Critical defining characteristics for nursing diagnosis about ineffective breastfeeding

Interactive breastfeeding theory: fawcett's pragmatic adequacy assessment

OBJECTIVE

To assess the pragmatic adequacy of the Interactive Theory of Breastfeeding based on the Fawcett's Model.

METHOD

Theoretical study, according to evaluation criteria proposed by Fawcett. The six questions suggested in the model were used, answered based on searches in scientific literature, consultation in legislation supporting nursing professional practice and information from the authors of the theory.

RESULTS

It was observed that during their training, Nurses acquire skills for care, but clinical management focused on breastfeeding should be emphasized. Since its creation, the theory has been applied in an ascending manner, proving its application in clinical practice to be viable. The existence of laws and resolutions guarantee clinical nurses the legal support necessary to develop a practice based on the Interactive Theory of Breastfeeding.

CONCLUSION

The pragmatic adequacy of the theory was observed, showing that the Interactive Theory of Breastfeeding subsidizes a care directed at the mother and child binomial, supporting the nurse in their decision-making, contributing to the protection, promotion, and support of breastfeeding.

Development and validation of a prototype application on breastfeeding for health professionals

OBJECTIVE

To develop and validate a prototype mobile application on breastfeeding for health professionals.

METHOD

Methodological study. To build this prototype, information obtained from interviews with six health professionals who were certified as international breastfeeding consultants was employed. For validating the prototype, screenshots were sent to each professional participating in the first phase, as well as an adapted instrument to assess appearance, content, and language.

RESULTS

Most assessments were "great" or "good". The participating professionals have also made important considerations for content enhancement, mainly for the clinical content.

CONCLUSION

The prototype was positively assessed by the professionals, fulfilling the proposed objective. This study is highly important for breastfeeding care professional practice, since it presents a tool which improves quality of care by contributing to the best evidence-based practice.

Accuracy of risk factors for nursing diagnosis risk of infection in people with AIDS

OBJECTIVE

To evaluate the accuracy of risk factors for infection that add up to the nursing diagnosis risk of infection in people with AIDS who are hospitalized.

METHOD

Accuracy study with case-control design carried out with a total of 208 people living with AIDS and hospitalized between 2010 and 2016. The cases comprised people living with HIV, hospitalized and who developed infection related to health care and controls to those who did not develop it. Secondary data from medical records and research forms were used to respond to the data collection instrument for sociodemographic, clinical evaluation and investigation of the presence or absence of risk factors. The accuracy of clinical diagnostic indicators was measured through specificity, sensitivity and predictive values.

RESULTS

The risk factor that showed the greatest sensitivity and specificity was chronic illness, while the invasive procedure and the change in the integrity of the skin had the highest positive predictive value.

CONCLUSION

Accurate diagnoses allow nurses to build a nursing intervention plan aimed at the needs of this population.