Nunes MM, Lopes MVDO, da Silva VM, Leandro TA, Fróes NBM, Almeida ADAP, Sobreira BA, Nunes VM, de Menezes AP, Ferreira GDL. Validation of Clinical Indicators of the Nursing Diagnosis of Ineffective Protection in Adolescents With Cancer.
J Pediatr Nurs 2018;
42:e58-e65. [PMID:
29779762 DOI:
10.1016/j.pedn.2018.05.001]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Revised: 05/04/2018] [Accepted: 05/04/2018] [Indexed: 12/23/2022]
Abstract
PURPOSE
To validate the clinical indicators of the nursing diagnosis of Ineffective protection in adolescents with cancer based on diagnostic accuracy measurements.
DESIGN AND METHODS
Measurements of sensitivity and specificity for the indicators were calculated using latent class analysis with random effects in a sample of 127 adolescents between 10 and 19 years of age.
RESULTS
The prevalence of diagnosis was estimated at 93.7%. The indicators deficient immunity and weakness showed higher sensitivity values, whereas opportunistic infections, recurrent infections, insomnia, mucosal lesions, and coughing showed high specificity.
CONCLUSIONS
Seven indicators were clinically validated.
PRACTICE IMPLICATIONS
The validation of clinical indicators provides nurses with the knowledge of useful signs and symptoms to identify early spectra of a nursing diagnosis or confirm their presence in a specific population. In clinical practice, this knowledge contributes to an accurate diagnostic inference and the planning of nursing interventions directed to the idiosyncrasies of individuals.
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