Clinical validation of nursing diagnoses of acute pain in hospitalized children.

Anali Martegani Ferreira, Caroline Maier Predebon, Diná de Almeida Lopes Monteiro da Cruz, Eneida Rejane Rabelo
Author Information
  1. Anali Martegani Ferreira: School of Nursing, Federal University of Pampa, Urugaiana, Rio Grande do Sul, Brazil.

Abstract

PURPOSE: Clinically validate (Fehring's model) the characteristics of the nursing diagnosis acute pain in 65 hospitalized children.
METHODS: Cross-sectional study.
FINDINGS: This study resulted in 13 major characteristics (expressive behavior, change of mental state, verbal report of pain, observed evidence of pain, narrowed focus, position to avoid pain, guarding behavior, sleep disturbance, protective gestures, changes in heart rate, changes in muscle tone, changes in respiratory rate, and facial mask) and in 5 minor characteristics (changes in blood pressure, coded report, changes in breathing pattern, distraction behavior, and changes in appetite).
CONCLUSIONS: Characteristics with R > 0.50 and ≤ 1 were valid in the diagnosis acute pain.
IMPLICATIONS FOR NURSING PRACTICE: Clinical validation studies must be reproduced in different populations.

MeSH Term

Acute Disease
Child
Child, Preschool
Cross-Sectional Studies
Female
Hospitalization
Humans
Male
Nursing Diagnosis
Pain

Word Cloud

Created with Highcharts 10.0.0painchangescharacteristicsacutebehaviornursingdiagnosishospitalizedchildrenstudyreportrateClinicalvalidationPURPOSE:ClinicallyvalidateFehring'smodel65METHODS:Cross-sectionalFINDINGS:resulted13majorexpressivechangementalstateverbalobservedevidencenarrowedfocuspositionavoidguardingsleepdisturbanceprotectivegesturesheartmuscletonerespiratoryfacialmask5minorbloodpressurecodedbreathingpatterndistractionappetiteCONCLUSIONS:CharacteristicsR>0501validIMPLICATIONSFORNURSINGPRACTICE:studiesmustreproduceddifferentpopulationsdiagnoses

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