The Adequacy of the Q Methodology for Clinical Validation of Nursing Diagnoses Related to Subjective Foci

Abstract

OBJECTIVE

This article describes the adequacy of the Q methodology as a new option for the validation of nursing diagnoses related to subjective foci.

METHODS

Discussion paper about the characteristics of the Q methodology.

FINDINGS

This method has been used in nursing research particularly related to subjective concepts and includes both a quantitative and qualitative dimension.

CONCLUSIONS

The Q methodology seems to be an adequate and innovative method for the clinical validation of nursing diagnoses.

IMPLICATIONS FOR PRACTICE

The validation of nursing diagnoses related to subjective foci using the Q methodology could improve the level of evidence and provide nurses with clinical indicators for clinical reasoning and for the planning of effective interventions.

OBJETIVO

Descrever a adequação da metodologia Q como uma nova opção para a validação clínica de diagnósticos de enfermagem relacionados com focos subjetivos.

MÉTODOS

Artigo de discussão sobre as características da metodologia Q.

RESULTADOS

Este método tem sido utilizado na pesquisa em enfermagem relacionada com conceitos subjetivos e inclui em simultâneo uma vertente qualitativa e quantitativa.

CONCLUSÕES

A metodologia Q parece ser uma opção metodológica adequada para a validação clínica de diagnósticos de enfermagem.

IMPLICAÇÕES PARA A PRÁTICA

A utilização da metodologia Q na validação clínica de diagnósticos de enfermagem relacionados com focos subjetivos pode melhorar o nível e evidência e facilitar o raciocínio clínico dos enfermeiros, ao providenciar indicadores clínicos também necessários ao desenvolvimento de intervenções efetivas.

Keywords

nursing diagnosis nursing methodology research validation study

Get full access to this article

View all access options for this article.

References

Akhtar-Danesh

Baumann

Cordingley

(2008). Q-methodology in nursing research: A promising method for the study of subjectivity. Western Journal of Nursing Research, 30(6), 759–773.

Akhtar-Danesh

Dehghan

Morrison

K. M.

Fonseka

(2011). Parents' perceptions and attitudes on childhood obesity: A Q-methodology study. Journal of the American Academy of Nurse Practitioners, 23(2), 67–75.

Akhtar-Danesh

Valaitis

O'Mara

Austin

Munroe

(2013). Viewpoints about collaboration between primary care and public health in Canada. BMC Health Services Research, 13, 311–324

Appoloni

A. H.

Herdman

T. H.

Napoleão

A. A.

Carvalho

E. C.

Hortense

(2013). Concept analysis and validation of the nursing diagnosis, delayed surgical recovery. International Journal of Nursing Knowledge, 24(3), 116–121.

Backhaus

vanExel

Bont

(2013). Employees’ views on home-based, after-hours telephone triage by Dutch GP cooperatives. International Journal of Emergency Medicine, 6(42), 1–7.

Banning

(2008). Clinical reasoning and its application to nursing: Concepts and research studies. Nurse Education in Pratice, 8(3), 177–183.

Barker

J. H.

(2008). Q-methodology: An alternative approach to research in nurse education. Nurse Education Today, 28(8), 917–925.

Baxter

Akhtar-Danesh

Valaitis

Stanyon

Sproul

(2009). Simulated experiences: Nursing students share their perspectives. Nurse Education Today, 29(8), 859–866.

Boffa

D. P.

Pawola

L. M.

(2006). Identification and conceptualization of nurse super users. Journal of Healthcare Information Management, 20(4), 60–68.

10.

Brown

(1996). Q methodology and qualitative research. Qualitative Health Research, 6(4), 561–567.

11.

Caldeira

S. M. A.

Chaves

E. C. L.

Carvalho

E. C.

Vieira

M. M. S.

(2012). Validation of nursing diagnosis—The differential diagnostic model as a strategy. Journal of Nursing UFPE, 6(6), 1441–1445.

