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Filling a gap in standardized nursing terminology. Development of a new nursing diagnosis proposal on heart failure self-care
Sanson, Gianfranco Vellone, Ercole Takao-Lopes, Camila Barrientos-Trigo, Sergio Porcel-Gálvez, Ana María Riegel, Barbara D'Agostino, Fabio
Sanson, Gianfranco
Vellone, Ercole
Takao-Lopes, Camila
Barrientos-Trigo, Sergio
Porcel-Gálvez, Ana María
Riegel, Barbara
D'Agostino, Fabio
Abstract
Purpose
Heart failure is a highly prevalent chronic health problem associated with poor quality-of-life and negative outcomes. Self-care is a cornerstone in patients suffering from heart failure. Nurses are commonly engaged in enhancing patients’ self-care behaviors, but the specific condition of deficit on self-care is not clearly identified by nurses. No nursing diagnoses focused on self-care of heart failure patients is currently available. This study aimed to develop a new nursing diagnosis that focuses on self-care in heart failure patients.
Data sources
A concept and content analysis were used. Some steps of the concept analysis were performed through an integrative literature review conducted searching in PUBMED and CINAHL databases to identify attributes, antecedents, and consequences of the diagnosis. Forty-five articles were selected from the 1450 studies found. Then, the content analysis was performed by an international panel of 29 experts. Two Delphi rounds were used to achieve consensus and an item content validity index was calculated for each diagnostic element.
Data synthesis
Integrative review proposed four diagnostic labels, two definitions, 15 defining characteristics, and 44 related factors. After the two Delphi rounds a consensus was reached for each diagnostic indicator with a content validity index ranging from 82.8% to 100%. The nursing diagnosis—labeled heart failure self-care deficit—was validated with a definition, eight defining characteristics, 15 related factors, and five at-risk populations.
Conclusions
This diagnosis allows nurses to document patients’ self-care in daily clinical practice through a standard nursing terminology, by naming this health problem, describing its etiology, and clinical manifestations.
Implications for nursing practice
This new diagnosis is expected to assist nursing clinicians, educators, and students in clinical reasoning with the aim to improve diagnostic accuracy in identifying patients with a heart failure self-care deficit, to select the most appropriate interventions and pursue better outcomes.
Keywords
concept analysis, content analysis, heart failure, nursing diagnosis, nursing practice, self-care
Date
2022
Type
Journal article
Journal
International Journal of Nursing Knowledge
Book
Volume
33
Issue
1
Page Range
18-28
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled