Nursing Diagnosis of Grieving in Cases of Perinatal Loss: A Preliminary Clinical Validation

Abstract

PURPOSE

To develop a preliminary clinical validation the NANDA-I nursing diagnosis “Grieving” in cases of perinatal loss.

METHODS

Descriptive cross-sectional study using the Fehring model.

FINDINGS

The overall clinical validity index for the diagnosis was 0.15. Only four defining characteristics and five manifestations identified in the literature were validated.

CONCLUSIONS

The variability of manifestations identified in the study participants is considered to be detrimental to the overall clinical validity index.

IMPLICATIONS FOR NURSING PRACTICE

The clinical validity of the diagnosis could not be substantiated by the preliminary results of this study and, therefore, additional research is necessary to determine the ability of the diagnosis to adapt to perinatal loss situations in real contexts. Some manifestations have been proposed to NANDA-I for inclusion as defining characteristics in the nursing diagnosis of grieving.

OBJETIVO

Validar clínicamente de forma preliminar el diagnóstico enfermero NANDA-I duelo en caso de pérdida perinatal.

MÉTODOS

Estudio descriptivo transversal usando el modelo de Fehring.

RESULTADOS

El índice de validez clínica global del diagnóstico fue de 0.15. Se validaron únicamente cuatro características definitorias y cinco manifestaciones identificadas en la literatura.

CONCLUSIONES

Se considera que la variabilidad de las manifestaciones presentadas por los participantes actuó en detrimento del índice de validación clínica global.

IMPLICACIONES PARA LA PRÁCTICA ENFERMERA

La validez clínica del diagnóstico no pudo ser corroborada por los resultados preliminares de este estudio y, por tanto, se necesita investigación adicional para terminar la capacidad de este diagnóstico para adaptarse a las situaciones de pérdidas perinatales en contexto reales. Se han propuesto a NANDA-I algunas manifestaciones para que sean incluidas como Características Definitorias del diagnóstico enfermero Duelo.

Keywords

Clinical validity grieving nursing diagnosis perinatal loss validation studies Diagnóstico enfermero Duelo Pérdida perinatal Estudios de validación Validez clínica

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