineffective, in children with congenital heart defects.

Method:

Methodological study in two stages: 1) integrative literature review; 2) content validation, with 23 nurses. An instrument with 10 related factors and 21 defining characteristics for data collection was used. The analysis by the evaluators was carried out using the relevance criteria. The Content Validity Index was used. Valid results were those above 0.9 with a Wilcoxon test above 0.05.

Results:

The final proposal incorporates nine from the ten causal factors. From them, five do not belong in the NANDA-I list. Regarding the defining characteristics, they were all considered to be relevant, and five are not among the list of signs and symptoms of the NANDA-I taxonomy.

Conclusion:

The findings of this study include specific elements of the pediatric population with congenital heart defect which are not present in the structure of the diagnostic being studied.

Descriptors:
Nursing Diagnosis; Nursing Process; Nursing Research; Validation Studies; Congenital Heart Defects

Score	Clinical experience		Academic experience
	time of practice^* * In years; + Intervals established based on the times of practice and on the research group (minimum and maximum) presented by the evaluators. Level of expertise: sum of the score from the columns X, Y, and Z, divided by 3(2). + (X)	Time in research groups^* * In years; + Intervals established based on the times of practice and on the research group (minimum and maximum) presented by the evaluators. Level of expertise: sum of the score from the columns X, Y, and Z, divided by 3(2). + (Y)	Scientific knowledge (Z)
			Degrees (Z₁)	Research made for degrees (Z₂)	Articles published (Z₃)
0	-	-	Graduated	No	No
1	1-5	1-3	Specialist	Yes	Yes
2	6-8	4-6	Master	-	-
3	9-11	7-9	PhD	-	-
4	12-15	10-12	-	-	-
5	16 or more	13 or more	-	-	-

Variables	Relevance				Value^ Wilcoxon test
Causal factors	p value^* * Shapiro-Wilk test	CVI	CI 95%		Value^ Wilcoxon test
Associated conditions
Increase in the resistance of air passages	--	1.00	--	--	1.000
Reduction of pulmonary complacency	--	1.00	--	--	1.000
Increased concentration of carbon dioxide	< 0.001	1.00	1.00	1.00	1.000
Increased concentration of hydrogen	< 0.001	1.00	1.00	1.00	1.000
Deformities in the thoracic wall	< 0.001	1.00	1.00	1.00	1.000
Related factors
Position of the body inhibiting pulmonary expansion	--	1.00	--	--	1.000
Physical effort	< 0.001	1.00	1.00	1.00	1.000
Anxiety	< 0.001	1.00	0.05	1.00	0.972
Pain	--	1.00	--	--	1.000
Risk population
Age < 2 years old	< 0.001	0.05	0.05	0.05	0.003
Value ^* ***** S statistics -- values that do not vary.	CI 95%			p value^* * Shapiro-Wilk test
0.74	0.55 - 0.90			< 0.001

Variables	Relevance				Value^ Wilcoxon test
Defining characteristics	p value^* * Shapiro-Wilk test	CVI	CI 95%		Value^ Wilcoxon test
Use of accessory muscles for respiration	--	1.00	--	--	1.000
Alterations in the deepness of breath	--	1.00	--	--	1.000
Tachypnea	--	1.00	--	--	1.000
Changes in the respiratory rhythm	--	1.00	--	--	1.000
Dyspnea	--	1.00	--	--	1.000
Orthopnea	--	1.00	--	--	1.000
Hypoxia	--	1.00	--	--	1.000
Hypoxemia	--	1.00	--	--	1.000
Cyanosis	< 0.001	1.00	1.00	1.00	1.000
Sleep-disordered breathing	< 0.001	1.00	1.00	1.00	1.000
Fatigue of respiratory muscles	--	1.00	--	--	1.000
Assuming the three-point position	< 0.001	1.00	1.00	1.00	1.000
Nose wing beating	< 0.001	1.00	1.00	1.00	1.000
Bradypnea	--	1.00	--	--	1.000
Increased thoracic excursion	--	1.00	--	--	1.000
Breathing with frowned lips	< 0.001	1.00	1.00	1.00	1.000
Diminished expiration pressure	< 0.001	1.00	1.00	1.00	1.000
Diminished inspiration pressure	< 0.001	1.00	1.00	1.00	1.000
Ventilation per minute diminished	--	1.00	--	--	1.000
Prolonged expiration stage	< 0.001	1.00	1.00	1.00	1.000
Increased anteroposterior diameter	< 0.001	1.00	1.00	1.00	0.998
Value ^* ***** S statistics -- values that do not vary.	CI 95%			p value^* * Shapiro-Wilk test
0.85	0.77 - 0.93			< 0.001

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[1] Corresponding author: Nayana Maria Gomes de Souza. E-mail: nayanamgs@hotmail.com