12.

Caldeira

Carvalho

E. C.

Vieira

(2013). Spiritual distress-proposing a new definition and defining characteristics. International Journal of Nursing Knowledge, 24(2), 77–84.

13.

Caldeira

Timmins

Carvalho

E. C.

Vieira

(2015). Clinical validation of the nursing diagnosis spiritual distress in cancer patients undergoing chemotherapy. International Journal of Nursing Knowledge. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/2047-3095.12105/epdf

14.

Carvalho

E. C.

Eduardo

A. H. A.

Romanzini

Simão

T. P.

Zamarioli

C. M.

Garbuio

D. C.

Herdman

T. H.

(2016). Correspondence between NANDA Internacionational Nursing Diagnoses and outcomes as proposed by the nursing diagnoses outcomes classification. International Journal of Nursing Knowledge. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/2047-3095.12135/epdf

15.

Cerullo

J. A. S. B.

Cruz

D. A. L. M.

(2010). Clinical reasoning and critical thinking. Revista Latino-Americana de Enfermagem, 18(1), 124–129.

16.

Chang

S. O.

(2003). Types of smoking temptation. Taehan Kanho Hakhoe Chi, 33(4), 519–528.

17.

Chaves

E. C. L.

Carvalho

E. C.

Rossi

L. A.

(2008). Validação de diagnósticos de enfermagem: Tipos, modelos e componentes validados. Revista Electrónica de Enfermagem, 10(2), 513–520.

18.

Chaves

E. C. L.

Carvalho

E. C.

Terra

F. S.

Souza

(2010). Clinical validation of impaired spirituality in patients with chronic renal disease. Revista Latino-Americana Enfermagem, 18(3), 309–316.

19.

Creason

(2004). Clinical validation of nursing diagnoses. International Journal of Nursing Terminologies and Classifications, 15(4), 123–132.

20.

Cross

(2005). Accident and emergency nurses’ attitudes towards health promotion. Journal of Advanced Nursing, 51(5), 474–483.

21.

Gallagher

Marlow

Edgley

Porock

(2012). The attitudes of neonatal nurses towards extremely preterm infants. Journal of Advanced Nursing, 68(8), 1768–1779.

22.

Gallagher-Lepak

(2014). Nursing diagnosis basics. In Herman

T. H.

Kamitsuru

& (Eds.), Nursing diagnoses: Definitions and classification, 2015–2017 (Chapter 1, pp. 21–30). Oxford: Wiley Blackwell.

23.

Gardner

Goodsell

Duggan

Murtha

Peck

Williams

(2001). 'Don't call me sweetie!': Patients differ from nurses in their perceptions of caring. Collegian (Royal College of Nursing, Australia), 8(3), 32–38.

24.

E. H.

(2015a). Attitudes toward clinical practice in undergraduate nursing students: A Q methodology study. Nurse Education Today, 35(6), 733–739.

25.

E. H.

(2015b). Attitudes towards rotating shift work in clinical nurses: A Q-methodology study. Journal of Clinical Nursing, 24(17–18), 2488–2497.

26.

Hagquist

Bruce

Gustavsson

J. P.

(2009). Using the Rasch model in nursing research: An introduction and illustrative example. International Journal of Nursing Studies, 46(3), 380–393.

27.

Harvey

Good

Mason

Reissland

(2013). A Q-methodology study of parental understandings of infant immunisation: Implications for health-care advice. Journal of Health Psychology, 20(11), 1451–1462.

28.

Herdman

Kamitsuru

(2014). Nursing diagnoses: Definitions and classification, 2015–2017 (10th .ed.). Oxford: Wiley Blackwell.

29.

G. W. K.

Gross

D. A.

(2015a). Differentiating physical discipline from abuse: Q findings from Chinese American mothers and pediatric nurses. Child Abuse & Neglect, 43, 83–94.

30.

