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Risk for decreased cardiac output: validation of a proposal for nursing diagnosis

2011; Wiley; Volume: 16; Issue: 6 Linguagem: Inglês

10.1111/j.1478-5153.2011.00453.x

1478-5153

Renata Pereira de Melo, Marcos Venícios de Oliveira Lopes, Thelma Leite de Araújo, Lúcia de Fátima da Silva, Francisca Aline Arrais Sampaio Santos, Sue Moorhead,

Quality and Safety in Healthcare

Nursing in Critical CareVolume 16, Issue 6 p. 287-294 Risk for decreased cardiac output: validation of a proposal for nursing diagnosis Renata Pereira de Melo, Renata Pereira de Melo R Pereira de Melo, RN, MSN, Doctoral Student, Federal University of Ceará/Brazil, CAPES Scholarship, Rua Henriqueta Galeno, 1080, apto 1703, Bairro Dionísio Torres, CEP 60135-420, Fortaleza, Ceará, BrasilSearch for more papers by this authorMarcos Venícios de Oliveira Lopes, Corresponding Author Marcos Venícios de Oliveira Lopes M Venícios de Oliveira Lopes, RN, PhD, Nursing Professor, Federal University of Ceará/Brazil, Rua Alexandre Baraúna, 1115, Bairro: Rodolfo Teófilo, CEP 60430-160, Fortaleza, Ceará, BrasilM Venícios de Oliveira Lopes, RN, PhD, Nursing Professor, Federal University of Ceará/Brazil, Rua Alexandre Baraúna, 1115, Bairro: Rodolfo Teófilo, CEP 60430-160, Fortaleza, Ceará, BrasilE-mail:[email protected]Search for more papers by this authorThelma Leite de Araujo, Thelma Leite de Araujo T Leite de Araujo, RN, PhD, Nursing Professor, Federal University of Ceará/Brazil, Rua Alexandre Baraúna, 1115, Bairro: Rodolfo Teófilo, CEP 60430-160, Fortaleza, Ceará, BrasilSearch for more papers by this authorLucia de Fatima da Silva, Lucia de Fatima da Silva L de Fatima da Silva, RN, PhD, Nursing Professor, State University of Ceará/Brazil, Avenida Paranjana, 1700, Bairro: Campus do Itaperi, CEP 60000-000, Fortaleza, Ceará, BrasilSearch for more papers by this authorFrancisca Aline Arrais Sampaio Santos, Francisca Aline Arrais Sampaio Santos F Aline Arrais Sampaio Santos, RN, MSN, Doctoral Student, Federal University of Ceará/Brazil, Nursing Professor, Federal University of Maranhão/Brazil, Rua 117, casa 81, 1a etapa, Bairro: Conjunto Ceará, CEP 60530-080, Fortaleza, Ceará, BrasilSearch for more papers by this authorSue Moorhead, Sue Moorhead S Moorhead, PhD, Associate Professor, College of Nursing, the University of Iowa, 1903 West Garfield Street, Davenport, IA 52804, USASearch for more papers by this author Renata Pereira de Melo, Renata Pereira de Melo R Pereira de Melo, RN, MSN, Doctoral Student, Federal University of Ceará/Brazil, CAPES Scholarship, Rua Henriqueta Galeno, 1080, apto 1703, Bairro Dionísio Torres, CEP 60135-420, Fortaleza, Ceará, BrasilSearch for more papers by this authorMarcos Venícios de Oliveira Lopes, Corresponding Author Marcos Venícios de Oliveira Lopes M Venícios de Oliveira Lopes, RN, PhD, Nursing Professor, Federal University of Ceará/Brazil, Rua Alexandre Baraúna, 1115, Bairro: Rodolfo Teófilo, CEP 60430-160, Fortaleza, Ceará, BrasilM Venícios de Oliveira Lopes, RN, PhD, Nursing Professor, Federal University of Ceará/Brazil, Rua Alexandre Baraúna, 1115, Bairro: Rodolfo Teófilo, CEP 60430-160, Fortaleza, Ceará, BrasilE-mail:[email protected]Search for more papers by this authorThelma Leite de Araujo, Thelma Leite de Araujo T Leite de Araujo, RN, PhD, Nursing Professor, Federal University of Ceará/Brazil, Rua Alexandre Baraúna, 1115, Bairro: Rodolfo Teófilo, CEP 60430-160, Fortaleza, Ceará, BrasilSearch for more papers by this authorLucia de Fatima da Silva, Lucia de Fatima da Silva L de Fatima da Silva, RN, PhD, Nursing Professor, State University of Ceará/Brazil, Avenida Paranjana, 1700, Bairro: Campus do Itaperi, CEP 60000-000, Fortaleza, Ceará, BrasilSearch for more papers by this authorFrancisca Aline Arrais Sampaio Santos, Francisca Aline Arrais Sampaio Santos F Aline Arrais Sampaio Santos, RN, MSN, Doctoral Student, Federal University of Ceará/Brazil, Nursing Professor, Federal University of Maranhão/Brazil, Rua 117, casa 81, 1a etapa, Bairro: Conjunto Ceará, CEP 60530-080, Fortaleza, Ceará, BrasilSearch for more papers by this authorSue Moorhead, Sue Moorhead S Moorhead, PhD, Associate Professor, College of Nursing, the University of Iowa, 1903 West Garfield Street, Davenport, IA 52804, USASearch for more papers by this author First published: 20 July 2011 https://doi.org/10.1111/j.1478-5153.2011.00453.xCitations: 6Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Aim: To verify the content validity of the nursing diagnosis risk for decreased cardiac output (RDCO). Background: DCO is a phenomenon that is not restricted to individuals or environments that specifically focus on cardiovascular care. It is not only prevalent in cardiovascular care units, but also in post-anaesthesia units and non-cardiac care units among individuals with non-cardiogenic disorders. A significant decrease in cardiac output is a life-threatening situation, demonstrating the need for developing a risk nursing diagnosis for early intervention. The development of this diagnosis requires the construction of a diagnosis label, a definition of the diagnostic concept and the risk factors associated with the diagnosis. Methods: The research was carried out in two methodological stages based on the Fehring diagnosis content validation model. The quantitative analysis consisted of the calculation of the weighted mean of the values attributed by experts to each risk factor, the level of agreement/disagreement between the experts regarding the operational definitions of risk factors and the index of diagnostic content validity (DCV). Results: The label 'risk for decreased cardiac output' was considered representative of a nursing diagnosis defined as 'at risk of developing a health status characterized by an insufficient quantity of blood pumped by the heart to meet physical metabolic demands'. Critical risk factors (DCV ≥ 0·7) were myocardial dysfunction (0·887), blood loss (0·875), increase in intrapericardial pressure (0·825), condition that leads to changes in cardiac rhythm and/or electrical conduction (0·812), deficient fluid volume (0·725), plasma loss (0·712), ineffective tissue perfusion (0·712) and electrolyte imbalance (0·7). Conclusions: The research identified eight risk factors with valid content for assessment of RDCO. Implications for nursing practice: The identification of risk factors for DCO assists nurses to intervene early and minimize the consequences of a deficient cardiac function. Citing Literature Volume16, Issue6November/December 2011Pages 287-294 RelatedInformation