Rodrigo Jensen, Diná de Almeida Lopes Monteiro da Cruz, Luiz Celso Gomes , [...]
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Abstract
Purpose
To test the viability of to use specialists' opinions to establish degrees of membership between nursing diagnoses and its elements (defining characteristics or risk factors), based on the concepts of fuzzy sets theory. This strategy may feasibly mapping the specialist's knowledge on the diagnostic task.
Methods
Specialists were invited to reflect on the relationship between diagnoses and elements using linguistic variables, with a numerical representation.
Findings
We generated four matrices of 28 diagnoses and 62 elements. Out of 905 possibilities, we identified 286 relationships, represented in graphs.
Conclusions
The strategy was able to identify degrees of membership between nursing diagnoses and elements.
Implications
It seems that this method, if expanded, would contribute to refining and mapping the NANDA-I terminology.
Objetivo
Testar a viabilidade de utilizar a opinião de especialistas para estabelecer graus de pertinência entre diagnósticos de enfermagem e seus elementos (características definidoras ou fatores de risco), baseado nos conceitos da Teoria dos Conjuntos Fuzzy. Esta estratégia poderá viabilizar o mapeamento do conhecimento do especialista na tarefa diagnóstica.
Métodos
Especialistas foram convidados a refletir na relação existente entre diagnósticos e elementos, utilizando variáveis linguísticas, com representação numérica.
Resultados
Foram geradas quatro matrizes de 28 diagnósticos e 62 elementos. Dentre 905 possibilidades, foram identificadas 286 relações, representadas em grafos.
Conclusões
A estratégia foi adequada para identificar graus de pertinência entre diagnósticos de enfermagem e elementos.
Implicações
Vislumbra-se que esta metodologia, se expandida, contribua ao refinamento e mapeamento da classificação NANDA-I.
Research article
Restricted accessResearch articleFirst published October, 2013pp. 142-149
This study describes the concept of nursing through an analysis of Islamic sources.
Method
The concept analysis method of Walker and Avant was used.
Findings
Nursing is a process of seeking remedy. Nursing includes a strong educative component to help the human to fulfill his/her human capacities.
Conclusion
The human is viewed as having individual responsibility for self-care and development of human capacities in accord with human nature. When problems and barriers arise, the role of the nurse is to seek remedy.
Implication for Nursing Practice
The role of the nurse is to assist the human to fulfill his/her human potential. The person is viewed from a holistic lens and spiritual development is more important than physical care.
Research article
Restricted accessResearch articleFirst published October, 2013pp. 150-156
Matthias Dehmer, Werner O. Hackl, Frank Emmert-Streib , [...]
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Abstract
Purpose
Nursing processes are complex and include quite a few nonlinear interrelationships that are difficult to discover. Moreover, the formal description, visualization, and analysis of these processes are nontrivial challenges. The purpose of this paper is to establish the term network nursing as synonym for using quantitative graph theory in nursing science and to discuss how network nursing can be used for tackling such complex challenges in nursing science.
Methods
In particular, methods from quantitative graph theory, divided into two major classes, comparative network analysis and network characterization, are employed to solve challenging problems in nursing.
Findings
We demonstrate by way of example that this mathematical apparatus is feasible to tackle research questions when modeling and analyzing nursing processes.
Here we use a “NANDA-I” showcase to illustrate how nursing networks can be derived from nursing data and how these networks can be used to compare different patients regarding their nursing diagnoses.
Conclusions
Nursing networks can be used to characterize patients from a nursing perspective. Especially, they allow a process-based view and are able to map relationships or dependencies. One major advantage of a networking approach is that it can be applied independently from the underlying nursing classifications or terminologies.
Implications for Nursing Practice
Network nursing makes it possible to formally investigate the nursing process and thus opens up a so far little-known cosmos of possibilities and methods to expand nursing knowledge.
Research article
Restricted accessResearch articleFirst published October, 2013pp. 171-175
Elenice Valentim Carmona, Ianê Nogueira do Vale, Conceição Vieira da Silva Ohara , [...]
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Abstract
Objective
To clinically validate the nursing diagnosis, parental role conflict, in mothers of hospitalized newborns.
Method
Fehring's Clinical Validation Model was used, focusing on mothers, using a sample of 83. Major defining characteristics have been defined as the main indicators of the presence of a diagnosis, whereas minor are secondary indicators.
Results
Four minor defining characteristics were identified: (a) “anxiety,” (b) “expresses concerns about changes in maternal role,” (c) “expresses concerns about family,” and (d) “fear.” Major defining characteristics did not occur.
Conclusion
Mothers who spent less time with their infants were the ones that presented a major number of defining characteristics; therefore, they should have more opportunities for being with their babies. Other studies on subjective phenomena are needed.
Objetivo
Validar clinicamente o Diagnóstico de Enfermagem “Conflito no papel de mãe” em mães de recém-nascidos hospitalizados.
Método
Foi utilizado o Modelo de Validação Clínica de Fehring, com foco no paciente, usando uma amostra de 83 mães. As características definidoras maiores são definidas como indicadores principais da presença de um diagnóstico, enquanto as menores como indicadores secundários.
Resultados
Foram identificadas quatro características definidoras menores (com Índice de Validação Clínica menor que 0,80): (a) “Ansiedade,” (b) “Mãe expressa preocupações em relação a mudanças no papel materno,” (c) “Mãe expressa preocupação(ões) em relação à família (p. ex., funcionamento, comunicação, saúde),” e (d) “Medo.” Não ocorreram características definidoras maiores.
Conclusão
Mães que passaram menos tempo com os filhos foram as que apresentaram maior número de características definidoras, portanto, devem ter mais oportunidades para estar junto a eles. São necessários mais estudos sobre fenômenos subjetivos de enfermagem.