G. W. K.

Gross

D. A.

(2015b). Pediatric nurses' differentiations between acceptable and unacceptable parent discipline behaviors: A Q-study. Journal of Pediatric Healthcare, 29(3), 255–264.

31.

Jedeloo

vanStaa

Latour

J. M.

vanExel

N. J. A.

(2010). Preferences for health care and self-management among Dutch adolescents with chronic conditions: A Q-methodological investigation. International Journal of Nursing Studies, 47(5), 593–603.

32.

K. H.

G. J.

Doorenbos

A. Z.

(2012). Attitudes of Korean adults towards human dignity: A Q methodology approach. Japan Journal of Nursing Science, 9(1), 101–111.

33.

Killam

L. A.

Montgomery

Luhanga

F. L.

Adamic

Carter

L. M.

(2010). Views on unsafe nursing students in clinical learning. International Journal of Nursing Education Scholarship, 7(1), e36. doi:10.2202/1548-923X.2026

34.

Killam

L. A.

Mossey

Montgomery

Timmermans

K. E.

(2013). First year nursing students' viewpoints about compromised clinical safety. Nurse Education Today, 33(5), 475–480.

35.

Kim

D. S.

Kim

H. S.

Schwartz-Barcott

Zucker

(2006). The nature of hope in hospitalized chronically ill patients. International Journal of Nursing Studies, 43(5), 547–556.

36.

Landeen

Pierazzo

Akhtar-Danesh

Baxter

vanEijk

Evers

(2015). Exploring student and faculty perceptions of clinical simulation: A Q-sort study. Journal of Nursing Education, 54(9), 485–491.

37.

Lee

H. J.

K. W.

Chee

K. H.

Lee

Y. J.

(2008). The perception of good death among human service students in South Korea: A Q-methodological approach. Death Studies, 32(9), 870–890.

38.

Levett-Jones

Hoffman

Dempsey

Jeong

S. Y.

Noble

Norton

C. A.

, … Hickey

(2010). The ‘five rights’ of clinical reasoning: An educational model to enhance nursing students’ ability to identify and manage clinically ‘at risk’ patients. Nurse Education Today, 30(6), 515–520.

39.

Liu

Han

(2013). Feasibility analysis of the value of Q method in the classification and understanding of expert experience. Chinese Journal of Integrative Medicine, 19(11), 869–873.

40.

Lopes

M. V. O.

Silva

V. M.

Araújo

T. L.

(2012). Methods for establishing the accuracy of clinical indicators in predicting nursing diagnoses. International Journal of Nursing Knowledge, 23(3), 134–139.

41.

Lopes

M. V. O.

Silva

V. M.

Araújo

T. L.

(2013). Validation of nursing diagnosis: Challenges and alternatives. Revista Brasileira de Enfermagem, 65(5), 649–655.

42.

Lopes

M. V. O.

Silva

V. M.

Herdman

T. H.

(2015). Causation and validation of nursing diagnoses: A middle range theory. International Journal of Nursing Knowledge. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/2047-3095.12104/

43.

Lunney

(2013). Coleta de dados, julgamento clínico e diagnósticos de enfermagem: Como determinar diagnósticos precisos. In Herdman

T. H.

(Ed.), Diagnósticos de Enfermagem da NANDA – Definições e Classificações – 2012–2014 (Chapter 2, pp. 113–133). São Paulo: Artmed Editora LDA.

44.

Marshall

A. P.

West

S. H.

Aitken

L. M.

(2011). Preferred information sources for clinical decision making: Critical care nurses' perceptions of information accessibility and usefulness. Worldviews on Evidence-Based Nursing, 8(4), 224–235.

45.

McCaughan

Thompson

Cullum

Sheldon

T. A.

Thompson

D. R.

(2002). Acute care nurses' perceptions of barriers to using research information in clinical decision-making. Journal of Advanced Nursing, 39(1), 46–60.

46.

McKeown

Thomas

(2013). Q methodology (2nd ed.). Thousand Oaks, CA: Sage.

47.

Montgomery

Killam

Mossey

Heerschap

(2014). Third year nursing students' viewpoints about circumstances which threaten safety in the clinical setting. Nurse Education Today, 34(2), 271–276.

48.

Mossey

Montgomery

Raymond

J. M.

Killam

L. A.

(2012). Typology of undergraduate nursing students' unsafe clinical practices: Q-methodology. Journal of Nursing Education, 51(5), 245–253.

49.

Orozco-Vargas

L. C.

(2013). Métodos para validação de diagnósticos de enfermagem – Modelo Rasch (pp. 101–124). In NANDA Internacional Inc. PRONANDA: Programa de Atualização em Diagnóstico de Enfermagem. Porto Alegre: Artmed Panamericana.

50.

Petit dit Dariel

Wharrad

Windle

(2010). Developing Q-methodology to explore staff views toward the use of technology in nurse education. Nurse Researcher, 18(1), 58–71.

51.

Paige

Morin

K. H.

(2015). Diversity of nursing student views about simulation design: A Q methodological study. Journal of Nursing Education, 54(5), 249–261.

52.

Park

C. S.

Yeoum

S. G.

Choi

E. S.

(2005). Study of subjectivity in the perception of cesarean birth. Nursing & Health Sciences, 7, 3–8.

53.

Parker

Lunney

(1998). Moving beyond content validation of nursing diagnoses. Nursing Diagnosis 9(4) 144–150.

54.

Pelletier

C. A.

(2005). Feeding beliefs of certified nurse assistants in the nursing home: A factor influencing practice. Journal of Gerontological Nursing, 31(7), 5–10.

55.

Pinto

S. M. O.

Caldeira

S. M. A.

Martins

J. C. A.

(2015). Is impaired comfort a nursing diagnosis? International Journal of Nursing Knowledge, 27(4), 205–209. doi:10.1111/2047-3095.12121

56.

Ramlo

(2015). Mixed method lessons learned from 80 years of Q methodology. Journal of Mixed Methods Research. doi:10.1177/1558689815610998

57.

Santos

Schor

(2003). Vivências da maternidade na adolescência precoce. Revista de Saúde Pública, 37(1), 15–23.

58.

Simons

(2013). An introduction to Q methodology. Nurse Researcher, 20(3), 28–32.

59.

Snethen

J. A.

Broome

M. E.

Bartels

Warady

B. A.

(2001). Adolescents' perception of living with end stage renal disease. Pediatric Nursing, 27(2), 159–167.

60.

Valaitis

R. K.

Akhtar-Danesh

Brooks

Binks

Semogas

(2011). Online communities of practice as a communication resource for community health nurses working with homeless persons. Journal of Advanced Nursing, 67(6), 1273–1284.

61.

Valaitis

Akhtar-Danesh

Eva

Levinson

Wainman

(2007). Pragmatists, positive communicators, and shy enthusiasts: Three viewpoints on Web conferencing in health sciences education. Journal of Medical Internet Research, 9(5), e39. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/18166527

62.

vonKrogh

(2008). An examination of the NANDA International taxonomy for domain completeness, ontological homogeneity, and clinical functionality. International Journal of Nursing Terminologies and Classifications, 19(2), 65–75.

63.

Work

Hensel

Decker

K. A.

(2015). A Q methodology study of perceptions of poverty among midwestern nursing students. Nursing Education Today, 35, 328–332.

64.

Yeun

(2005). Attitudes of elderly Korean patients toward death and dying: An application of Q-methodology. International Journal of Nursing Studies, 42(8), 871–880.

65.

Yeun

E. J.

Bang

H. Y.

Ryoo

E. N.

E. H.

(2014). Attitudes toward simulation-based learning in nursing students: An application of Q methodology. Nurse Education Today, 34, 1062–1068.